Skip to main content
Top
Published in: Virology Journal 1/2021

Open Access 01-12-2021 | Human Papillomavirus | Research

The prevalence of human herpesvirus 8 in normal, premalignant, and malignant cervical samples of Iranian women

Authors: Sara Chavoshpour-Mamaghani, Zabihollah Shoja, Yaghoub Mollaei-Kandelous, Kimia Sharifian, Somayeh Jalilvand

Published in: Virology Journal | Issue 1/2021

Login to get access

Abstract

Background

Regard to this fact that the main transmission route of HPV and HHV-8 is via sexual activity, it is reasonable to speculate that coinfection of HPV and HHV-8 may have been played an important role in the development of cervical cancer. The aim of this study was to estimate the prevalence of HHV-8 and the frequency of HPV and HHV-8 coinfection in cervical samples of patients with cervical cancer and healthy individuals.

Methods

In total, 364 samples from 61 patients with cervical cancer, 124 women with premalignant lesions, and 179 healthy individuals were investigated by nested-PCR.

Results

The frequency of HHV-8 was found to be 22.9%, 17.7%, and 14.5% in cervical cancer, premalignant lesions, and normal specimens, respectively (P = 0.308). The overall prevalence of coinfection between HHV-8 and HPV was shown to be 16.2%. The HPV prevalence was higher in HHV-8 positive samples than HHV-8 negative specimens in all three studied groups and this difference was reached a statistically significant level (P = 0.002). However, no significant differences were found between HHV-8 positivity and HPV genotypes (P = 0.08).

