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Relationships of early esophageal cancer with human papillomavirus and alcohol metabolism

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Title: Relationships of early esophageal cancer with human papillomavirus and alcohol metabolism
Authors: Inoue, Masaki Browse this author
Shimizu, Yuichi Browse this author →KAKEN DB
Ishikawa, Marin Browse this author
Abiko, Satoshi Browse this author
Shimoda, Yoshihiko Browse this author
Tanaka, Ikko Browse this author
Kinowaki, Sayoko Browse this author
Ono, Masayoshi Browse this author →KAKEN DB
Yamamoto, Keiko Browse this author →KAKEN DB
Ono, Shoko Browse this author →KAKEN DB
Sakamoto, Naoya Browse this author →KAKEN DB
Keywords: Human papillomavirus
Esophageal squamous cell carcinoma
Early esophageal cancer
Alcohol dehydrogenase-1B
Aldehyde dehydrogenase-2
Endoscopic resection
Issue Date: 21-Oct-2020
Publisher: Baishideng Publishing Group
Journal Title: World Journal of Gastroenterology (The WJG Press)
Volume: 26
Issue: 39
Publisher DOI: 10.3748/wjg.v26.i39.6047
Abstract: BACKGROUND It is well known that an alcohol consumption habit together with inactive heterozygous aldehyde dehydrogenase-2 (ALDH2) is an important risk factor for the development of esophageal squamous cell carcinoma (ESCC). It remains controversial whether human papillomavirus (HPV) infection contributes to the occurrence/development of ESCC. There has been no study in which the relationship between ESCC and HPV in addition to alcohol dehydrogenase-1B (ADH1B) and ALDH2 genotypes was evaluated. AIM To evaluate relationships between HPV infection and development of esophageal cancer, particularly early esophageal cancer, based on ADH1B/ALDH2 polymorphisms. METHODS We conducted an exploratory retrospective study using new specimens, and we enrolled 145 patients who underwent endoscopic resection for superficial ESCC and had been observed for more than two years by both physical examination and endoscopic examination in Hokkaido University Hospital. Saliva was collected to analyze genetic polymorphisms of ADH1B/ALDH2. We performed in situ hybridization for resected specimens to detect HPV by using an HPV type 16/18 probe. RESULTS HPV was detected in 15 (10.3%) of the 145 patients with ESCC. HPV-positive rates in inactive ALDH2*1/*2 and ALDH2*1/*1 + *2/*2 were 10.8% and 9.8%, respectively (P = 1.00). HPV-positive rates in slow-metabolizing ADH1B*1/*1 and ADH1B*1/*2 + *2/*2 were 12.0% and 10.0%, respectively (P = 0.72). HPV-positive rates in the heavy or moderate alcohol consumption group and the light or rare consumption group were 11.1% and 8.7%, respectively (P = 0.68). HPV-positive rates in the heavy smoking group and the light or no smoking group were 11.8% and 8.3%, respectively (P = 0.59). The 3-year incidence rates of secondary ESCC or head and neck cancer after initial treatment in the HPV-positive and HPV-negative groups were 14.4% and 21.4% (P = 0.22), respectively. CONCLUSION In the present situation, HPV status is considered to be less important than other risk factors, such as alcohol consumption, smoking habit, ADH1B/ALDH2 polymorphisms, and HPV status would therefore have no effect on ESCC risk management.
Rights: http://creativecommons.org/Licenses/by-nc/4.0/
Type: article
URI: http://hdl.handle.net/2115/80436
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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