High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways

Human papillomavirus (HPV)-related multiphenotypic sinonasal carcinoma (HMSC) is a new type of sinonasal tumour that frequently drops out of accurate diagnosis. Human papillomavirus related multiphenotypic sinonasal carcinoma was previously known as HPV-related sinonasal carcinoma with adenoid cysti...

Full description

Bibliographic Details
Main Authors: Sabah Hanafy, Ibtesami Elhasadi, Mohamed Alabiad, Mohamed Refaat, Adel Bakry, Alsayed Abdulmageed, Amany Shalaby, Fatima A. Jaber, Mai Ahmed Gobran
Format: Article
Language:English
Published: Termedia Publishing House 2023-03-01
Series:Polish Journal of Pathology
Subjects:
Online Access:https://www.termedia.pl/High-risk-human-papillomavirus-enhances-the-expression-of-COX-2-VEGF-EGFR-ProEx-C-and-TERT-proteins-in-r-nhuman-papillomavirus-related-multiphenotypic-sinonasal-carcinoma-through-activation-of-PI3K-Ak,55,50335,1,1.html
_version_ 1797842665355608064
author Sabah Hanafy
Ibtesami Elhasadi
Mohamed Alabiad
Mohamed Refaat
Adel Bakry
Alsayed Abdulmageed
Amany Shalaby
Fatima A. Jaber
Mai Ahmed Gobran
author_facet Sabah Hanafy
Ibtesami Elhasadi
Mohamed Alabiad
Mohamed Refaat
Adel Bakry
Alsayed Abdulmageed
Amany Shalaby
Fatima A. Jaber
Mai Ahmed Gobran
author_sort Sabah Hanafy
collection DOAJ
description Human papillomavirus (HPV)-related multiphenotypic sinonasal carcinoma (HMSC) is a new type of sinonasal tumour that frequently drops out of accurate diagnosis. Human papillomavirus related multiphenotypic sinonasal carcinoma was previously known as HPV-related sinonasal carcinoma with adenoid cystic characteristics, and it is connected to high-risk HPV (HR-HPV) strains whose prognosis is unknown. We aim to evaluate PI3K/Akt, pRb, and h telomerase reverse transcriptase (TERT) signalling pathway activation through the expression of proteins cyclooxygenase-2 (COX-2), vascular endothelial growth factor (VEGF), ProEx-C, and TERT and their prognostic and clinicopathological value in HMSC patients. Sections of the 40 paraffin blocks of HMSC were recovered, and all samples were evaluated for the presence of a cocktail of HR-HPV, and the absence of MYB, NFIB, and MYBL1 fusions using fluorescence in situ hybridization; the presence of myoepithelial markers; S100, actin; the presence of squamous differentiation markers; calponin, p40, and p63 using PCR-based assays; and COX-2,VEGF, ProEx-C, and TERT using immunohistochemical staining. All patients were monitored for around 54 months, until death, or the last known surviving data (range 20–60 months). A statistically significant relationship exists between COX-2 expression was significantly related to the old age group, tumour extent, relapse, mortality, and poor DFS; (p = 0.001), (p = 0.01), (p = 0.002), and (p = 0.035), respectively. While VEGF, ProEx-C, and TERT expression with the old age group, tumour extent, lymph node metastasis, advancedstaging, relapse, mortality, poor disease free survival (DFS), and overall survival (p = 0.001). Human papillomavirus-related multiphenotypic sinonasal carcinoma is a unique sinonasal neoplasm with a strong link to HR-HPV strains. Expression of COX-2, VEGF, EGFR, ProEx-C, TERT was linked to poor prognosis, survival, and aggressive malignant behaviours such as proliferation, local recurrence, and lymph node metastasis, making them novel beneficial biomarkers and targeted therapies for HMSC patients.
first_indexed 2024-04-09T16:52:44Z
format Article
id doaj.art-bbefa045ffed4a858f729bad893c6aef
institution Directory Open Access Journal
issn 1233-9687
2084-9869
language English
last_indexed 2024-04-09T16:52:44Z
publishDate 2023-03-01
publisher Termedia Publishing House
record_format Article
series Polish Journal of Pathology