Conclusions

Our results showed the higher rate of HHV-8 genome detection in cervical cancer group than control group. However, future studies with larger sample sizes and evaluation of expression of HHV-8 proteins are warranted.
Literature
1.
go back to reference Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71:209–49.CrossRef Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71:209–49.CrossRef
2.
go back to reference (2020) International Agency for Research on Cancer. GLOBOCAN 2020: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2020. (2020) International Agency for Research on Cancer. GLOBOCAN 2020: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2020.
3.
go back to reference Tota JE, Chevarie-Davis M, Richardson LA, Devries M, Franco EL. Epidemiology and burden of HPV infection and related diseases: implications for prevention strategies. Prev Med. 2011;53(Suppl 1):S12-21.CrossRef Tota JE, Chevarie-Davis M, Richardson LA, Devries M, Franco EL. Epidemiology and burden of HPV infection and related diseases: implications for prevention strategies. Prev Med. 2011;53(Suppl 1):S12-21.CrossRef
4.
go back to reference Doorbar J, Quint W, Banks L, Bravo IG, Stoler M, Broker TR, Stanley MA. The biology and life-cycle of human papillomaviruses. Vaccine. 2012;30:F55–70.CrossRef Doorbar J, Quint W, Banks L, Bravo IG, Stoler M, Broker TR, Stanley MA. The biology and life-cycle of human papillomaviruses. Vaccine. 2012;30:F55–70.CrossRef
5.
go back to reference Munoz N, Bosch FX, De Sanjosé S, Herrero R, Castellsague X, Shah KV, Snijders PJ, Meijer CJ. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003;348:518–27.CrossRef Munoz N, Bosch FX, De Sanjosé S, Herrero R, Castellsague X, Shah KV, Snijders PJ, Meijer CJ. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003;348:518–27.CrossRef
6.
go back to reference Bouvard V, Baan R, Straif K, Grosse Y, Secretan B, El GF, Brahim-Tallaa L, Guha N, Freeman C, Galichet L, Cogliano V. A review of human carcinogens–part B: biological agents. Lancet Oncol. 2009;10:321–2.CrossRef Bouvard V, Baan R, Straif K, Grosse Y, Secretan B, El GF, Brahim-Tallaa L, Guha N, Freeman C, Galichet L, Cogliano V. A review of human carcinogens–part B: biological agents. Lancet Oncol. 2009;10:321–2.CrossRef
7.
go back to reference Li N, Franceschi S, Howell-Jones R, Snijders PJ, Clifford GM. Human papillomavirus type distribution in 30,848 invasive cervical cancers worldwide: variation by geographical region, histological type and year of publication. Int J Cancer. 2011;128:927–35.CrossRef Li N, Franceschi S, Howell-Jones R, Snijders PJ, Clifford GM. Human papillomavirus type distribution in 30,848 invasive cervical cancers worldwide: variation by geographical region, histological type and year of publication. Int J Cancer. 2011;128:927–35.CrossRef
8.
go back to reference Moscicki AB, Schiffman M, Burchell A, Albero G, Giuliano AR, Goodman MT, Kjaer SK, Palefsky J. Updating the natural history of human papillomavirus and anogenital cancers. Vaccine. 2012;30(Suppl 5):F24–33.CrossRef Moscicki AB, Schiffman M, Burchell A, Albero G, Giuliano AR, Goodman MT, Kjaer SK, Palefsky J. Updating the natural history of human papillomavirus and anogenital cancers. Vaccine. 2012;30(Suppl 5):F24–33.CrossRef
9.
go back to reference de Sanjosé S, Brotons M, Pavón MA. The natural history of human papillomavirus infection. Best Pract Res Clin Obstet Gynaecol. 2018;47:2–13.CrossRef de Sanjosé S, Brotons M, Pavón MA. The natural history of human papillomavirus infection. Best Pract Res Clin Obstet Gynaecol. 2018;47:2–13.CrossRef
10.
go back to reference Koskela P, Anttila T, Bjørge T, Brunsvig A, Dillner J, Hakama M, Hakulinen T, Jellum E, Lehtinen M, Lenner P, Luostarinen T, Pukkala E, Saikku P, Thoresen S, Youngman L, Paavonen J. Chlamydia trachomatis infection as a risk factor for invasive cervical cancer. Int J Cancer. 2000;85:35–9.CrossRef Koskela P, Anttila T, Bjørge T, Brunsvig A, Dillner J, Hakama M, Hakulinen T, Jellum E, Lehtinen M, Lenner P, Luostarinen T, Pukkala E, Saikku P, Thoresen S, Youngman L, Paavonen J. Chlamydia trachomatis infection as a risk factor for invasive cervical cancer. Int J Cancer. 2000;85:35–9.CrossRef
