Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study

Background: Human papillomavirus (HPV) is the causative agent in cervical cancer and HPV genotypes 16 and 18 cause the majority of these cancers. Natural killer (NK) cells destroy virally infected and tumour cells via killer immunoglobulin-like receptors (KIR) that recognize decreased MHC class I ex...

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Main Authors: Brestovac, Brian, Wong, Michelle, Tjendera, Raymond, Costantino, Paul, Mamotte, Cyril, Witt, Campbell
Format: Journal Article
Published: BioMed Central 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/7550
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author Brestovac, Brian
Wong, Michelle
Tjendera, Raymond
Costantino, Paul
Mamotte, Cyril
Witt, Campbell
author_facet Brestovac, Brian
Wong, Michelle
Tjendera, Raymond
Costantino, Paul
Mamotte, Cyril
Witt, Campbell
author_sort Brestovac, Brian
building Curtin Institutional Repository
collection Online Access
description Background: Human papillomavirus (HPV) is the causative agent in cervical cancer and HPV genotypes 16 and 18 cause the majority of these cancers. Natural killer (NK) cells destroy virally infected and tumour cells via killer immunoglobulin-like receptors (KIR) that recognize decreased MHC class I expression. These NK cells may contribute to clearance of HPV infected and/or dysplastic cells, however since KIR controls NK cell activity, KIR gene variation may determine outcome of infection.Methods: KIR gene frequencies were compared between 147 patients with a history of high-grade cervical intraepithelial neoplasia (CIN) and a control population of 187, to determine if any KIR genes are associated with high-grade CIN. In addition a comparison was also made between cases of high grade CIN derived from 30 patients infected with HPV 16/18 and 29 patients infected with non-16/18 HPV to determine if KIR variation contributes to the disproportional carcinogenesis derived from HPV 16/18 infection.Results: High-grade CIN was weakly associated with the absence of KIR2DL2 and KIR2DS2 (p = 0.046 and 0.049 respectively, OR 0.6; 95% CI 0.4 – 0.9) but this association was lost after correction for multi-gene statistical analysis.No difference in KIR gene frequencies was found between high-grade CIN caused by HPV 16/18 and non-16/18.Conclusion: No strong association between KIR genes, high-grade CIN and HPV genotype was found in the Western Australian population.
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spelling curtin-20.500.11937-75502017-09-13T14:37:00Z Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study Brestovac, Brian Wong, Michelle Tjendera, Raymond Costantino, Paul Mamotte, Cyril Witt, Campbell High-grade CIN Cervical cancer Natural killer cells KIR Human papillomavirus Background: Human papillomavirus (HPV) is the causative agent in cervical cancer and HPV genotypes 16 and 18 cause the majority of these cancers. Natural killer (NK) cells destroy virally infected and tumour cells via killer immunoglobulin-like receptors (KIR) that recognize decreased MHC class I expression. These NK cells may contribute to clearance of HPV infected and/or dysplastic cells, however since KIR controls NK cell activity, KIR gene variation may determine outcome of infection.Methods: KIR gene frequencies were compared between 147 patients with a history of high-grade cervical intraepithelial neoplasia (CIN) and a control population of 187, to determine if any KIR genes are associated with high-grade CIN. In addition a comparison was also made between cases of high grade CIN derived from 30 patients infected with HPV 16/18 and 29 patients infected with non-16/18 HPV to determine if KIR variation contributes to the disproportional carcinogenesis derived from HPV 16/18 infection.Results: High-grade CIN was weakly associated with the absence of KIR2DL2 and KIR2DS2 (p = 0.046 and 0.049 respectively, OR 0.6; 95% CI 0.4 – 0.9) but this association was lost after correction for multi-gene statistical analysis.No difference in KIR gene frequencies was found between high-grade CIN caused by HPV 16/18 and non-16/18.Conclusion: No strong association between KIR genes, high-grade CIN and HPV genotype was found in the Western Australian population. 2013 Journal Article http://hdl.handle.net/20.500.11937/7550 10.1186/1750-9378-8-33 BioMed Central fulltext
spellingShingle High-grade CIN
Cervical cancer
Natural killer cells
KIR
Human papillomavirus
Brestovac, Brian
Wong, Michelle
Tjendera, Raymond
Costantino, Paul
Mamotte, Cyril
Witt, Campbell
Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study
title Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study
title_full Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study
title_fullStr Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study
title_full_unstemmed Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study
title_short Human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a Western Australian cohort study
title_sort human papillomavirus, high-grade intraepithelial neoplasia and killer immunoglogulin-like receptors: a western australian cohort study
topic High-grade CIN
Cervical cancer
Natural killer cells
KIR
Human papillomavirus
url http://hdl.handle.net/20.500.11937/7550