p16 Expression Correlates with Invasive Ocular Surface Squamous Neoplasms in HIV-Infected Mozambicans.

HIV Human papillomavirus Ocular surface squamous neoplasia p16 immunohistochemistry

Journal

Ocular oncology and pathology
ISSN: 2296-4681
Titre abrégé: Ocul Oncol Pathol
Pays: Switzerland
ID NLM: 101656139

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 20 03 2019
accepted: 12 07 2019
entrez: 8 4 2020
pubmed: 8 4 2020
medline: 8 4 2020
Statut: ppublish

Résumé

p16 immunohistochemistry is widely used to diagnose human papillomavirus (HPV)-related squamous neoplasms of cervix, anogenital, head, and neck tissues. The incidence of these HPV-related squamous neoplasms is markedly increased in the HIV-infected population. Ocular surface squamous neoplasia (OSSN) is also more common in HIV-infected patients. However, the expression pattern of p16 in OSSN among HIV-infected patients is unclear. Here, we examined the expression of p16 in OSSN surgical excisions collected from a large HIV-infected cohort from -Mozambique. OSSN surgical tissue specimens were collected from 75 Mozambican patients. Formalin-fixed, paraffin-embedded tissue blocks from these OSSNs were sectioned, stained with hematoxylin and eosin (H&E), and p16 expression by immunohistochemistry. H&E slides were reviewed to determine if OSSNs were noninvasive conjunctival intraepithelial neoplasms or invasive squamous cell carcinomas (SCC). Cases were classified as p16 positive or negative based on diffuse nuclear and cytoplasmic expression of p16 in neoplastic cells. p16 positivity was found in a minority of OSSN cases (14/75). p16 positivity was significantly associated with the invasive SCC type of OSSN in HIV-infected patients ( The majority of OSSNs in our HIV-infected cohort do not express p16. However, those cases that are p16-positive are significantly more likely to be the invasive SCC form of OSSN. We propose that p16 expression may identify more aggressive OSSNs in HIV-infected populations.

Sections du résumé

BACKGROUND BACKGROUND
p16 immunohistochemistry is widely used to diagnose human papillomavirus (HPV)-related squamous neoplasms of cervix, anogenital, head, and neck tissues. The incidence of these HPV-related squamous neoplasms is markedly increased in the HIV-infected population. Ocular surface squamous neoplasia (OSSN) is also more common in HIV-infected patients. However, the expression pattern of p16 in OSSN among HIV-infected patients is unclear. Here, we examined the expression of p16 in OSSN surgical excisions collected from a large HIV-infected cohort from -Mozambique.
METHODS METHODS
OSSN surgical tissue specimens were collected from 75 Mozambican patients. Formalin-fixed, paraffin-embedded tissue blocks from these OSSNs were sectioned, stained with hematoxylin and eosin (H&E), and p16 expression by immunohistochemistry. H&E slides were reviewed to determine if OSSNs were noninvasive conjunctival intraepithelial neoplasms or invasive squamous cell carcinomas (SCC). Cases were classified as p16 positive or negative based on diffuse nuclear and cytoplasmic expression of p16 in neoplastic cells.
RESULTS RESULTS
p16 positivity was found in a minority of OSSN cases (14/75). p16 positivity was significantly associated with the invasive SCC type of OSSN in HIV-infected patients (
CONCLUSIONS CONCLUSIONS
The majority of OSSNs in our HIV-infected cohort do not express p16. However, those cases that are p16-positive are significantly more likely to be the invasive SCC form of OSSN. We propose that p16 expression may identify more aggressive OSSNs in HIV-infected populations.

Identifiants

pubmed: 32258020
doi: 10.1159/000502096
pii: oop-0006-0123
pmc: PMC7109427
doi:

Types de publication

Journal Article

Langues

eng

Pagination

123-128

Subventions

Organisme : FIC NIH HHS
ID : D43 TW010135
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI036214
Pays : United States

Informations de copyright

Copyright © 2019 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to declare.

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Auteurs

Carla Carrilho (C)

Department of Pathology, Eduardo Mondlane University, Maputo, Mozambique.
Service of Pathology, Maputo Central Hospital, Maputo, Mozambique.

Chau Miu (C)

Department of Pathology, University of California San Diego, La Jolla, California, USA.

Yeji Kim (Y)

Department of Ophthalmology, University of California San Diego, La Jolla, California, USA.

Susan Karki (S)

Department of Pathology, University of California San Diego, La Jolla, California, USA.

Alexandra Balmaceda (A)

Department of Pathology, University of California San Diego, La Jolla, California, USA.

Bindu Challa (B)

Department of Pathology, University of California San Diego, La Jolla, California, USA.

Scott Diamond (S)

Department of Pathology, University of California Los Angeles, Los Angeles, California, USA.

Eliane Monteiro (E)

Service of Pathology, Maputo Central Hospital, Maputo, Mozambique.

Evelia Marole (E)

Service of Ophthalmology, Maputo Central Hospital, Maputo, Mozambique.

Cesaltina Lorenzoni (C)

Department of Pathology, Eduardo Mondlane University, Maputo, Mozambique.
Service of Pathology, Maputo Central Hospital, Maputo, Mozambique.
Ministério da Saúde, Programa Nacional de Controlo do Cancro, Maputo, Mozambique.

Yolanda Zambujo (Y)

Service of Ophthalmology, Maputo Central Hospital, Maputo, Mozambique.

Yu-Tsueng Liu (YT)

Department of Medicine, University of California San Diego, La Jolla, California, USA.

Robert T Schooley (RT)

Department of Medicine, University of California San Diego, La Jolla, California, USA.

Jonathan H Lin (JH)

Service of Pathology, Maputo Central Hospital, Maputo, Mozambique.
Department of Ophthalmology, University of California San Diego, La Jolla, California, USA.
VA San Diego Healthcare System, San Diego, California, USA.
Department of Ophthalmology, Stanford University, Stanford, California, USA.
Department of Pathology, Stanford University, Stanford, California, USA.
VA Palo Alto Healthcare System, Palo Alto, California, USA.

Classifications MeSH