11.
go back to reference Silva J, Cerqueira F, Medeiros R. Chlamydia trachomatis infection: implications for HPV status and cervical cancer. Arch Gynecol Obstet. 2014;289:715–23.CrossRef Silva J, Cerqueira F, Medeiros R. Chlamydia trachomatis infection: implications for HPV status and cervical cancer. Arch Gynecol Obstet. 2014;289:715–23.CrossRef
12.
go back to reference de Lima MAP, Neto PJN, Lima LPM, Gonçalves Júnior J, Teixeira Junior AG, Teodoro IPP, Facundo HT, da Silva CGL, Lima MVA. Association between Epstein-Barr virus (EBV) and cervical carcinoma: a meta-analysis. Gynecol Oncol. 2018;148:317–28.CrossRef de Lima MAP, Neto PJN, Lima LPM, Gonçalves Júnior J, Teixeira Junior AG, Teodoro IPP, Facundo HT, da Silva CGL, Lima MVA. Association between Epstein-Barr virus (EBV) and cervical carcinoma: a meta-analysis. Gynecol Oncol. 2018;148:317–28.CrossRef
13.
go back to reference Kelly H, Weiss HA, Benavente Y, de Sanjose S, Mayaud P. Association of antiretroviral therapy with high-risk human papillomavirus, cervical intraepithelial neoplasia, and invasive cervical cancer in women living with HIV: a systematic review and meta-analysis. Lancet HIV. 2018;5:e45–58.CrossRef Kelly H, Weiss HA, Benavente Y, de Sanjose S, Mayaud P. Association of antiretroviral therapy with high-risk human papillomavirus, cervical intraepithelial neoplasia, and invasive cervical cancer in women living with HIV: a systematic review and meta-analysis. Lancet HIV. 2018;5:e45–58.CrossRef
14.
go back to reference Kovachev SM. Cervical cancer and vaginal microbiota changes. Arch Microbiol. 2020;202:323–7.CrossRef Kovachev SM. Cervical cancer and vaginal microbiota changes. Arch Microbiol. 2020;202:323–7.CrossRef
15.
go back to reference Chang Y, Cesarman E, Pessin MS, Lee F, Culpepper J, Knowles DM, Moore PS. Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi’s sarcoma. Science. 1994;266:1865–9.CrossRef Chang Y, Cesarman E, Pessin MS, Lee F, Culpepper J, Knowles DM, Moore PS. Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi’s sarcoma. Science. 1994;266:1865–9.CrossRef
16.
go back to reference Jalilvand S, Shoja Z, Mokhtari-Azad T, Nategh R, Gharehbaghian A. Seroprevalence of Human herpesvirus 8 (HHV-8) and incidence of Kaposi’s sarcoma in Iran. InfectAgentCancer. 2011;6:5. Jalilvand S, Shoja Z, Mokhtari-Azad T, Nategh R, Gharehbaghian A. Seroprevalence of Human herpesvirus 8 (HHV-8) and incidence of Kaposi’s sarcoma in Iran. InfectAgentCancer. 2011;6:5.
17.
go back to reference Pica F, Volpi A. Transmission of human herpesvirus 8: an update. Curr Opin Infect Dis. 2007;20:152–6.CrossRef Pica F, Volpi A. Transmission of human herpesvirus 8: an update. Curr Opin Infect Dis. 2007;20:152–6.CrossRef
18.
go back to reference Minhas V, Wood C. Epidemiology and transmission of Kaposi’s sarcoma-associated herpesvirus. Viruses. 2014;6:4178–94.CrossRef Minhas V, Wood C. Epidemiology and transmission of Kaposi’s sarcoma-associated herpesvirus. Viruses. 2014;6:4178–94.CrossRef
19.
go back to reference Chan PK, Li WH, Chan MY, Cheng AF. Detection of human herpesvirus 8 in cervical cells of Chinese women with abnormal papanicolaou smears. Clin Infect Dis Off Publ Infect Dis Soc Am. 1999;29:1584–5.CrossRef Chan PK, Li WH, Chan MY, Cheng AF. Detection of human herpesvirus 8 in cervical cells of Chinese women with abnormal papanicolaou smears. Clin Infect Dis Off Publ Infect Dis Soc Am. 1999;29:1584–5.CrossRef
20.
go back to reference Jalilvand S, Tornesello ML, Buonaguro FM, Buonaguro L, Naraghi ZS, Shoja Z, Ziaee AA, Hamkar R, Shahmahmoodi S, Nategh R, Mokhtari-Azad T. Molecular epidemiology of human herpesvirus 8 variants in Kaposi’s sarcoma from Iranian patients. Virus Res. 2012;163:644–9.CrossRef Jalilvand S, Tornesello ML, Buonaguro FM, Buonaguro L, Naraghi ZS, Shoja Z, Ziaee AA, Hamkar R, Shahmahmoodi S, Nategh R, Mokhtari-Azad T. Molecular epidemiology of human herpesvirus 8 variants in Kaposi’s sarcoma from Iranian patients. Virus Res. 2012;163:644–9.CrossRef
