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Published on: March 8, 2012
Human Papillomavirus Is Associated with Monoclonal Gammopathies of Unknown Significance
D.A. Payne1, T.-s. Chan Ts, B. Ostermeyer Schoaib
1Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Tex., USA.
Abstract:
When monoclonal gammopathies arise in persons without evidence of plasma cell malignancy or lymphoproliferative disease, the term 'monoclonal gammopathy of unknown significance' (MGUS) can be used. MGUS is believed to be the preneoplastic phase of lymphoproliferative diseases because many of these patients eventually develop malignant disease, mainly multiple myeloma. We have previously identified human papillomavirus (HPV) in a chronic benign plasma cell tumor of the cervix and in the bone marrow of multiple-myeloma patients. In the following study, we expanded upon our initial observation by analyzing 14 patients with MGUS. Bone marrow biopsies of the patients were analyzed for HPV sequences using polymerase chain reaction (PCR) and in situ hybridization. Normal controls included 26 bone marrow specimens, 24 analyzed by PCR and two by in situ hybridization. A significant association was found to exist between HPV and MGUS (p = 0.001). Among 14 patients with MGUS, HPV sequences have been identified in 10 of the bone marrow biopsies. These results suggest that HPV can reside in the bone marrow of a premalignant lymphoproliferative disease. Copyright 1996 S. Karger AG, Basel
Insights
Human papillomavirus (HPV) DNA was detected in the bone marrow of patients with monoclonal gammopathy of unknown significance (MGUS). This suggests a potential link between HPV and this premalignant condition.
Area of Science:
- Oncology
- Virology
- Hematology
Background:
- Monoclonal gammopathy of unknown significance (MGUS) is a premalignant condition.
- MGUS can progress to lymphoproliferative diseases like multiple myeloma.
- Previous research identified human papillomavirus (HPV) in plasma cell tumors and multiple myeloma bone marrow.
Purpose of the Study:
- To investigate the presence of HPV in patients with MGUS.
- To determine if HPV is associated with the premalignant phase of lymphoproliferative diseases.
Main Methods:
- Bone marrow biopsies from 14 MGUS patients and 26 controls were analyzed.
- Polymerase chain reaction (PCR) and in situ hybridization were used to detect HPV sequences.
Main Results:
- HPV sequences were identified in 10 out of 14 MGUS patients.
- A significant association (p = 0.001) was found between HPV and MGUS.
- No HPV was detected in normal bone marrow controls.
Conclusions:
- HPV may reside in the bone marrow of patients with MGUS.
- These findings suggest a potential role for HPV in the pathogenesis of premalignant lymphoproliferative diseases.
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