Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67

Abstract Background Merkel cell polyomavirus (MCPyV), a human polyomavirus that is unequivocally linked to merkel cell carcinoma (MCC), has been found in association with keratinocytes carcinomas (KC), especially basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC). Nevertheless,...

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Main Authors: T.R. Bellott, Flávio Barbosa Luz, Anna Karoline Fausto da Silva, Rafael Brandão Varella, Mayra Carrijo Rochael, Rafaela Elvira Rozza-de-Menezes, Luciana Pantaleão
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2024-09-01
Series:Anais Brasileiros de Dermatologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962024000500688&lng=en&tlng=en
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author T.R. Bellott
Flávio Barbosa Luz
Anna Karoline Fausto da Silva
Rafael Brandão Varella
Mayra Carrijo Rochael
Rafaela Elvira Rozza-de-Menezes
Luciana Pantaleão
author_facet T.R. Bellott
Flávio Barbosa Luz
Anna Karoline Fausto da Silva
Rafael Brandão Varella
Mayra Carrijo Rochael
Rafaela Elvira Rozza-de-Menezes
Luciana Pantaleão
author_sort T.R. Bellott
collection DOAJ
description Abstract Background Merkel cell polyomavirus (MCPyV), a human polyomavirus that is unequivocally linked to merkel cell carcinoma (MCC), has been found in association with keratinocytes carcinomas (KC), especially basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC). Nevertheless, there is scarce information about the possible involvement of MCPyV in the development of KC. Objectives To assess the presence of MCPyV DNA and Large-T Antigen (LT-Ag) via Polymerase Chain Reaction (PCR) and Immunohistochemistry (IHC) in cases of KC, and to correlate its presence with immunohistochemical markers p16, p53, and ki67, tumor type and subtype, sun-exposed location, and epidemiological data. Methods The prevalence of MCPyV DNA, LT-Ag, and immunohistochemical markers p16, p53, and ki67 was assessed by PCR and Immunohistochemistry (IHC) in 127 cases of KC, these results were correlated with tumor type and subtype, sun-exposed location, and epidemiological data. Results The MCPyV DNA was detected in 42.57% (43 of 101) cases by PCR, the LT-Ag was detected in 16.4% (20 of 122) of cases, p16 in 81.5% (97 of 119), p53 in 66.4% (83 of 125), ki67 in 89% (73 of 82). No correlation between MCPyV LT-Ag and DNA confronted with tumor type, subtype, location site, and immunohistochemical markers was found. A single correlation between the MCPyV LT-Ag and cSCC tumors and peri-tumoral lymphocyte cells was noted. Study limitations Further steps need to be taken to better evaluate the MCPyV influence and its possible role in KC carcinogenesis, as the evaluation of the virus genome state, the gene sequence that encodes LT-Ag in the KC tumor cells, and in situ hybridization for viral DNA or RNA in these cells. Conclusions Despite the frequent detection of MCPyV in KC, the data available so far does not support the hypothesis of a causal relationship between them.
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spelling doaj-art-4aa2fe378e9145c3b315e19bfaee82192025-08-20T01:54:30ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962024-09-0199568869510.1016/j.abd.2023.12.002Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67T.R. Bellotthttps://orcid.org/0000-0003-3909-5935Flávio Barbosa Luzhttps://orcid.org/0000-0001-7021-9970Anna Karoline Fausto da Silvahttps://orcid.org/0000-0002-6934-1984Rafael Brandão Varellahttps://orcid.org/0000-0002-1698-5989Mayra Carrijo Rochaelhttps://orcid.org/0000-0003-3540-2598Rafaela Elvira Rozza-de-Menezeshttps://orcid.org/0000-0001-7985-0507Luciana Pantaleãohttps://orcid.org/0000-0001-7480-2530Abstract Background Merkel cell polyomavirus (MCPyV), a human polyomavirus that is unequivocally linked to merkel cell carcinoma (MCC), has been found in association with keratinocytes carcinomas (KC), especially basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC). Nevertheless, there is scarce information about the possible involvement of MCPyV in the development of KC. Objectives To assess the presence of MCPyV DNA and Large-T Antigen (LT-Ag) via Polymerase Chain Reaction (PCR) and Immunohistochemistry (IHC) in cases of KC, and to correlate its presence with immunohistochemical markers p16, p53, and ki67, tumor type and subtype, sun-exposed location, and epidemiological data. Methods The prevalence of MCPyV DNA, LT-Ag, and immunohistochemical markers p16, p53, and ki67 was assessed by PCR and Immunohistochemistry (IHC) in 127 cases of KC, these results were correlated with tumor type and subtype, sun-exposed location, and epidemiological data. Results The MCPyV DNA was detected in 42.57% (43 of 101) cases by PCR, the LT-Ag was detected in 16.4% (20 of 122) of cases, p16 in 81.5% (97 of 119), p53 in 66.4% (83 of 125), ki67 in 89% (73 of 82). No correlation between MCPyV LT-Ag and DNA confronted with tumor type, subtype, location site, and immunohistochemical markers was found. A single correlation between the MCPyV LT-Ag and cSCC tumors and peri-tumoral lymphocyte cells was noted. Study limitations Further steps need to be taken to better evaluate the MCPyV influence and its possible role in KC carcinogenesis, as the evaluation of the virus genome state, the gene sequence that encodes LT-Ag in the KC tumor cells, and in situ hybridization for viral DNA or RNA in these cells. Conclusions Despite the frequent detection of MCPyV in KC, the data available so far does not support the hypothesis of a causal relationship between them.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962024000500688&lng=en&tlng=enImmunohistochemistryMerkel cell polyomavirusSkin neoplasms
spellingShingle T.R. Bellott
Flávio Barbosa Luz
Anna Karoline Fausto da Silva
Rafael Brandão Varella
Mayra Carrijo Rochael
Rafaela Elvira Rozza-de-Menezes
Luciana Pantaleão
Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67
Anais Brasileiros de Dermatologia
Immunohistochemistry
Merkel cell polyomavirus
Skin neoplasms
title Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67
title_full Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67
title_fullStr Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67
title_full_unstemmed Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67
title_short Presence of Merkel cell polyomavirus DNA and large-T antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16, p53 and ki67
title_sort presence of merkel cell polyomavirus dna and large t antigen in keratinocyte carcinomas and its correlation with immunohistochemical markers p16 p53 and ki67
topic Immunohistochemistry
Merkel cell polyomavirus
Skin neoplasms
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962024000500688&lng=en&tlng=en
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