HPV – Page 59 – Oral Cancer News

Cervical cancer screening with HPV test reduces advanced cancers, deaths

Source: www.cancer.gov/ncicancerbulletin Author: Carmen Phillips An 8-year trial conducted in India has shown that screening for cervical cancer with a single round of human papillomavirus (HPV) DNA testing halved the rate of advanced cervical cancers and deaths from cervical cancer. HPV screening was much more effective than other screening methods, including Pap testing or visual inspection with acetic acid. In the study, published April 2 in the New England Journal of Medicine (NEJM), no women who had a negative HPV DNA test died from invasive cervical cancer after 8 years of follow up. The findings have "immediate and global" implications, wrote Drs. Mark Schiffman and Sholom Wacholder of NCI's Division of Cancer Epidemiology and Genetics in an editorial accompanying the study. "International experts in cervical-cancer prevention should now adapt HPV testing for widespread implementation," they added, noting that additional research and efforts will be required in some communities, including the development of an infrastructure for the treatment of HPV-positive women. HPV16 E6 shown in green, in the nucleus of a mammalian cell In developing countries like India, noted the study's lead author, Dr. Rengaswamy Sankaranarayanan and colleagues from the International Agency for Research on Cancer (IARC) in France, there has been "no clinically significant reduction in cervical cancer incidence in three decades." As a result, approximately 80 percent of the half million cases of cervical cancer diagnosed around the globe each year are in low-resource countries. Cervical cancer screening programs in the United States and other developed countries are one [...]

Oral Cancer Foundation News Team - A2009-04-12T11:04:07-07:00April, 2009|Oral Cancer News|

PhRMA honors Gardasil(r) researchers with Discoverers Award

Source: sev.prnewswire.com/medical-pharmaceuticals Author: press release The Pharmaceutical Research and Manufacturers of America (PhRMA) will honor recipients of its 2009 Discoverers Award and 2009 Clinical Trial Exceptional Service Award tonight at PhRMA's annual meeting in San Antonio, TX. The awards will be presented to biopharmaceutical company scientists and other researchers who helped discover, develop and advance Gardasil(r), a breakthrough vaccine from Merck & Co., Inc. that can help prevent cervical cancer. (See footnote for more detailed description.) Cancer vaccines represent an emerging type of biological therapy. With 500,000 new cases of cervical cancer and 250,000 deaths from it each year worldwide, human papillomavirus (HPV) infections and the resulting cancers are a major human health threat. HPV infection typically occurs in adolescent and young adult women. "The recipients of these awards should all be proud that they have played such an incredible role in advancing healthcare here in America and around the world. Millions of patients will live healthier, longer lives because of the critical research that was done by these dedicated researchers," says PhRMA President and CEO Billy Tauzin. "These extraordinary honorees certainly deserve this recognition because they are the heroes behind a medicine that helps patients prevent a life-threatening cancer before it can get started." PhRMA's Discoverers Award recognizes scientists whose research and development of medicines have greatly benefited mankind, and whose dedication to improving the quality of patients' lives exemplifies the best among research-based company scientists today. Discoverers Award recipients are Merck's Eliav Barr, M.D., Vice President, Oncology Clinical [...]

Oral Cancer Foundation News Team - A2009-04-07T18:14:04-07:00April, 2009|Oral Cancer News|

A vaccine debate once focused on sex shifts as boys join the target market

Source: www.washingtonpost.com Author: Rob Stein When a vaccine designed to protect girls against a sexually transmitted virus arrived three years ago, the debate centered on one question: Would the shots make young girls more likely to have sex? Now the vaccine's maker is trying to get approval to sell the vaccine for boys, and the debate is focusing on something else entirely: Is it worth the money, and is it safe and effective enough? "We are still more worried about the promiscuity of girls than the promiscuity of boys," said Susan M. Reverby, a professor of women's studies and medical history at Wellesley College. "There's still that double standard." The shift in the discussion about Gardasil illustrates the complex interplay of political, economic, scientific, regulatory and social factors that increasingly influence decisions about new types of medical care. For the vaccine, the new dynamic reflects a strategic tack by Gardasil's critics, growing concern about health-care costs, fears about whether medical treatments are being vetted adequately and stubborn biases about gender, experts say. "There is the cost, the safety, the boys versus girls," said Susan F. Wood, a professor of public health at George Washington University. "These are some of the complexities that are going to have to be addressed one way or the other with this vaccine." Gardasil protects against the human papillomavirus, the most common sexually transmitted infection. HPV causes genital warts and, in women, can lead to cervical cancer -- a disease that strikes about 10,000 American women [...]

