Skip to main content

Advertisement

Log in

Human papillomavirus infection and sporadic breast carcinoma risk: a meta-analysis

  • Epidemiology
  • Published:
Breast Cancer Research and Treatment Aims and scope Submit manuscript

Abstract

Despite an increase in the number of molecular epidemiological studies conducted in recent years to evaluate the association between HPV infection and risk of breast carcinoma, the studies remain inconclusive. Here, a meta-analysis was conducted to estimate the prevalence of HPV in breast carcinoma and test the association. Studies on HPV DNA detection in sporadic breast carcinoma in female using polymerase chain reaction were included. Information on overall and type-specific (HPV 6, 11, 16, 18, 31, 33, 35, 45 and 51) HPV prevalence were required, plus detailed descriptions of study populations, HPV DNA source, publication calendar period and PCR primers used for HPV DNA detection and typing. We revealed that 24.49% of the breast carcinoma cases were associated with HPV, 32.42% occurred in Asia and 12.91% in Europe. The four most commonly identified HPV types, in the order of decreased prevalence, were HPV33, 18, 16, and 35. The detection of HPV was mostly influenced by publication calendar period and PCR primers used. In addition, the analysis of ten case–control studies containing 447 breast carcinoma cases and 275 controls showed a significant increase in breast carcinoma risk with HPV positivity (OR = 3.63, 95% CI = 1.42–9.27). These results suggest that it’s difficult to rule out the possibility of the association of HPV and breast carcinoma at present according to available publication proofs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Munoz N (2000) Human papillomavirus and cancer: the epidemiological evidence. J Clin Virol 19:1–5

    Article  PubMed  CAS  Google Scholar 

  2. IARC (2007) Human papillomaviruses. IARC Monogr Eval Carcinog.Risks Hum, Geneva

    Google Scholar 

  3. Band V, Zajchowski D, Kulesa V et al (1990) Human papilloma virus DNAs immortalize normal human mammary epithelial cells and reduce their growth factor requirements. Proc Natl Acad Sci USA 87:463–467

    Article  PubMed  CAS  Google Scholar 

  4. Ong K, Koay ES, Putti TC (2009) Detection of cutaneous HPV types 4 and 24 DNA sequences in breast carcinoma in Singaporean women of Asian ancestry. Pathology 41:436–442

    Article  PubMed  CAS  Google Scholar 

  5. Akil N, Kassab A, Yasmeen A et al (2008) High-risk human papillomavirus infections in breast cancer in Syrian women and their association with Id-1 expression: a tissue microarray study. Br J Cancer 99:404–407

    Article  PubMed  CAS  Google Scholar 

  6. de Cremoux P, Thioux M, Lebigot I et al (2008) No evidence of human papillomavirus DNA sequences in invasive breast carcinoma. Breast Cancer Res Treat 109:55–58

    Article  PubMed  CAS  Google Scholar 

  7. Kroupis C, Markou A, Vourlidis N et al (2006) Presence of high-risk human papillomavirus sequences in breast cancer tissues and association with histopathological characteristics. Clin Biochem 39:727–731

    Article  PubMed  CAS  Google Scholar 

  8. Kan CY, Iacopetta BJ, Lawson JS et al (2005) Identification of human papillomavirus DNA gene sequences in human breast cancer. Br J Cancer 93:946–948

    Article  PubMed  CAS  Google Scholar 

  9. de Villiers EM, Sandstrom RE, zur Hausen H et al (2005) Presence of papillomavirus sequences in condylomatous lesions of the mamillae and in invasive carcinoma of the breast. Breast Cancer Res 7:1–11

    Article  Google Scholar 

  10. Liu Y, Klimberg VS, Andrews NR et al (2001) Human papillomavirus DNA is present in a subset of unselected breast cancers. J Hum Virol 4:329–334

    PubMed  CAS  Google Scholar 

  11. Yu Y, Morimoto T, Sasa M et al (1999) HPV33 DNA in premalignant and malignant breast lesions in Chinese and Japanese populations. Anticancer Res 19:5057–5061

    PubMed  CAS  Google Scholar 

  12. Di Lonardo A, Venuti A, Marcante ML (1992) Human papillomavirus in breast cancer. Breast Cancer Res Treat 21:95–100

    Article  PubMed  CAS  Google Scholar 

  13. Bratthauer GL, Tavassoli FA, O’Leary TJ (1992) Etiology of breast carcinoma: no apparent role for papillomavirus types 6/11/16/18. Pathol Res Pract 188:384–386

    PubMed  CAS  Google Scholar 

  14. Li T, Lu ZM, Guo M et al (2002) p53 codon 72 polymorphism (C/G) and the risk of human papillomavirus-associated carcinomas in China. Cancer 95:2571–2576

    Article  PubMed  CAS  Google Scholar 

  15. Wrede D, Luqmani YA, Coombes RC et al (1992) Absence of HPV 16 and 18 DNA in breast cancer. Br J Cancer 65:891–894

    Article  PubMed  CAS  Google Scholar 

  16. Wazer DE, Liu XL, Chu Q et al (1995) Immortalization of distinct human mammary epithelial cell types by human papilloma virus 16 E6 or E7. Proc Natl Acad Sci USA 92:3687–3691

    Article  PubMed  CAS  Google Scholar 

  17. Damin AP, Karam R, Zettler CG et al (2004) Evidence for an association of human papillomavirus and breast carcinomas. Breast Cancer Res Treat 84:131–137

    Article  PubMed  CAS  Google Scholar 

  18. Heng B, Glenn WK, Ye Y et al (2009) Human papilloma virus is associated with breast cancer. Br J Cancer 101:1345–1350

