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Updated: Jul 17, 2026

Reconstruct Human Retinoblastoma In Vitro
Published on: October 11, 2022
Human retinoblastoma is not caused by known pRb-inactivating human DNA tumor viruses
Maura L Gillison1, Renwei Chen, Eleni Goshu
1Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD 21231, USA. gillima@jhmi.edu
Abstract:
Retinoblastomas occur as the consequence of inactivation of the tumor suppressor retinoblastoma protein (pRb), classically upon biallelic inactivation of the RB1 gene locus. Recently, human papillomavirus (HPV) genomic DNA has been detected in retinoblastomas. To investigate the possibility that oncoproteins encoded by pRb-inactivating DNA tumor viruses play a role in the pathogenesis of human retinoblastoma, 40 fresh-frozen tumors were analyzed for the presence of HPV, adenovirus (HAdV) and polyomavirus (BKV, JCV and SV40) genomic DNA sequences by real-time polymerase chain reaction (PCR). Tumors were screened for genetic and epigenetic alterations in all 27 exons of the RB1 gene locus and promoter by exonic copy number detection, sequencing and methylation-specific PCR of the promoter region. Retinoblastoma tumors from children with bilateral familial (n=1), bilateral nonfamilial (n=1) and unilateral nonfamilial (n=38) disease were analyzed. Inactivating modifications to the RB1 gene locus were identified on both the alleles in 27 tumors, one allele in 8, and neither allele in 5 cases. A median of over 107,000 tumor cells were analyzed for viral genomic DNA in each PCR reaction. All tumor samples were negative for 37 HPV types, 51 HAdV types, BKV and JCV genomic sequences. Very low copy number (0.2-260 copies per 100,000 tumor cells) SV40 genomic DNA detected in 8 of 39 samples was demonstrated to be consistent with an artifact of plasmid-derived SV40. In contrast to recent reports, we obtained substantial quantitative evidence indicating that neither HPV nor any other pRb-inactivating human DNA tumor viruses play a role in the development of retinoblastoma, regardless of RB1 genotype.
Insights
This study found no evidence that human papillomavirus (HPV) or other DNA tumor viruses cause retinoblastoma, a cancer linked to the RB1 gene. Viral DNA detection in tumors was negative, refuting a viral role in retinoblastoma development.
Area of Science:
- Oncology
- Virology
- Genetics
Background:
- Retinoblastoma is caused by inactivation of the tumor suppressor retinoblastoma protein (pRb).
- Recent studies suggested human papillomavirus (HPV) DNA in retinoblastomas, prompting investigation into viral roles.
- The RB1 gene locus is classically inactivated in retinoblastoma development.
Purpose of the Study:
- To investigate the role of pRb-inactivating DNA tumor viruses, including HPV, in human retinoblastoma pathogenesis.
- To analyze viral genomic DNA presence and RB1 gene alterations in retinoblastoma tumors.
- To determine if viral oncoproteins contribute to retinoblastoma development.
Main Methods:
- Real-time polymerase chain reaction (PCR) was used to detect genomic DNA of HPV, adenovirus (HAdV), and polyomaviruses (BKV, JCV, SV40).
- RB1 gene locus and promoter were screened for genetic and epigenetic alterations using exonic copy number detection, sequencing, and methylation-specific PCR.
- 40 fresh-frozen retinoblastoma tumors from various patient groups were analyzed.
Main Results:
- No HPV, HAdV, BKV, or JCV genomic sequences were detected in any tumor samples.
- SV40 genomic DNA was detected at very low copy numbers, consistent with plasmid-derived artifact, not viral infection.
- RB1 gene locus inactivating modifications were identified in most tumors, but no viral DNA correlated with these alterations.
Conclusions:
- This study provides substantial quantitative evidence against a role for HPV or other pRb-inactivating DNA tumor viruses in retinoblastoma development.
- The findings contradict recent reports suggesting a viral etiology for retinoblastoma.
- Retinoblastoma development appears independent of viral infection, regardless of RB1 gene status.
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