Koilocytic changes are not elicited by human papillomavirus genotypes with higher oncogenic potential
- 19 March 2020
- journal article
- research article
- Published by Wiley in Journal of Medical Virology
- Vol. 92 (12), 3766-3773
- https://doi.org/10.1002/jmv.25775
Abstract
Koilocytes are considered a common cytopathological effect in patients with human papillomavirus (HPV) infection. Thus, we aimed to elucidate whether koilocytes are common to all HPV infections. Liquid‐based cytology samples from 651 patients with abnormal Papanicolaou (Pap) test results were used to analyze the presence of koilocytes and HPV genotype. HPV genotype was determined in complete liquid cytology samples and microdissected cell samples from Pap smear slides using the uniplex E6/E7 polymerase chain reaction method, which can detect 39 mucosal HPV genotypes. Koilocytes were found in 29.3% (191) of all patients. Logistical regression analysis of diverse HPV genotypes revealed that infections with low‐risk HPV types (HPV‐6b, HPV‐40, HPV‐42, HPV‐61, HPV‐74, HPV‐89, and HPV‐90), probably high‐risk HPV types (HPV‐53 and HPV‐66), and high‐risk types (HPV‐39 and HPV‐56) were significantly associated with the presence of koilocytes. However, HPV‐16, HPV‐18, and HPV‐52, which have higher oncogenic potential, were not found to be associated with koilocytes. These results were confirmed by HPV genotyping using microdissected koilocytes in 27 patients.Most common high‐risk types belonging to α‐9 and α‐7 genotypes appear to rarely induce koilocytic changes. Therefore, koilocytes may provide additional useful information for predicting the risk of progression to high‐grade lesions.Funding Information
- Japan Society for the Promotion of Science (JP 26460459)
This publication has 24 references indexed in Scilit:
- One virus, one lesion—individual components of CIN lesions contain a specific HPV typeThe Journal of Pathology, 2011
- Cytomorphologic Features According to HPV DNA Type in Histologically Proven Cases of the Uterine CervixThe Korean Journal of Pathology, 2011
- Predicting the progression of cervical precursor lesions by human papillomavirus genotyping: A prospective cohort studyInternational Journal of Cancer, 2010
- Koilocytosis: A Cooperative Interaction between the Human Papillomavirus E5 and E6 OncoproteinsThe American Journal of Pathology, 2008
- Can we detect cervical human papillomavirus (HPV) infection by cytomorphology alone? Diagnostic value of non‐classic cytological signs of HPV effect in minimally abnormal Pap testsCytopathology, 2005
- Cytomorphologic Correlates of Human Papillomavirus Infection in the “Normal” Cervicovaginal SmearActa Cytologica, 1997
- Patients With Various Types of Human Papillomavirus: Covariation and Diagnostic Relevance of Cytological Findings In Papanicolaou SmearsCytopathology, 1993
- Specific interaction between HPV-16 E1–E4 and cytokeratins results in collapse of the epithelial cell intermediate filament networkNature, 1991
- Sensitivity of Koilocytosis, Immunocytochemistry, and Electron Microscopy as Compared to DNA Hybridization in Detecting Human Papillomavirus in Cervical and Vaginal Condyloma and Intraepithelial NeoplasiaInternational Journal of Gynecological Pathology, 1986
- UNUSUAL PATTERNS OF SQUAMOUS EPITHELIUM OF THE UTERINE CERVIX: CYTOLOGIC AND PATHOLOGIC STUDY OF KOILOCYTOTIC ATYPIAAnnals of the New York Academy of Sciences, 1956