    Article  PubMed  CAS  Google Scholar 

  19. Tsai JH, Tsai CH, Cheng MH et al (2005) Association of viral factors with non-familial breast cancer in Taiwan by comparison with non-cancerous, fibroadenoma, and thyroid tumor tissues. J Med Virol 75:276–281

    Article  PubMed  Google Scholar 

  20. de Leon DC, Montiel DP, Nemcova J et al (2009) Human papillomavirus (HPV) in breast tumors: prevalence in a group of Mexican patients. BMC Cancer 9:26–32

    Article  PubMed  Google Scholar 

  21. Mendizabal-Ruiz AP, Morales JA, Ramirez-Jirano LJ et al (2009) Low frequency of human papillomavirus DNA in breast cancer tissue. Breast Cancer Res Treat 114:189–194

    Article  PubMed  CAS  Google Scholar 

  22. Khan NA, Castillo A, Koriyama C et al (2008) Human papillomavirus detected in female breast carcinomas in Japan. Br J Cancer 99:408–414

    Article  PubMed  CAS  Google Scholar 

  23. Gumus M, Yumuk PF, Salepci T et al (2006) HPV DNA frequency and subset analysis in human breast cancer patients’ normal and tumoral tissue samples. J Exp Clin Cancer Res 25:515–521

    PubMed  CAS  Google Scholar 

  24. Gopalkrishna V, Singh UR, Sodhani P et al (1996) Absence of human papillomavirus DNA in breast cancer as revealed by polymerase chain reaction. Breast Cancer Res Treat 39:197–202

    Article  PubMed  CAS  Google Scholar 

  25. Kulka J, Kovalszky I, Svastics E et al (2008) Lymphoepithelioma-like carcinoma of the breast: not Epstein-Barr virus-, but human papilloma virus-positive. Hum Pathol 39:298–301

    Article  PubMed  CAS  Google Scholar 

  26. Czerwenka K, Heuss F, Hosmann JW et al (1996) Human papilloma virus DNA: a factor in the pathogenesis of mammary Paget’s disease? Breast Cancer Res Treat 41:51–57

    Article  PubMed  CAS  Google Scholar 

  27. Aceto GM, Solano AR, Neuman MI et al (2009) High-risk human papilloma virus infection, tumor pathophenotypes, and BRCA1/2 and TP53 status in juvenile breast cancer. Breast Cancer Res Treat 122:671–683

    Article  PubMed  Google Scholar 

  28. Hennig EM, Suo Z, Thoresen S et al (1999) Human papillomavirus 16 in breast cancer of women treated for high grade cervical intraepithelial neoplasia (CIN III). Breast Cancer Res Treat 53:121–135

    Article  PubMed  CAS  Google Scholar 

  29. Widschwendter A, Brunhuber T, Wiedemair A et al (2004) Detection of human papillomavirus DNA in breast cancer of patients with cervical cancer history. J Clin Virol 31:292–297

    Article  PubMed  CAS  Google Scholar 

  30. Yu Y, Morimoto T, Sasa M et al (2000) Human papillomavirus type 33 DNA in breast cancer in Chinese. Breast Cancer 7:33–36

    Article  PubMed  CAS  Google Scholar 

  31. Schiffman M, Clifford G, Buonaguro FM et al (2009) Classification of weakly carcinogenic human papillomavirus types: addressing the limits of epidemiology at the borderline. Infect Agent Cancer 1:4–8

    Google Scholar 

  32. Lindel K, Forster A, Altermatt HJ et al (2007) Breast cancer and human papillomavirus (HPV) infection: no evidence of a viral etiology in a group of Swiss women. Breast 16:172–177

    Article  PubMed  Google Scholar 

  33. Di Lonardo A, Venuti A, Marcante ML et al (1992) Human papillomavirus in breast cancer. Breast Cancer Res Treat 21:95–100

    Article  PubMed  CAS  Google Scholar 

  34. Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22:719–748

    PubMed  CAS  Google Scholar 

  35. DerSimonian R, Kacker R (2007) Random-effects model for meta-analysis of clinical trials: an update. Contemp Clin Trials 28:105–114

    Article  PubMed  Google Scholar 

  36. Lau J, Ioannidis JP, Schmid CH et al (1997) Quantitative synthesis in systematic reviews. Ann Intern Med 127:820–826

    PubMed  CAS  Google Scholar 

  37. Egger M, Davey Smith G, Schneider M et al (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634

    PubMed  CAS  Google Scholar 

  38. Begg CB, Mazumdar M et al (1994) Operating characteristics of a rank correlation test for publication bias. Biometrics 50:1088–1101

    Article  PubMed  CAS  Google Scholar 

  39. Li N, Franceschi S, Howell-Jones R et al (2010) Human papillomavirus type distribution in 30,848 invasive cervical cancers worldwide: Variation by geographical region, histological type and year of publication. Int J Cancer. doi:10.1002/ijc.25396

  40. Clifford G, Franceschi S (2008) Members of the human papillomavirus type 18 family (alpha-7 species) share a common association with adenocarcinoma of the cervix. Int J Cancer 122:1684–1685

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study is supported by the National Natural Science Fund 30901236 from National Natural Science Foundation of China and Fogarty Training Grant 1D43TW008323-01 from the National Institute of Health (NIH). All authors have made substantial contributions to the conception and design of the study, or acquisition of data, or analysis and interpretation of data, drafting of the article or revising it critically for important intellectual content, and final approval of the version submitted.

Financial disclosure

All funding sources supporting the work and all institutional or corporate affiliations of the authors are acknowledged.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Min Dai.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOC 165 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Li, N., Bi, X., Zhang, Y. et al. Human papillomavirus infection and sporadic breast carcinoma risk: a meta-analysis. Breast Cancer Res Treat 126, 515–520 (2011). https://doi.org/10.1007/s10549-010-1128-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10549-010-1128-0

Keywords

Navigation