spelling doaj.art-bbefa045ffed4a858f729bad893c6aef2023-04-21T10:28:33ZengTermedia Publishing HousePolish Journal of Pathology1233-96872084-98692023-03-0173428329810.5114/pjp.2022.12581950335High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathwaysSabah HanafyIbtesami ElhasadiMohamed AlabiadMohamed RefaatAdel BakryAlsayed AbdulmageedAmany ShalabyFatima A. JaberMai Ahmed GobranHuman papillomavirus (HPV)-related multiphenotypic sinonasal carcinoma (HMSC) is a new type of sinonasal tumour that frequently drops out of accurate diagnosis. Human papillomavirus related multiphenotypic sinonasal carcinoma was previously known as HPV-related sinonasal carcinoma with adenoid cystic characteristics, and it is connected to high-risk HPV (HR-HPV) strains whose prognosis is unknown. We aim to evaluate PI3K/Akt, pRb, and h telomerase reverse transcriptase (TERT) signalling pathway activation through the expression of proteins cyclooxygenase-2 (COX-2), vascular endothelial growth factor (VEGF), ProEx-C, and TERT and their prognostic and clinicopathological value in HMSC patients. Sections of the 40 paraffin blocks of HMSC were recovered, and all samples were evaluated for the presence of a cocktail of HR-HPV, and the absence of MYB, NFIB, and MYBL1 fusions using fluorescence in situ hybridization; the presence of myoepithelial markers; S100, actin; the presence of squamous differentiation markers; calponin, p40, and p63 using PCR-based assays; and COX-2,VEGF, ProEx-C, and TERT using immunohistochemical staining. All patients were monitored for around 54 months, until death, or the last known surviving data (range 20–60 months). A statistically significant relationship exists between COX-2 expression was significantly related to the old age group, tumour extent, relapse, mortality, and poor DFS; (p = 0.001), (p = 0.01), (p = 0.002), and (p = 0.035), respectively. While VEGF, ProEx-C, and TERT expression with the old age group, tumour extent, lymph node metastasis, advancedstaging, relapse, mortality, poor disease free survival (DFS), and overall survival (p = 0.001). Human papillomavirus-related multiphenotypic sinonasal carcinoma is a unique sinonasal neoplasm with a strong link to HR-HPV strains. Expression of COX-2, VEGF, EGFR, ProEx-C, TERT was linked to poor prognosis, survival, and aggressive malignant behaviours such as proliferation, local recurrence, and lymph node metastasis, making them novel beneficial biomarkers and targeted therapies for HMSC patients.https://www.termedia.pl/High-risk-human-papillomavirus-enhances-the-expression-of-COX-2-VEGF-EGFR-ProEx-C-and-TERT-proteins-in-r-nhuman-papillomavirus-related-multiphenotypic-sinonasal-carcinoma-through-activation-of-PI3K-Ak,55,50335,1,1.htmlcox-2vegf egfr proex-c tert hpv multiphenotypic sinonasal carcinoma.
spellingShingle Sabah Hanafy
Ibtesami Elhasadi
Mohamed Alabiad
Mohamed Refaat
Adel Bakry
Alsayed Abdulmageed
Amany Shalaby
Fatima A. Jaber
Mai Ahmed Gobran
High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways
Polish Journal of Pathology
cox-2
vegf
egfr
proex-c
tert
hpv
multiphenotypic sinonasal carcinoma.
title High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways
title_full High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways
title_fullStr High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways
title_full_unstemmed High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways
title_short High-risk human papillomavirus enhances the expression of COX-2 VEGF, EGFR, ProEx-C, and TERT proteins in human papillomavirus-related multiphenotypic sinonasal carcinoma through activation of PI3K/Akt, pRb, and TERT signalling pathways
title_sort high risk human papillomavirus enhances the expression of cox 2 vegf egfr proex c and tert proteins in human papillomavirus related multiphenotypic sinonasal carcinoma through activation of pi3k akt prb and tert signalling pathways
topic cox-2
vegf
egfr
proex-c
tert
hpv
multiphenotypic sinonasal carcinoma.
url https://www.termedia.pl/High-risk-human-papillomavirus-enhances-the-expression-of-COX-2-VEGF-EGFR-ProEx-C-and-TERT-proteins-in-r-nhuman-papillomavirus-related-multiphenotypic-sinonasal-carcinoma-through-activation-of-PI3K-Ak,55,50335,1,1.html
work_keys_str_mv AT sabahhanafy highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT ibtesamielhasadi highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT mohamedalabiad highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT mohamedrefaat highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT adelbakry highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT alsayedabdulmageed highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT amanyshalaby highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT fatimaajaber highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways
AT maiahmedgobran highriskhumanpapillomavirusenhancestheexpressionofcox2vegfegfrproexcandtertproteinsinhumanpapillomavirusrelatedmultiphenotypicsinonasalcarcinomathroughactivationofpi3kaktprbandtertsignallingpathways