Abstract
Our earlier studies indicated an important role of inducible transcription factor STAT3 in the establishment of persistent infection of human papillomavirus (HPV) type 16 and promotion of cervical carcinogenesis. Since HPV load and its physical state are two potential determinants of this virally-induced carcinogensis, though with some exceptions, we extended our study to examine the role of active STAT3 level in cervical precancer and cancer lesions and it's association with HPV viral load and physical state. An elevated level of active STAT3 was measured by assessing phospho-STAT3-Y705 (pSTAT3), in tumor tissues harboring higher viral load irrespective of the disease grade. Physical state analysis of HPV16 by assessing the degree of amplification of full length E2 and comparing it with E6 (E2:E6 ratio), which predominantly represent episomal form of HPV16, revealed low or undetectable pSTAT3. A strong pSTAT3 immunoreactivity was found in tissues those harbored either mixed or predominantly integrated form of viral genome. Cumulative analysis of pSTAT3 expression, viral load and physical state demonstrated a direct correlation between pSTAT3 expression, viral load and physical state of HPV. The study suggests that there exists a strong clinical correlation between level of active STAT3 expression and HPV genome copy number, and integrated state of the virus that may play a pivotal role in promotion/maintanence of tumorigenic phenotype.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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DNA Copy Number Variations*
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DNA, Viral / genetics
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Female
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Genome, Viral*
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Human papillomavirus 16 / isolation & purification
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Humans
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Middle Aged
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Papillomavirus Infections / complications*
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Papillomavirus Infections / virology
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Phosphorylation
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Precancerous Conditions / genetics
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Precancerous Conditions / metabolism
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Precancerous Conditions / pathology*
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Precancerous Conditions / virology
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Prognosis
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STAT3 Transcription Factor / genetics
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STAT3 Transcription Factor / metabolism*
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Uterine Cervical Dysplasia / genetics
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Uterine Cervical Dysplasia / metabolism
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Uterine Cervical Dysplasia / pathology*
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Uterine Cervical Dysplasia / virology
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Uterine Cervical Neoplasms / genetics
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Uterine Cervical Neoplasms / metabolism
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Uterine Cervical Neoplasms / pathology*
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Uterine Cervical Neoplasms / virology
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Viral Load
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Virus Integration
Substances
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DNA, Viral
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STAT3 Transcription Factor
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STAT3 protein, human
Grants and funding
The study was supported by research grants from ICMR (sanction no.- 5/13/38/2014-NCD-III), and DST-SERB (EMR/2017/004018), and DBT extramural grant (6242-P34/RGCB/PMD/DBT/ALCB/2015) to ACB & ICMR-Senior Research Fellowship to MJ (3/2/2/278/2014-NCD III). Intramural funding from Delhi University (DST – PURSE Phase II/RC/2016/944) and ICMR to ACB is also acknowledged. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.