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  • 1
    In: The Lancet, Elsevier BV, Vol. 399, No. 10333 ( 2022-04), p. 1391-1400
    Type of Medium: Online Resource
    ISSN: 0140-6736
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
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  • 2
    In: Nutrition and Cancer, Informa UK Limited, Vol. 71, No. 5 ( 2019-07-04), p. 772-780
    Type of Medium: Online Resource
    ISSN: 0163-5581 , 1532-7914
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2019
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  • 3
    In: The Annals of Thoracic Surgery, Elsevier BV, Vol. 110, No. 2 ( 2020-08), p. 733-740
    Type of Medium: Online Resource
    ISSN: 0003-4975
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    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
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  • 4
    In: Journal of the American College of Cardiology, Elsevier BV, Vol. 75, No. 25 ( 2020-06), p. 3177-3183
    Type of Medium: Online Resource
    ISSN: 0735-1097
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
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  • 5
    In: Canadian Journal of Cardiology, Elsevier BV, Vol. 36, No. 7 ( 2020-07), p. 971-976
    Type of Medium: Online Resource
    ISSN: 0828-282X
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
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  • 6
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2016
    In:  Cancer Research Vol. 76, No. 14_Supplement ( 2016-07-15), p. 1515-1515
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 76, No. 14_Supplement ( 2016-07-15), p. 1515-1515
    Abstract: Introduction Head and neck squamous cell carcinoma (HNSCC) is the sixth most incident cancer worldwide. Human papillomavirus (HPV) is implicated in at least 70% of oropharyngeal squamous cell carcinomas in the US. HPV genomic integration events are a likely critical step in progression to cancer and occur as a consequence of HPV oncogene-induced chromosomal instability. The majority of viral integration events in the human genome appear to occur within or near genic regions. Identified HPV integration events in HNSCC were associated with alterations in DNA copy number, mRNA transcript abundance and splicing, and inter-/intrachromosomal rearrangements. Materials and methods We analyzed 84 HPV-positive HNSCC samples collected at the University of Michigan (18 tumors) and from The Cancer Genome Atlas (66 tumors). We used VirusSeq software for detection of integration events. Integrations were evidenced by host-virus fusion transcripts in RNA-seq, considering only breakpoints supported by at least four discordant read pairs and at least one junction spanning read. Results We identified 50 integration-positive tumors, which consisted of 41 with HPV16, one tumor with HPV18, 5 tumors with HPV33 and 3 with HPV35. We found an overall 271 breakpoints of integration within or near 83 human genes. Fusion virus-host transcripts with breakpoints within E6 and E7 HPV oncogenes were more common (59.3%) compared with breakpoints into other viral genes: E1 and E2 (19%), E4 and E5 (16.8%), L1 and L2 (4.7%). The detected viral integration events were widespread across the human genome with a few hotspots of recurrent integrations in genic regions at 1p36, 9p24, and 13p22. After accounting for regions covered by the data, we did not find an association of integration sites with aphidicolin-induced common fragile sites (CFSs), as observed for HPV integration sites in cervical cancer. Analysis of the protein interaction network constructed from the 83 host genes harboring viral integrants showed that 56 of them were linked into a highly connected sub-network with direct interactions. ETS2, TP63, FOXA1, CTGF and KLF5 were hubs in this network. The genes were statistically enriched for cancer genes known as important in “Head and Neck Neoplasms”(p = 1.74E-11). Conclusion HPV integration events in HNSCC are largely different from those common to cervical cancers. While TP63 appears to be a recurrent target in both cervical cancer and HNSCC, HNSCCs have a surprisingly high percent of integration events in known HNSCC-related genes. Overall, our results suggest that there is strong selective pressure for integration events that occur in HNSCC relevant genes. Citation Format: Lada A. Koneva, Yanxiao Zhang, Pelle Hall, Shama Virani, Alisha Virani, Thomas E. Carey, Laura S. Rozek, Maureen A. Sartor. Identification and characterization of HPV-host fusion transcripts in HNSCCs. [abstract]. In: Proceedings of the 107th Annual Meeting of the American Association for Cancer Research; 2016 Apr 16-20; New Orleans, LA. Philadelphia (PA): AACR; Cancer Res 2016;76(14 Suppl):Abstract nr 1515.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2016
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  • 7
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2015
    In:  Cancer Research Vol. 75, No. 15_Supplement ( 2015-08-01), p. 2180-2180
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 75, No. 15_Supplement ( 2015-08-01), p. 2180-2180
