Summary
Molecular diagnostic adjuncts could improve the specificity of cervical cancer screening. Since persistent infection with human papillomavirus (HPV) is found in virtually 100% of cervical cancer cases, testing for markers of HPV integration may have a role in identifying underlying high-grade lesions in patients with low-grade cytologic abnormalities. Several proteins associated with the cell cycle are known to be affected by HPV integration into the host's DNA. Immunocytochemical identification of these upregu-lated proteins can assist in the identification of small numbers of pre-neoplastic or neoplastic cells in routine cytologic sampling.
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References
Kelly, D., Kincaid, E., Fansler, Z., Rosenthal, D.L., and Clark, D.P. (2006) Detection of cervical high-grade squamous intraepithelial lesions from cytologic samples using a novel immunocytochemical assay (ProEx C). Cancer Cytopathol 108, 494–500.
Schiffman, M. and Solomon, D. (2003) Findings to date from the ASCUS-LSIL Triage Study (ALTS). Arch Pathol Lab Med 127, 946–949.
DeFrancesco, M.A., Gargiulo, F., Schreiber, C., Ciravolo, G., Salinaro, F., and Manca, N. (2005) Detection and genotyping of human papillomavirus in cervical samples from Italian patients. J Med Virol 75, 588–592.
Doorbar, J. (2005) The papillomavirus life cycle. J Clin Virol 32, Suppl 1, S7–S15.
Wolf, J.K. and Ramirez, P.T. (2001) The molecular biology of cervical cancer. Cancer Invest 19, 621–629.
Martin, C.M., Astbury, K., and O'Leary, J.J. (2006) Molecular profiling of cervical neoplasia. Expert Rev Mol Diagn 6, 217–229.
Stoler, M.H. (2000) Human papillomavirus and cervical neoplasia: A model for carcino-genesis. Int J Gynecol Pathol 19, 16–28.
Zhang, H.S., Postigo, A.A., and Dean, D.C. (1999) Active transcriptional repression by the Rb-E2F complex mediates G1 arrest triggered by p16INK4a, TGFbeta, and contact inhibition. Cell 97, 53–61.
Jones, D.L. and Munger, K. (1996) Interactions of the human papillomavirus E7 protein with cell cycle regulators. Semin Cancer Biol 7, 327–337.
Dyson, N., Howley, P.M., Munger, K., and Harlow, E. (1989) The human papilloma virus-16 E7 oncoprotein is able to bind the retinoblastoma gene product. Science 243, 934–940.
Keating, J.T., Cviko, A., Riethdorf, S., Rieth-dorf, L., Quade, B.J., Sun, D., Duensing, S., Sheets, E.E., Munger K., and Crum, C.P. (2001) Ki-67, cyclin E, and p16INK4 are complimentary surrogate biomarkers for human papilloma virus related cervical neoplasia. Am J Surg 7, 884–891.
Klaes, R., Freidrich, T., Spitovsky, D., Ridder, R., Rudy, W., and Petry, U., Dallenbach-Hellweg, G., Schmdt, D., and von Knebel Doeberitz, M. (2001) Overexpression of p16(INK4A) as a specific marker for dysplastic and neoplas-tic cells of the cervix uteri. Int J Cancer 92, 276–284.
Klaes, R., Benner, A., Friedrich, T., et al. (2002). p16INK4a immunohistochemistry improves interobserver agreement in the diagnosis of cervical intraepithelial neoplasia. Am J Surg Pathol 26, 1389–1399.
Nieh, S., Chen, S.F., Chu, T.Y., Lai, H.C., Lin, Y.S., Fu, E., and Gau, C.H. (2005) Is p16(INK4A) expression more useful than human papillomavirus test to determine the outcome of atypical squamous cells of undetermined significance-categorized Pap smear? A comparative analysis using abnormal cervical smears with follow-up biopsies. Gynecol Oncol 97, 35–40.
Lampert, I.A., Horncastle, D., Dilworth, S., Roberts, I., Alison, M.R., and Naresh, K.N. (2005) The expression of minichromosome maintenance protein-2 in normal and abnormal megakaryocytes and comparison with the proliferative marker Ki-67. Br J Haematol 131, 490–494.
Davies, R.J., Scott, I.S., Morris, L.S., Rush-brook, S.M., Bird, K., Vowler, S.L., Arends, M., Miller, R., and Coleman, N. (2003) Increased expression of minichromosome maintenance protein 2 in active inflammatory bowel disease. Colorectal Dis 6,103–110.
Shroyer, K.R., Homer, P., Heinz, D., and Singh, M. (2006) Validation of a novel immunocytochemical assay for topoisomerase II- and minichromosome maintenance protein 2 expression in cervical cytology. Cancer Cytopathol 108 (5), 324–330.
Malinowski, D.P. (2005) Molecular diagnostic assays for cervical neoplasia: emerging markers for the detection of high-grade cervical disease. Biotechniques Suppl 1, 17–23.
Williams, G.H., Romanowski, P., Moris, L., Madine, M., Mills, A.D., Stoeber, K., Marr, J., Laskey, R.A., and Coleman N. (1998) Improved cervical smear assessment using antibodies against proteins that regulate DNA replication. Proc Natl Acad Sci USA 95, 14932–14937.
Freeman, A., Morris, L.S., Mills, A.D., Stoe-ber, K., Laskey, R.A., Williams, G.H., and Coleman, N. (1999) Minichromosome maintenance proteins as biological markers of dys-plasia and malignancy. Clin Cancer Res 5, 2121–2132.
Shi, J., Liu, H., Wilkerson, M., Huang, Y., Meschter, S., Dupree, W., Schuerch, C., and Lin, F. (2007) Evaluation of p16INK4a, minichromo-some maintenance protein 2, DNA topoisomer-ase IIalpha, ProEX C, and p16INK4a/ProEX C in cervical squamous intraepithelial lesions. Hum Pathol 38, 1335–1344.
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Dehn, D., Taylor, A., Fischer, T.J., Malinowski, D.P., Shroyer, K.R. (2009). Screening for Molecular Markers of Cervical Papillomavirus Infection: Overview of Methods and Their Clinical Implications. In: Kozlov, S.V. (eds) Inflammation and Cancer. Methods in Molecular Biology™, vol 511. Humana Press. https://doi.org/10.1007/978-1-59745-447-6_12
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DOI: https://doi.org/10.1007/978-1-59745-447-6_12
Publisher Name: Humana Press
Print ISBN: 978-1-934115-14-5
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