Abstract:
Objective To investigate the infection status and clinicopathological characteristics of Epstein-Barr virus(EBV)and human papillomavirus(HPV)in oral squamous cell carcinoma(OSCC)in Guangzhou,China.
Methods A total of 304 OSCC specimens were collected from Guangzhou,including 123 cases from the Third Affiliated Hospital of Sun Yat-sen University(January 2014 to December 2024)and 181 cases from Sun Yat-sen Memorial Hospital of Sun Yat-sen University(January 2017 to December 2018). Polymerase Chain Reaction(PCR)was used to detect viral DNA,in situ hybridization was used to assess EBV-encoded RNAs(EBER),and immunohistochemistry was performed to identify viral-related proteins and determine the type of infection.
Results Among the 304 OSCC specimens,26.3%(80/304)were EBV-PCR positive,with 63.8%(51/80)diagnosed at TNM stage I/II. Compared with EBV-negative cases,the difference in tumor staging was statistically significant(
P = 0.042). Among the EBV-PCR-positive OSCC cases,the EBER-positive rate was 33.8%(27/80),with 92.6%(25/27)localized in the cytoplasm. The detection rates of EBV-encoded nuclear antigen-1(EBNA-1),latent membrane protein-1(LMP-1),and EBV-encoded nuclear antigen-2(EBNA-2)were 83.8%(67/80),81.3%(65/80),and 56.3%(45/80),respectively,while the lytic protein ZEBRA was not detected. Type III latent infection accounted for 41.3%(33/80). In contrast,HPV DNA was detected in only 2.6%(8/304)of OSCC cases,among which two were p16-IHC positive. Only one case of OSCC showed EBV-HPV coinfection.
Conclusions Based on samples collected from Sun Yat-sen University affiliated hospitals,EBV infection is relatively prevalent in OSCC cases in Guangzhou,mainly characterized by type III latency and cytoplasmic localization of EBER,suggesting a potential role of EBV in the pathogenesis of OSCC. In contrast,HPV-related OSCC appears to be rare and likely plays a limited pathogenic role.