Human papillomavirus and salivary gland neoplasia: a p16INK4 immunohistochemical and in situ hybridisation study

J Laryngol Otol. 2015 Oct;129(10):1000-3. doi: 10.1017/S0022215115001851. Epub 2015 Jul 20.

Abstract

Objective: This study aimed to evaluate the association between human papillomavirus infection and salivary gland tumours in a Scottish cohort.

Methods: Specimens from a range of salivary gland tumours operated on between 1997 and 2012 were studied. A tissue microarray constructed from tissue blocks was subjected to p16INK4 (cyclin-dependent kinase inhibitor 2A) immunohistochemistry and in situ hybridisation using probes specific for human papillomavirus, including types 16 and 18.

Results: A total of 61 tumours (benign and malignant) were deemed suitable for the study. p16INK4 staining yielded three (4.9 per cent) positive samples: one small cell carcinoma, one squamous cell carcinoma and one poorly differentiated carcinoma. Human papillomavirus in situ hybridisation demonstrated a positive signal in the latter sample only (1.6 per cent).

Conclusion: This study demonstrated a very low human papillomavirus detection rate in salivary gland tumours. It can therefore be concluded that human papillomavirus infection is unlikely to play a role in salivary gland neoplasia. Rare human papillomavirus positive cases should be carefully evaluated to exclude the possibility of a metastatic lesion.

Keywords: Human Papillomavirus; Neoplasms; Salivary Glands.

MeSH terms

  • Adenocarcinoma / metabolism*
  • Adenocarcinoma / virology
  • Adenoma, Pleomorphic / metabolism*
  • Adenoma, Pleomorphic / virology
  • Carcinoma, Acinar Cell / metabolism
  • Carcinoma, Acinar Cell / virology
  • Carcinoma, Adenoid Cystic / metabolism
  • Carcinoma, Adenoid Cystic / virology
  • Carcinoma, Mucoepidermoid / metabolism
  • Carcinoma, Mucoepidermoid / virology
  • Carcinoma, Small Cell / metabolism*
  • Carcinoma, Small Cell / virology
  • Carcinoma, Squamous Cell / metabolism*
  • Carcinoma, Squamous Cell / virology
  • Cyclin-Dependent Kinase Inhibitor p16 / metabolism*
  • DNA, Viral / metabolism*
  • Head and Neck Neoplasms / metabolism*
  • Head and Neck Neoplasms / virology
  • Human papillomavirus 16 / genetics
  • Human papillomavirus 16 / isolation & purification
  • Human papillomavirus 18 / genetics
  • Human papillomavirus 18 / isolation & purification
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization
  • Papillomavirus Infections / metabolism*
  • Papillomavirus Infections / virology
  • Salivary Gland Neoplasms / metabolism*
  • Salivary Gland Neoplasms / virology
  • Squamous Cell Carcinoma of Head and Neck
  • Tissue Array Analysis

Substances

  • Cyclin-Dependent Kinase Inhibitor p16
  • DNA, Viral