Clinical efficacy of an antibody-based detection system for human papilloma virus infection in oral squamous cell carcinoma

dc.contributor.authorBlatt, Sebastian
dc.contributor.authorPabst, Andreas
dc.contributor.authorZimmer, Stefanie
dc.contributor.authorWalter, Christian
dc.contributor.authorAl-Nawas, Bilal
dc.contributor.authorKrüger, Maximilian
dc.date.accessioned2021-05-03T09:54:54Z
dc.date.available2021-05-03T09:54:54Z
dc.date.issued2021
dc.description.abstractOBJECTIVES There is an increasing number of oral squamous cell carcinoma (OSCC) associated with HPV-16. However, p16 expression by immunohistochemistry as the current gold standard for a surrogate marker for virus infection reveals unsatisfying diagnostic accuracy. The aim of this study was to investigate a new rapid test for L1 antibody detection (Prevocheck®) and to validate its diagnostic performance. MATERIALS AND METHODS In a prospective study, the HPV 16 association of all consecutive patients with an OSCC treated between 2015 and 2019 were analyzed by L1 seropositivity (via PrevoCheck®), p16 immunostaining, and partly multiplex PCR for subtype analysis. RESULTS Overall (n = 107), p16 expression was positive in 17 cases (15.9%), and L1 antibody seropositivity in 7 cases (6.5%). In PCR analysis, two cases of HPV35 and 50 were found. Total HPV prevalence was 8.4% overall and 6.5% for HPV-16. An inferior diagnostic accuracy for HPV-16-associated OSCC in comparison to PrevoCheck® was revealed. CONCLUSION The rapid test for L1 antibodies showed an optimal sensitivity and specificity, positive and negative predictive value, and an overall diagnostic accuracy of 100%. However, HPV prevalence seems low in OSCC. CLINICAL RELEVANCE L1 rapid test may represent an additional diagnostic staging method to detect HPV-16 association rather than p16 immunohistochemistry.en_GB
dc.identifier.doihttp://doi.org/10.25358/openscience-5782
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/5791
dc.language.isoengde
dc.rightsCC-BY-4.0*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleClinical efficacy of an antibody-based detection system for human papilloma virus infection in oral squamous cell carcinomaen_GB
dc.typeZeitschriftenaufsatzde
jgu.journal.titleClinical oral investigationsde
jgu.journal.volume25de
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.nameJohannes Gutenberg-Universität Mainz
jgu.organisation.number2700
jgu.organisation.placeMainz
jgu.organisation.rorhttps://ror.org/023b0x485
jgu.pages.end2843de
jgu.pages.start2837de
jgu.publisher.doi10.1007/s00784-020-03601-0
jgu.publisher.issn1436-3771de
jgu.publisher.nameSpringerde
jgu.publisher.placeBerlin u.a.de
jgu.publisher.urihttps://doi.org/10.1007/s00784-020-03601-0de
jgu.publisher.year2021
jgu.rights.accessrightsopenAccess
jgu.subject.ddccode610de
jgu.type.dinitypeArticleen_GB
jgu.type.resourceTextde
jgu.type.versionPublished versionde

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