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Published on: June 14, 2019
HPV DNA Integration at Actionable Cancer-Related Genes Loci in HPV-Associated Carcinomas
Xavier Sastre-Garau1, Lilia Estrada-Virrueta2, François Radvanyi2
1Department of Pathology, Centre Hospitalier Intercommunal de Créteil, 40, Avenue de Verdun, 94010 Créteil, France.
Abstract:
In HPV-associated carcinomas, some examples of cancer-related genes altered by viral insertion and corresponding to potential therapeutic targets have been described, but no quantitative assessment of these events, including poorly recurrent targets, has been reported to date. To document these occurrences, we built and analyzed a database comprised of 1455 cases, including HPV genotypes and tumor localizations. Host DNA sequences targeted by viral integration were classified as "non-recurrent" (one single reported case; 838 loci), "weakly recurrent" (two reported cases; 82 loci), and highly recurrent (≥3 cases; 43 loci). Whereas the overall rate of cancer-related target genes was 3.3% in the Gencode database, this rate increased to 6.5% in "non-recurrent", 11.4% in "weakly recurrent", and 40.1% in "highly recurrent" genes targeted by integration (p = 4.9 × 10-4). This rate was also significantly higher in tumors associated with high-risk HPV16/18/45 than other genotypes. Among the genes targeted by HPV insertion, 30.2% corresponded to direct or indirect druggable targets, a rate rising to 50% in "highly recurrent" targets. Using data from the literature and the DepMap 23Q4 release database, we found that genes targeted by viral insertion could be new candidates potentially involved in HPV-associated oncogenesis. A more systematic characterization of HPV/host fusion DNA sequences in HPV-associated cancers should provide a better knowledge of HPV-driven carcinogenesis and favor the development of personalize patient treatments.
Insights
Human papillomavirus (HPV) integration into host DNA frequently targets cancer-related genes, especially in highly recurrent events. These HPV-targeted genes represent promising therapeutic targets for HPV-associated cancers.
Area of Science:
- Oncology
- Virology
- Genetics
Background:
- Human papillomavirus (HPV) infection is a major cause of various carcinomas.
- Viral integration into the host genome can alter cancer-related genes, presenting potential therapeutic targets.
- Quantitative assessments of these integration events, particularly for less frequent targets, are lacking.
Purpose of the Study:
- To quantitatively assess host DNA sequences targeted by HPV integration in HPV-associated cancers.
- To identify and characterize cancer-related genes and potential therapeutic targets affected by viral insertion.
- To investigate the relationship between HPV genotypes, tumor localization, and targeted gene recurrence.
Main Methods:
- Construction and analysis of a database comprising 1455 HPV-associated carcinoma cases.
- Classification of host DNA integration sites into non-recurrent, weakly recurrent, and highly recurrent categories.
- Comparison of cancer-related gene targeting rates between different recurrence categories and HPV genotypes.
- Analysis of druggable targets among HPV-integrated genes using literature and DepMap database.
Main Results:
- A significant increase in cancer-related gene targeting was observed with increasing recurrence of HPV integration sites (6.5% non-recurrent to 40.1% highly recurrent).
- High-risk HPV genotypes (16/18/45) were associated with a higher rate of cancer-related gene targeting.
- Approximately 30.2% of all targeted genes were druggable, rising to 50% in highly recurrent targets.
- Genes targeted by viral insertion emerged as potential candidates in HPV-driven oncogenesis.
Conclusions:
- HPV integration events disproportionately target cancer-related genes, with a strong correlation between recurrence frequency and the likelihood of targeting such genes.
- A substantial proportion of HPV-targeted genes are druggable, highlighting their therapeutic potential.
- Systematic characterization of HPV/host fusion sequences is crucial for understanding HPV-driven carcinogenesis and developing personalized treatments.
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