    Abstract: Introduction Head and neck squamous cell carcinoma (HNSCC) is the sixth leading cancer in the world. HPV-positive HNSCC is considered a distinct molecular entity with a better prognosis than HPV-negative. To better understand the mechanisms underlying the clinical and molecular behavior between HPV-positive and HPV-negative HNSCC we applied bioinformatics approaches to transcriptomic data to identify signature patterns associated with 25 different cell types, and characterize cell type heterogeneity by HPV-status. Materials and methods We analyzed 18 HPV (+) and 18 HPV (-) samples collected at University of Michigan hospital from 36 individuals with HNSCC; all were determined to be & gt;70% cellularity by a pathologist. Gene expression was evaluated using Illumina HiSeq RNA-seq. Differentially expressed genes were identified using TopHat, HTSeq, and then edgeR, resulting in 559 and 873 up in HPV(+) or HPV(-), respectively, with FDR & lt; 0.05 and fold change & gt; 3. Cell type-specific expression patterns were identified using & gt; 700 microarray samples from 25 relevant cell types. Using this database and the list of genes differentially expressed by HPV status we identified which cell type(s) contributed the strongest expression pattern by calculating cell type-specific enrichment scores as a weighted Kolmogorov-Smirnov-like statistics against the top ranked 250 genes. Results Significantly higher estimates of cell type composition in HPV(+) samples were observed for T lymphocytes (CD3+ T-cells, CD4+ T-cells, CD8+ T-cells, CD34+ T-cells, γδ T-cells, regulatory T-cells), NK-cells, B cells, and monocytes (p-value & lt; 0.0004). Conversely, endothelial cells, epidermis, dermis, keratinocyte, and fibroblast all had significantly higher estimates of cell type proportion in HPV(-) samples (p-value & lt; 0.0004). For validation, we compared these results to results calculated in an identical way using TCGA HNSC RNA-seq data (39 HPV(+) vs 277 HPV(-) samples) and found that the largest differences in cell types higher in HPV(+) were shown also in T lymphocytes, NK-cells & B cells, and that dermis, fibroblast, epidermis & keratinocyte cell types were again estimated to be higher in HPV(-) samples (p-value & lt; 0.0004). Conclusion Differential expression in HNSCC by HPV status can partly be explained by differences in the tumor cellular composition, and this in turn will help to focus on differential expression within the tumor cells themselves. Our results predict that T lymphocytes and other cell types responsible for the adaptive immune response contribute a larger portion of the cellular composition in HPV(+) tumors compared to HPV(-). Conversely, keratinocytes and fibroblasts are predicted to make up a larger portion of cells in HPV(-) tumors. Surprisingly, the stem cell expression signature was not significantly different by HPV-status, even though HPV(+) tumors tend to be less differentiated than HPV(-) tumors. Citation Format: Lada A. Koneva, Yanxiao Zhang, William R. Swindell, Shama Virani, Alisha Virani, Thomas E. Carey, Laura S. Rozek, Maureen A. Sartor. Immune, keratinocyte, and fibroblast expression signatures distinguish HNSCC samples by HPV status. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 2180. doi:10.1158/1538-7445.AM2015-2180
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2015
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  • 8
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 75, No. 15_Supplement ( 2015-08-01), p. 2184-2184
    Abstract: Introduction: Human Papillomavirus (HPV) infection is recognized as a major cause for an increasing percent of oropharyngeal squamous cell carcinomas (OPSCC). Patients with HPV-induced OPSCC have a better prognosis than those who are HPV-negative, which implies distinct molecular mechanisms. However, predicting prognosis with the HPV-positive population remains elusive. In this study, we aimed to characterize molecular aspects of HPV expression, HPV integration, and host gene expression to later correlate with survival and recurrence as those data become available for our study population. Materials and methods: Thirty-six primary head and neck SCC (HNSCC) tumor samples were collected between 2011-2013 at University of Michigan hospital, of which 18 were determined to be HPV+ (type16, 18 or 35). Paired-end RNA-Seq libraries were generated using Illumina HiSeq for all samples. The sequences were aligned to both the human and HPV genome. Gene expression levels were quantified for both human and HPV genes using TopHat2 and HTSeq, and HPV integration events were determined using Virus-seq. Results: Hierarchical clustering of the gene expression levels showed three distinct clusters among the samples. The HPV- samples were first separated from the HPV+ samples, and then there were two robust subgroups within the HPV+ samples. Subsequent analysis revealed one subgroup had significantly higher HPV expression levels than the other (p-value: 0.03; Wilcoxon test). The subgroups were also highly correlated with HPV-integration status (8 of the 16 tumors had at least one identified HPV integration event). Differentially expressed genes between HPV-integration positive and negative samples were found to be enriched for interesting pathways, including “keratinocyte differentiation”, “cell adhesion” and “growth factor binding”, suggesting possible differences in carcinogenesis We also examined the HPV integration sites and found the majority of them were transcription factors. These also include several cancer-related genes, such as “BIRC3”, “CD274” and “PBX1”. One gene, KLF12, contained an integration event in one of our tumors and in one of the 36 HPV+ tumors from The Cancer Genome Atlas (TCGA). Network analysis of the genes harboring an integration event in our population or the TCGA HNSCC population (38 total genes) revealed interactions around p63 and ETS. Conclusion: Our data is an important addition to TCGA HNSCC cohort data, because as opposed to TCGA, we did not enforce selection bias towards large tumor size. With our data, we identified two distinct HPV+ subgroups characterized by RNA-Seq expression levels and strongly correlated with HPV viral expression levels and integration status. A significant portion of the HPV+ tumors (50%) had integrated HPV genome, implying important oncogenic potentials for integration events. Citation Format: Yanxiao Zhang, Lada A. Koneva, Shama Virani, Alisha Virani, Katie M. Rentschler, Thomas E. Carey, Laura S. Rozek, Maureen A. Sartor, the University of Michigan Head and Neck SPORE. Gene expression analysis of human papillomavirus positive head and neck cancer primary tumor samples reveals two distinct subgroups. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 2184. doi:10.1158/1538-7445.AM2015-2184
