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Published on: November 8, 2011
Detection of Epstein-Barr and Human Papilloma Viruses in the Middle Ear Squamous Cell Carcinoma
Agus Surono1, Bambang Hariwiyanto1, Edhie Samodra1
1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Gadjah Mada, Jl. Farmako, Sekip, Yogyakarta, Indonesia.
Abstract:
The uncommon ear tumor of middle ear squamous cell carcinoma (MESCC) is thought to be associated with the history of long-term chronic otitis media in the most cases. The main etiologic factor of MESCC is still unclear and may be multifactorial. Infections of Epstein-Barr virus (EBV) and Human Papillomavirus (HPV) are considered as one of the etiologic factor of MESCC. Previous studies have shown that the EBV and HPV have been detected in MESCC. Although the EBV and HPV have been implicated in human malignancies, their roles in pathogenesis of MESCC have not been elucidated. There has never been report on the presence of EBV and HPV in Indonesian MESCC. This study aimed to determine the presence of EBV and HPV in MESCC. Seven paraffin-embedded tissues of speciment from biopsy were analyzed for the presence of EBV and HPV by immunohistochemistry, stained using polyclonal antibody anti EBNA1 and anti HPV. The samples consisted of 4 (57 %) males and 3 (43 %) females with age range of 26-87 years old. Immunohistochemistry result demonstrated that EBV was detected in three of seven (43 %) and HPV in two of seven (29 %) samples. Coexistence of the presence of EBV and HPV were found in one of seven (14 %) sample. The presence of EBV and HPV in MESCC suggests that viral infection may play an important etiologic role in the carcinogenesis of middle ear.
Insights
Epstein-Barr virus (EBV) and Human Papillomavirus (HPV) were detected in Indonesian middle ear squamous cell carcinoma (MESCC) tissues. These findings suggest viral infections may contribute to the development of this uncommon ear tumor.
Area of Science:
- Otolaryngology
- Oncology
- Virology
Background:
- Middle ear squamous cell carcinoma (MESCC) is an uncommon tumor often linked to chronic otitis media.
- The exact causes of MESCC are multifactorial and not fully understood.
- Epstein-Barr virus (EBV) and Human Papillomavirus (HPV) are suspected etiological factors in MESCC.
Purpose of the Study:
- To investigate the presence of EBV and HPV in Indonesian MESCC cases.
- To explore the potential role of these viruses in the pathogenesis of middle ear cancer.
Main Methods:
- Analysis of seven paraffin-embedded MESCC biopsy tissues.
- Immunohistochemistry staining using polyclonal antibodies against EBNA1 (for EBV) and HPV.
- Detection of viral presence in tumor samples.
Main Results:
- EBV was identified in 43% (3/7) of the samples.
- HPV was detected in 29% (2/7) of the samples.
- Co-infection with both EBV and HPV was observed in 14% (1/7) of the samples.
Conclusions:
- The detection of EBV and HPV in Indonesian MESCC samples supports their potential role in the cancer's development.
- Viral infections may be significant etiological factors in middle ear carcinogenesis.
- Further research is warranted to elucidate the specific mechanisms of viral involvement.
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