Abstract
The aim of this study was to understand the association of human papillomavirus (HPV) type 16/18 infection and polymorphisms in the HLA-DQB1 (rs6457617) and IL-1β –511 (rs16944) loci with the development of uterine cervical cancer (CaCx). The distribution of HLA-DQB1 G > A and IL-1β −511 C/T polymorphisms was determined in HPV-negative cervical swabs from normal women (N = 111) and compared with cervical swabs of HPV-cleared normal women (once HPV infected followed by natural clearance of the infection, N = 86), HPV16/18-positive cervical intraepithelial neoplasia (CIN, N = 41) and CaCx biopsies (N = 107). The A-allele containing genotypes (i.e. G/A and A/A) of HLA-DQB1 was significantly associated with CaCx compared with HPV-negative [OR = 2.56(1.42–4.62), p = 0.001] or HPV-cleared [OR = 2.07(1.12–3.87), p = 0.01] normal women, whereas the T-allele containing genotypes (i.e. C/T and T/T) of IL-1β showed increased risk of CIN [OR = 3.68(0.97–16.35), p = 0.03; OR = 3.59(0.92–16.38), p = 0.03] and CaCx development [OR = 2.03(1.03–5.2), p = 0.02; OR = 2.25(0.96–5.31), p = 0.04] compared with HPV-negative or HPV-cleared normal women. Considering these two loci together, it was evident that the T- and A-alleles rendered significantly increased susceptibility for development of CIN and CaCx compared with HPV-negative and HPV-cleared normal women. Moreover, the T-allele of IL-1β showed increased susceptibility for CIN [OR = 3.62(0.85–17.95), p = 0.04] and CaCx [OR = 2.39(0.91–6.37), p = 0.05] development compared with the HPV-cleared women, even in the presence of the HLA-DQB1 G-allele. Thus, our data suggest that persistent HPV16/18 infection in the cervix due to the presence of the HLA-DQB1 A-allele and chronic inflammation due to the presence of the IL-1β –511 T-allele might predispose women to CaCx development.
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Abbreviations
- AGUS:
-
Atypical glandular cells of undetermined significance
- ASCUS:
-
Atypical squamous cells of undetermined significance
- CaCx:
-
Uterine cervical cancer
- CI:
-
Confidence interval
- CIN:
-
Cervical intraepithelial neoplasia
- HLA:
-
Human leucocyte antigen
- HPV:
-
Human papillomavirus
- IL:
-
Interleukin
- LCR:
-
Long control region
- LD:
-
Linkage disequilibrium
- MHC:
-
Major histocompatibility complex
- OR:
-
Odds ratio
- PCR:
-
Polymerase chain reaction
- RFLP:
-
Restriction fragment length polymorphism
- SD:
-
Standard deviation
- TCR:
-
T cell receptors
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Acknowledgments
We extend our gratitude to Professors H. zur Hausen and E. M. de Villiers for their generous gifts of HPV16 and HPV18 plasmids. Financial supports for this work were provided by Senior Research Fellowship Grants from Council of Scientific & Industrial Research (CSIR), Government of India, to S. Dutta [File No. 09/030(0065)/2011-EMR-I] and C. Chakraborty [File No. 09/030(0059)/2010-EMR-I] and Extramural grant from the Department of Science and Technology (DST), Government of India [SR/SO/HS-116/2007 of dt. 07/09/2011], to Dr. C. K. Panda and Dr S Roychoudhury.
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The authors declare that there are no conflicts of interest with regard to the work presented in this article.
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Dutta, S., Chakraborty, C., Mandal, R.K. et al. Persistent HPV16/18 infection in Indian women with the A-allele (rs6457617) of HLA-DQB1 and T-allele (rs16944) of IL-1β −511 is associated with development of cervical carcinoma. Cancer Immunol Immunother 64, 843–851 (2015). https://doi.org/10.1007/s00262-015-1693-5
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DOI: https://doi.org/10.1007/s00262-015-1693-5