Oral Cancer Foundation News Team - A2009-03-27T08:30:59-07:00March, 2009|Oral Cancer News|

FDA approves genetic test for identifying human papillomavirus

Source: www.medscape.com Author: Jacquelyn K. Beals, PhD A new test for human papillomavirus (HPV) has been approved by the US Food and Drug Administration (FDA). The test, Cervista HPV 16/18 (Hologic Inc), is the first to rely on identification of DNA sequences specific to 2 high-risk HPVs that cause most cases of cervical cancer in the United States. Among more than 100 types of HPVs, many are low-risk viruses that cause warts or noncancerous growths. Other HPVs are considered high risk because their infections more frequently lead to cancer. More than a dozen types of sexually transmitted high-risk HPVs typically cause flat, hard-to-see growths on the cervix, but most of these infections resolve on their own without causing cancer. Persistent HPV infections, some lasting for many years with or without detectable symptoms, are the major cause of cervical cancer. Estimates in 2007 predicted that 11,000 US women would be diagnosed with cervical cancer and 4000 would die from the disease. Worldwide, the annual mortality from cervical cancer is close to 250,000. Approximately 70% of all cervical cancers are caused by HPV types 16 and 18, and factors such as smoking or bearing many children further increase the risk for cervical cancer in women infected with high-risk HPVs. The newly approved test can identify DNA sequences from HPV 16 and HPV 18 in samples of cervical cells, even before definitive changes occur in cells of the cervix. The FDA also approved a second DNA test, the Cervista HPV HR test (Hologic [...]

Oral Cancer Foundation News Team - A2009-03-21T08:30:33-07:00March, 2009|Oral Cancer News|

First DNA Test for Two Types of Human Papillomavirus Approved by FDA

Source: FDA News The first DNA test that identifies the two types of human papillomavirus (HPV) causing the majority of cervical cancers among women in the United States is approved by the U.S. Food and Drug Administration. The test, called Cervista HPV 16/18, detects the DNA sequences for HPV type 16 and HPV type 18 in cervical cells. Differentiating these HPV types gives health care professionals more information on a patient’s risk of subsequently developing cervical cancer. A positive Cervista 16/18 test result indicates whether HPV type 16, 18 or both types are present in the cervical sample. The FDA also approved yesterday the Cervista HPV HR test, which is the second DNA test that detects essentially all of the high-risk HPV types in cervical cell samples. The Cervista HPV HR test uses a method similar to the Cervista HPV 16/18 test to detect the DNA sequences of these HPV types. In women age 30 and older or women with borderline cytology, the Cervista HPV 16/18 test can be used together with cytology and the Cervista HPV HR test to assess risk of cervical disease. “Results from these two tests, when considered with a physician’s assessment of the patient’s history, other risk factors, and professional guidelines, can help physicians better determine risk and could lead to better patient management,” said Daniel G. Schultz, M.D., director of the FDA’s Center for Devices and Radiological Health. HPV is the most common sexually transmitted infection in the United States. The U.S. Centers for [...]

