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Published on: March 11, 2014
Human Papilloma virus in Juvenile Nasopharyngeal Angiofibroma: possible recent trend
Anupam Mishra1, Monica Sachadeva1, Ankita Jain1
1Department of Otorhinolaryngology, King George Medical University, Lucknow; Department of Obstetrics and Gynaecology, and Department of Medical Genetics King George Medical University, Lucknow; Division of Endocrinology Central Drug Research Institute, Lucknow.
Insights
This study investigates the potential link between human papillomavirus (HPV) and juvenile nasopharyngeal angiofibroma (JNA), finding HPV universally present in JNA tissues but not in controls.
Area of Science:
- Otolaryngology
- Oncology
- Virology
Background:
- Juvenile nasopharyngeal angiofibroma (JNA) incidence has increased significantly.
- Human papillomavirus (HPV) is prevalent in oropharyngeal cancers, particularly in India.
- The potential role of HPV in JNA pathogenesis remains unexplored.
Purpose of the Study:
- To investigate the presence and association of HPV in juvenile nasopharyngeal angiofibroma (JNA).
- To explore a potential link between HPV infection and JNA development.
Main Methods:
- Clinico-surgical data from 6 JNA patients were analyzed.
- Tissue samples underwent Western blotting, PCR, and immunofluorescence for HPV detection.
- Control nasopharyngeal tissue (adenoids) from 6 individuals were analyzed via Western blotting.
Main Results:
- Human papillomavirus (HPV) was universally detected in JNA tissue samples.
- A single JNA case showed only weak HPV infection.
- No HPV was detected in the control nasopharyngeal tissue samples.
Conclusions:
- A novel discovery suggests a definite association between HPV and JNA.
- Further research is warranted to elucidate the implications of this association.
- The findings open new avenues for understanding JNA etiology.
Background:
Juvenile nasopharyngeal angiofibroma (JNA) has witnessed a four-fold increase in the incidence at our facility in the current decade as compared to the 1980s. With high global incidence of human pappilloma virus (HPV) related oropharyngeal cancer in India, we hypothesize its implication in JNA as it has not yet been reported.
Methods:
Clinico-Surgical variables of 6 patients of JNA were included for correlation and their tissue samples were subjected to western blotting (WB), polymerase chain reaction and immunoflorescence to demonstrate a definite association with HPV. In addition 6 control samples (adenoids) underwent WB analysis.
Observations:
A universal presence of HPV with JNA is novel 'discovery' and has suggested a possibility of a definite association. Only a single case suggested weak infection. None of the controls suggested infection, thus ruling out the presence of HPV in nasopharynx of normal population.
Interpretation:
With the dawn of this definite association, no specific conclusions can yet be drawn but a whole plethora of questions have emerged with our novel 'discovery'.
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