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  1. Artikel ; Online: Human Papillomavirus Integration Strictly Correlates with Global Genome Instability in Head and Neck Cancer.

    Labarge, Brandon / Hennessy, Max / Zhang, Lijun / Goldrich, David / Chartrand, Scott / Purnell, Carson / Wright, Sage / Goldenberg, David / Broach, James R

    Molecular cancer research : MCR

    2022  Band 20, Heft 9, Seite(n) 1420–1428

    Abstract: Human papillomavirus (HPV)-positive head and neck cancers, predominantly oropharyngeal squamous cell carcinoma (OPSCC), exhibit epidemiologic, clinical, and molecular characteristics distinct from those OPSCCs lacking HPV. We applied a combination of ... ...

    Abstract Human papillomavirus (HPV)-positive head and neck cancers, predominantly oropharyngeal squamous cell carcinoma (OPSCC), exhibit epidemiologic, clinical, and molecular characteristics distinct from those OPSCCs lacking HPV. We applied a combination of whole-genome sequencing and optical genome mapping to interrogate the genome structure of HPV-positive OPSCCs. We found that the virus had integrated in the host genome in two thirds of the tumors examined but resided solely extrachromosomally in the other third. Integration of the virus occurred at essentially random sites within the genome. Focal amplification of the virus and the genomic sequences surrounding it often occurred subsequent to integration, with the number of tandem repeats in the chromosome accounting for the increased copy number of the genome sequences flanking the site of integration. In all cases, viral integration correlated with pervasive genome-wide somatic alterations at sites distinct from that of viral integration and comprised multiple insertions, deletions, translocations, inversions, and point mutations. Few or no somatic mutations were present in tumors with only episomal HPV. Our data could be interpreted by positing that episomal HPV is captured in the host genome following an episode of global genome instability during tumor development. Viral integration correlated with higher grade tumors, which may be explained by the associated extensive mutation of the genome and suggests that HPV integration status may inform prognosis.
    Implications: Our results indicate that HPV integration in head and neck cancer correlates with extensive pangenomic structural variation, which may have prognostic implications.
    Mesh-Begriff(e) Alphapapillomavirus/genetics ; Carcinoma, Squamous Cell/genetics ; DNA, Viral/genetics ; Genomic Instability ; Head and Neck Neoplasms/genetics ; Humans ; Oropharyngeal Neoplasms/genetics ; Papillomaviridae/genetics ; Papillomavirus Infections/genetics ; Virus Integration/genetics
    Chemische Substanzen DNA, Viral
    Sprache Englisch
    Erscheinungsdatum 2022-06-03
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2098788-2
    ISSN 1557-3125 ; 1541-7786
    ISSN (online) 1557-3125
    ISSN 1541-7786
    DOI 10.1158/1541-7786.MCR-21-0831
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Evidence of a positive association between malpractice climate and thyroid cancer incidence in the United States.

    Labarge, Brandon / Walter, Vonn / Lengerich, Eugene J / Crist, Henry / Karamchandani, Dipti / Williams, Nicole / Goldenberg, David / Bann, Darrin V / Warrick, Joshua I

    PloS one

    2018  Band 13, Heft 7, Seite(n) e0199862

    Abstract: The incidence of thyroid cancer has risen dramatically in the past few decades. The cause of this is unclear, but several lines of evidence indicate it is largely due to overdiagnosis, the diagnosis of tumors that would have never manifest clinically if ... ...

    Abstract The incidence of thyroid cancer has risen dramatically in the past few decades. The cause of this is unclear, but several lines of evidence indicate it is largely due to overdiagnosis, the diagnosis of tumors that would have never manifest clinically if untreated. Practices leading to overdiagnosis may relate to defensive medicine. In this study, we evaluated the association between malpractice climate and incidence of thyroid, breast, prostate, colon, and lung cancer in U.S. states from 1999-2012 using publicly available government data. State-level malpractice risk was quantified as malpractice payout rate, the number of malpractice payouts per 100,000 people per state per year. Associations between state-level cancer incidence, malpractice payout rate, and several cancer risk factors were evaluated. Risk factors included several social determinants of health, including factors predicting healthcare access. States with higher malpractice payout rate had higher thyroid cancer incidence, on both univariate analysis (r = 0.51, P = 0.009, Spearman) and multivariate analysis (P<0.001, multilevel model). In contrast, state-level malpractice payout rate was not associated with incidence of any other cancer type. Malpractice climate may be a social determinant for being diagnosed with thyroid cancer. This may be a product of greater defensive medicine in states with higher malpractice risk, which leads to increased diagnostic testing of patients with thyroid nodules and potential overdiagnosis. Alternatively, malpractice risk may be a proxy for another, unmeasured risk factor.
    Mesh-Begriff(e) Adult ; Female ; Humans ; Male ; Malpractice/statistics & numerical data ; Middle Aged ; Thyroid Neoplasms/epidemiology ; United States
    Sprache Englisch
    Erscheinungsdatum 2018-07-18
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0199862
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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