Webmaster2009-03-16T13:13:26-07:00March, 2009|Oral Cancer News|

Genetic signatures of HPV-related and unrelated oropharyngeal carcinoma and their prognostic implications

Source: Clinical Cancer Research 15, 1779, March 1, 200 Author: Jens P. Klussmann et al. Purpose: Patients with human papillomavirus (HPV)-containing oropharyngeal squamous cell carcinomas (OSCC) have a better prognosis than patients with HPV-negative OSCC. This may be attributed to different genetic pathways promoting cancer. Experimental Design: We used comparative genomic hybridization to identify critical genetic changes in 60 selected OSCC, 28 of which were associated with HPV-16 as determined by HPV-specific PCR and fluorescence in situ hybridization analysis and positive p16INK4A immunostaining. The results were correlated with HPV status and clinical data from patients. Results: Two thirds of OSCC harbored gain at 3q26.3-qter irrespective of HPV status. In HPV-negative tumors this alteration was associated with advanced tumor stage (P = 0.013). In comparison with HPV-related OSCC, the HPV-negative tumors harbored: (a) a higher number of chromosomal alterations and amplifications (P = 0.03 and 0.039, respectively); (b) significantly more losses at 3p, 5q, 9p, 15q, and 18q, and gains/amplifications at 11q13 (P = 0.002, 0.03; <0.001, 0.02, 0.004, and 0.001, respectively); and (c) less often 16q losses and Xp gains (P = 0.02 and 0.03). Survival analysis revealed a significantly better disease-free survival for HPV-related OSCC (P = 0.02), whereas chromosome amplification was an unfavorable prognostic indicator for disease-free and overall survival (P = 0.01 and 0.05, respectively). Interestingly, 16q loss, predominantly identified in HPV-related OSCC, was a strong indicator of favorable outcome (overall survival, P = 0.008; disease-free survival, P = 0.01) and none of these patients had a [...]

Oral Cancer Foundation News Team - A2009-03-01T21:12:27-07:00March, 2009|Oral Cancer News|

Genetic signatures of HPV-related and unrelated oropharyngeal carcinoma and their prognostic implications

Source: Clinical Cancer Research, 10.1158/1078-0432 Authors: Jens P. K et al. Purpose: Patients with human papillomavirus (HPV)-containing oropharyngeal squamous cell carcinomas (OSCC) have a better prognosis than patients with HPV-negative OSCC. This may be attributed to different genetic pathways promoting cancer. Experimental Design: We used comparative genomic hybridization to identify critical genetic changes in 60 selected OSCC, 28 of which were associated with HPV-16 as determined by HPV-specific PCR and fluorescence in situ hybridization analysis and positive p16INK4A immunostaining. The results were correlated with HPV status and clinical data from patients. Results: Two thirds of OSCC harbored gain at 3q26.3-qter irrespective of HPV status. In HPV-negative tumors this alteration was associated with advanced tumor stage (P = 0.013). In comparison with HPV-related OSCC, the HPV-negative tumors harbored: (a) a higher number of chromosomal alterations and amplifications (P = 0.03 and 0.039, respectively); (b) significantly more losses at 3p, 5q, 9p, 15q, and 18q, and gains/amplifications at 11q13 (P = 0.002, 0.03; <0.001, 0.02, 0.004, and 0.001, respectively); and (c) less often 16q losses and Xp gains (P = 0.02 and 0.03). Survival analysis revealed a significantly better disease-free survival for HPV-related OSCC (P = 0.02), whereas chromosome amplification was an unfavorable prognostic indicator for disease-free and overall survival (P = 0.01 and 0.05, respectively). Interestingly, 16q loss, predominantly identified in HPV-related OSCC, was a strong indicator of favorable outcome (overall survival, P = 0.008; disease-free survival, P = 0.01) and none of these patients had a tumor recurrence. Conclusions: Genetic [...]

