Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions

Oral premalignant lesions (OPLs) and numerous alterations of oral mucosa remain unsolved due to their complex etiopathogenesis. Human papillomaviruses (HPVs), in particular, have been reported as the possible risk factors or cofactors. The aim of the study was to determine the association of differe...

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Main Authors: Lindita Zendeli-Bedjeti, Mirjana Popovska, Aneta Atanasovska-Stojanovska, Sotirija Duvlis
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2017-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/281917
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author Lindita Zendeli-Bedjeti
Mirjana Popovska
Aneta Atanasovska-Stojanovska
Sotirija Duvlis
author_facet Lindita Zendeli-Bedjeti
Mirjana Popovska
Aneta Atanasovska-Stojanovska
Sotirija Duvlis
author_sort Lindita Zendeli-Bedjeti
collection DOAJ
description Oral premalignant lesions (OPLs) and numerous alterations of oral mucosa remain unsolved due to their complex etiopathogenesis. Human papillomaviruses (HPVs), in particular, have been reported as the possible risk factors or cofactors. The aim of the study was to determine the association of different HPV types with oral premalignant lesions, and the potential role of smoking and alcohol use. Eighty patients (mean age ± SD, 52.45±5.56) of both genders, 19 (23.75%) male and 61 (76.25%) female, were enrolled in the study. Study group included 40 patients diagnosed with OPLs (leukoplakia, erythroplakia, actinic keratosis and lichen planus), while control group included another 40 patients with healthy oral mucosa. Genotyping of the HPV types was performed by qualitative real-time HPV typing polymerase chain reaction test. HPV DNA was detected in 30% (12/40) of study group patients and 2.5% (1/40) of control group patients. The results revealed the presence of HPV16 in 15% (6/40), HPV56 in 10% (4/40), and HPV18 in 5% (2/40) of study group cases, and HPV31 in 1 (2.5%) control group patient. Th e association of oral HPV positivity and smoking/alcohol use in the study group was not statistically signifi cant (p>0.05). In conclusion, high-risk HPV types are associated with oral premalignant disorders. However, it remains unknown whether HPV acts as an innocent bystander or it has a role in initiating development of premalignant lesions. Smoking and alcohol use were not associated with the existing oral HPV infection.
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spelling doaj.art-bddc760655c54973ab7ae1aab7ef30232024-04-15T14:30:26ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.3.36937410.20471/acc.2017.56.03.02Human Papillomavirus as a Potential Risk Factor for Oral Premalignant LesionsLindita Zendeli-Bedjeti0Mirjana Popovska1Aneta Atanasovska-Stojanovska2Sotirija Duvlis3Department of Oral Pathology and Periodontology, St. Panteleimon University Dental Clinical Center, Skopje, Republic of MacedoniaDepartment of Oral Pathology and Periodontology, St. Panteleimon University Dental Clinical Center, Skopje, Republic of Macedonia ;School of Dental Medicine, Skopje, Republic of MacedoniaDepartment of Oral Pathology and Periodontology, St. Panteleimon University Dental Clinical Center, Skopje, Republic of Macedonia ;School of Dental Medicine, Skopje, Republic of MacedoniaInstitute of Public Health, Skopje, Republic of MacedoniaOral premalignant lesions (OPLs) and numerous alterations of oral mucosa remain unsolved due to their complex etiopathogenesis. Human papillomaviruses (HPVs), in particular, have been reported as the possible risk factors or cofactors. The aim of the study was to determine the association of different HPV types with oral premalignant lesions, and the potential role of smoking and alcohol use. Eighty patients (mean age ± SD, 52.45±5.56) of both genders, 19 (23.75%) male and 61 (76.25%) female, were enrolled in the study. Study group included 40 patients diagnosed with OPLs (leukoplakia, erythroplakia, actinic keratosis and lichen planus), while control group included another 40 patients with healthy oral mucosa. Genotyping of the HPV types was performed by qualitative real-time HPV typing polymerase chain reaction test. HPV DNA was detected in 30% (12/40) of study group patients and 2.5% (1/40) of control group patients. The results revealed the presence of HPV16 in 15% (6/40), HPV56 in 10% (4/40), and HPV18 in 5% (2/40) of study group cases, and HPV31 in 1 (2.5%) control group patient. Th e association of oral HPV positivity and smoking/alcohol use in the study group was not statistically signifi cant (p>0.05). In conclusion, high-risk HPV types are associated with oral premalignant disorders. However, it remains unknown whether HPV acts as an innocent bystander or it has a role in initiating development of premalignant lesions. Smoking and alcohol use were not associated with the existing oral HPV infection.https://hrcak.srce.hr/file/281917Mouth diseasesPapillomaviridaeHuman papillomavirus 16Polymerase chain reactionMacedonia
spellingShingle Lindita Zendeli-Bedjeti
Mirjana Popovska
Aneta Atanasovska-Stojanovska
Sotirija Duvlis
Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions
Acta Clinica Croatica
Mouth diseases
Papillomaviridae
Human papillomavirus 16
Polymerase chain reaction
Macedonia
title Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions
title_full Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions
title_fullStr Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions
title_full_unstemmed Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions
title_short Human Papillomavirus as a Potential Risk Factor for Oral Premalignant Lesions
title_sort human papillomavirus as a potential risk factor for oral premalignant lesions
topic Mouth diseases
Papillomaviridae
Human papillomavirus 16
Polymerase chain reaction
Macedonia
url https://hrcak.srce.hr/file/281917
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