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2015
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  • 9
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2015
    In:  Cancer Research Vol. 75, No. 15_Supplement ( 2015-08-01), p. 4808-4808
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 75, No. 15_Supplement ( 2015-08-01), p. 4808-4808
    Abstract: Introduction: Human papilloma virus (HPV)-associated head and neck squamous cell carcinomas have a distinct etiologic mechanism of carcinogenesis compared to non-HPV associated HNSCCs. These tumors are also generally thought to harbor less mutations compared to non-HPV associated HNSCCs. However, recent research suggests that not only do HPV-associated HNSCCs contain mutations, they are distinct from mutations found in non-HPV associated HNSCCs. Identification of these genetic variants is necessary to determine potential prognostic markers or novel insight into the mechanism of HPV-induced carcinogenesis. In this study, we identified genes with variants that are more common in HPV-associated HNSCCs compared to non-HPV associated HNSCCs. Materials and methods: Thirty-six primary head and neck SCC (HNSCC) tumor samples were collected between 2011-2013 at University of Michigan hospital, of which 18 were determined to be HPV+ (type16, 18 or 35). Paired-end RNA-Seq libraries were generated using Illumina HiSeq for all samples and aligned to both the human and HPV genome. Variant calling was employed using an established pipeline to identify single nucleotide polymorphisms (SNPs) from RNA-Seq data. Briefly, data was aligned using STAR, followed by indel realignment and base recalibration. Variants were called using HaplotypeCaller and filtered by Fisher Strand values (FS & gt; 30.0) and Qual By Depth values (QD & lt; 2.0). Variants were annotated and filtered by SnpEff and SnpSift to determine genes with nonsynonymous variants by HPV status. Results: Out of all samples, nine genes showed nonsynonymous variants in HPV-associated tumors greater than 60% of the time compared to non-HPV associated tumors. These are PTCH1 (associated with eosophageal squamous cell carcinoma), ATRX (involved in chromatin binding), ERCC2 (associated with skin cancers), FOXA1 (transcription factor), CCDC6 (associated with thyroid papillary carcinoma), FNBP1 (involved in lipid binding), and POU5F1 (transcription factor). Seventy-five percent of the samples with nonsynonymous variants in TMPRSS2, a gene shown to be associated with prostate cancer, were HPV-associated tumors. Eighty-two percent of all samples with nonsynonymous variants in FANCD2, a gene involved in maintenance of chromosomal stability, were HPV-associated tumors. Conclusion: Although HPV-associated HNSCCs generally harbor fewer mutations than non-HPV associated HNSCCs, our data suggests they do contain variants in cancer-related genes. This is important as these genes may play a role in the mechanism of HPV-induced tumorigenesis subsequent to viral initiation. Citation Format: Shama Virani, Pelle B. Hall, Yanxiao Zhang, Lada A. Koneva, Alisha Virani, Katie M. Rentschler, Thomas E. Carey, Laura S. Rozek, Maureen A. Sartor. Identification of genes with variants in HPV-associated head and neck squamous cell carcinoma. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 4808. doi:10.1158/1538-7445.AM2015-4808
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2015
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  • 10
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 22, No. 18 ( 2016-09-15), p. 4735-4745
    Abstract: Purpose: There is substantial heterogeneity within human papillomavirus (HPV)-associated head and neck cancer (HNC) tumors that predispose them to different outcomes; however, the molecular heterogeneity in this subgroup is poorly characterized due to various historical reasons. Experimental Design: We performed unsupervised gene expression clustering on deeply annotated (transcriptome and genome) HPV+ HNC samples from two cohorts (84 total primary tumors), including 18 HPV− HNC samples, to discover subtypes and characterize the differences between subgroups in terms of their HPV characteristics, pathway activity, whole-genome somatic copy number alterations, and mutation frequencies. Results: We identified two distinct HPV+ subtypes (namely HPV-KRT and HPV-IMU). HPV-KRT is characterized by elevated expression of genes in keratinocyte differentiation and oxidation–reduction process, whereas HPV-IMU has strong immune response and mesenchymal differentiation. The differences in expression are likely connected to the differences in HPV characteristics and genomic changes. HPV-KRT has more genic viral integration, lower E2/E4/E5 expression levels, and higher ratio of spliced to full-length HPV oncogene E6 than HPV-IMU; the subgroups also show differences in copy number alterations and mutations, in particular the loss of chr16q in HPV-IMU and gain of chr3q and PIK3CA mutation in HPV-KRT. Conclusions: Our characterization of two subtypes of HPV+ HNC tumors provides valuable molecular level information that point to two main carcinogenic paths. Together, these results shed light on stratifications of the HPV+ HNCs and will help to guide personalized care for HPV+ HNC patients. Clin Cancer Res; 22(18); 4735–45. ©2016 AACR.
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2016
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