期刊
AMERICAN JOURNAL OF OTOLARYNGOLOGY
卷 42, 期 1, 页码 -出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.amjoto.2020.102762
关键词
HPV16/18; p16; E6/E7 mRNA; EBV; Nasopharyngeal cancer; Prognosis; Head and neck cancer; Meta-analysis; Systematic review
This study conducted a meta-analysis to investigate the distribution of EBV and HPV in different histological types of NPC, finding a higher prevalence of HPV in WHO Type I compared to WHO Type II/III. Double-negative infection was more common in WHO Type I NPC.
Purpose: This study aimed to conduct a meta-analysis to investigate the distribution of EBV and HPV stratified according to histological NPC type. Materials & methods: We performed a meta-analysis to produce pooled prevalence estimates in a random-effects model. We also performed calculations for attributable fractions of viral combinations in NPC, stratified according to histological type. Results: There was a higher prevalence of HPV DNA in WHO Type I (34.4%) versus WHO Type II/III (18.4%). The attributable fractions of WHO Type I NPC was predominantly double negative EBV(-) HPV(-) NPC (56.4%), and EBV(-) HPV(+) NPC (21.5%), in contrast to the predominant infection in WHO Type II/III which was EBV(+) HPV(-) NPC (87.5%). Co-infection of both EBV and HPV was uncommon, and double-negative infection was more common in WHO Type I NPC. Conclusion: A significant proportion of WHO Type I NPC was either double-negative EBV(-)HPV(-) or EBV(-) HPV(+).
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