Oral Cancer Foundation News Team - A2009-02-22T06:09:58-07:00February, 2009|Oral Cancer News|

Dental Calamities That Can Truly Hurt

Source: New York Times Writer: Nicholas Bakalar DENTAL cavities are not good news, but when it comes to preventive oral health, they may be among the smaller problems. The advice is familiar: brush and floss regularly, use fluoride mouthwash, limit snacks and sweet drinks, visit the dentist twice a year. Good suggestions, even if not everyone follows them: by age 12, 50 percent of children have cavities. But there are two much more serious problems, common dental diseases that can lead not only to loss of teeth but also to loss of life: periodontal disease and oral cancer. Periodontal disease — a chronic bacterial infection of the gums that destroys the bone and tissues that hold the teeth — is the leading cause of tooth loss in adults. Some people are genetically susceptible, and the problem can be aggravated by smoking, taking certain medications, stress and other factors. Several studies have found that gum disease is associated with an increased risk for heart attack. “It isn’t nailed down yet,” said Dr. Martin J. Davis, professor of clinical dentistryat the College of Dental Medicine at Columbia, “but there seems to be a link between the inflammation of gums and the inflammatory markers of heart disease.” It may be that oral bacteria enter the bloodstream, attach to fatty plaques in the coronary arteries and cause clots to form. Or maybe inflammation itself increases plaque buildup. A 2007 study showed that periodontal disease increased the risk of heart disease in men by one third and doubled it in women, even [...]

Webmaster2009-02-17T09:56:09-07:00February, 2009|Oral Cancer News|

New oral cancer tests: crucial or wasteful?

Source: nytimes.com Author: Laurie Tarkan Though relatively rare, it is one of the easiest cancers to spot and diagnose. And if treated early, it is usually curable. So why do experts find oral cancer so vexing? Despite the many advances against cancer in recent decades, the statistics on this form of it remain discouraging: more than 60 percent of cases are diagnosed in the late stages, and the five-year survival rate is a disappointing 59 percent. Moreover, oral cancer is increasing in people traditionally at low risk, a phenomenon partly attributed to the rise of the cancer-causing human papillomavirus, or HPV, which can be transmitted through oral sex. Now some dentists — whose visual examinations have long been a first line of defense against oral cancer — are using screening devices that they say may help identify cancers and premalignant lesions. But these new tests have set off a debate over cost and effectiveness. Experts are divided on whether they will reduce mortality from oral cancer or simply lead to a wave of expensive and unnecessary biopsies. An estimated 35,300 Americans learned they had oral cancer last year, and about 7,600 died from the disease. For survivors, oral cancer can be painful and disfiguring, and can destroy the ability to taste and enjoy food. Smokers and heavy drinkers are considered at highest risk for the disease, but 25 percent of those who receive a diagnosis are neither. Still, the lifetime risk of oral cancer — about 1 in 99 — [...]

Oral Cancer Foundation News Team - A2009-02-03T20:50:30-07:00February, 2009|OCF In The News, Oral Cancer News|

HPV testing followed by cytology and repeat HPV testing may improve cervical cancer screening

Source: JNCI Journal of the National Cancer Institute 2009 101(2):69 Author: staff The use of human papillomavirus (HPV) DNA testing as an initial screening step followed by triage with a standard Pap test (cytology) and repeat HPV DNA testing may increase the accuracy of cervical cancer screening, according to a study in the Jan. 13 online issue of the Journal of the National Cancer Institute. Compared to cytology alone, the screening strategy improved detection of precancerous growths without a substantial increase in the number of false-positive tests. Randomized trials have shown that using DNA testing for HPV—which is known to cause cervical cancer—in screening programs would increase detection of cervical intraepithelial neoplasia (CIN) compared with cytology. However, HPV DNA testing also results in a substantial increase in false-positive tests, which lead to unnecessary and costly retesting. In the current study, Joakim Dillner, M.D. of Lund University in Malmö, Sweden, and colleagues compared the efficacy of 11 different screening strategies that used HPV DNA testing, cytology, or a combination of the two. To evaluate the different strategies the investigators retrospectively analyzed data from 6,257 women who were enrolled in the intervention arm of a large randomized screening trial, called Swedescreen, in which HPV DNA testing was used in addition to standard cytology. As seen in previous trials, the use of HPV DNA testing in conjunction with cytology increased the screening efficacy, detecting 35 percent more cases of CIN grade 3 or worse, compared with cytology alone. The strategy, however, doubled the [...]

Oral Cancer Foundation News Team - A2009-01-26T08:49:12-07:00January, 2009|Oral Cancer News|