21.
go back to reference Sato Y, Sugie R, Tsuchiya B, Kameya T, Natori M, Mukai K. Comparison of the DNA extraction methods for polymerase chain reaction amplification from formalin-fixed and paraffin-embedded tissues. Diagn Mol Pathol. 2001;10:265–71.CrossRef Sato Y, Sugie R, Tsuchiya B, Kameya T, Natori M, Mukai K. Comparison of the DNA extraction methods for polymerase chain reaction amplification from formalin-fixed and paraffin-embedded tissues. Diagn Mol Pathol. 2001;10:265–71.CrossRef
22.
go back to reference Heydari N, Oskouee MA, Vaezi T, Shoja Z, Esmaeili HA, Hamkar R, Shahmahmoodi S, Jalilvand SJ. Type-specific human papillomavirus prevalence in cervical intraepithelial neoplasia and cancer in Iran. J Med Virol. 2018;90:172–6.CrossRef Heydari N, Oskouee MA, Vaezi T, Shoja Z, Esmaeili HA, Hamkar R, Shahmahmoodi S, Jalilvand SJ. Type-specific human papillomavirus prevalence in cervical intraepithelial neoplasia and cancer in Iran. J Med Virol. 2018;90:172–6.CrossRef
23.
go back to reference Kakavand-Ghalehnoei R, Shoja Z, Najafi A, Mollahoseini MH, Shahmahmoodi S, Marashi SM, Nejati A, Jalilvand S. Prevalence of human herpesvirus-8 among HIV-infected patients, intravenous drug users and the general population in Iran. Sexual health. 2016;13:295–8.CrossRef Kakavand-Ghalehnoei R, Shoja Z, Najafi A, Mollahoseini MH, Shahmahmoodi S, Marashi SM, Nejati A, Jalilvand S. Prevalence of human herpesvirus-8 among HIV-infected patients, intravenous drug users and the general population in Iran. Sexual health. 2016;13:295–8.CrossRef
24.
go back to reference de Sanjosé S, Marshall V, Solà J, Palacio V, Almirall R, Goedert JJ, Bosch FX, Whitby D. Prevalence of Kaposi’s sarcoma-associated herpesvirus infection in sex workers and women from the general population in Spain. Int J Cancer. 2002;98:155–8.CrossRef de Sanjosé S, Marshall V, Solà J, Palacio V, Almirall R, Goedert JJ, Bosch FX, Whitby D. Prevalence of Kaposi’s sarcoma-associated herpesvirus infection in sex workers and women from the general population in Spain. Int J Cancer. 2002;98:155–8.CrossRef
25.
go back to reference Brasil Cda M, Ribeiro CM, Leão JC. Oral and genital human herpesvirus 8 and human papillomavirus in heterosexual partners. J Oral Pathol Med. 2013;42:61–5.CrossRef Brasil Cda M, Ribeiro CM, Leão JC. Oral and genital human herpesvirus 8 and human papillomavirus in heterosexual partners. J Oral Pathol Med. 2013;42:61–5.CrossRef
26.
go back to reference Enbom M, Strand A, Falk KI, Linde A. Detection of Epstein-Barr virus, but not human herpesvirus 8, DNA in cervical secretions from Swedish women by real-time polymerase chain reaction. Sex Transm Dis. 2001;28:300–6.CrossRef Enbom M, Strand A, Falk KI, Linde A. Detection of Epstein-Barr virus, but not human herpesvirus 8, DNA in cervical secretions from Swedish women by real-time polymerase chain reaction. Sex Transm Dis. 2001;28:300–6.CrossRef
27.
go back to reference Cannon MJ, Laney AS, Pellett PE. Human herpesvirus 8: current issues. Clin Infect Dis. 2003;37:82–7.CrossRef Cannon MJ, Laney AS, Pellett PE. Human herpesvirus 8: current issues. Clin Infect Dis. 2003;37:82–7.CrossRef
28.
go back to reference Taylor MM, Chohan B, Lavreys L, Hassan W, Huang M-L, Corey L, Morrow RA, Richardson BA, Mandaliya K, Ndinya-Achola J, Bwayo J, Kreiss J. Shedding of human herpesvirus 8 in oral and genital secretions from HIV-1-seropositive and -seronegative Kenyan women. J Infect Dis. 2004;190:484–8.CrossRef Taylor MM, Chohan B, Lavreys L, Hassan W, Huang M-L, Corey L, Morrow RA, Richardson BA, Mandaliya K, Ndinya-Achola J, Bwayo J, Kreiss J. Shedding of human herpesvirus 8 in oral and genital secretions from HIV-1-seropositive and -seronegative Kenyan women. J Infect Dis. 2004;190:484–8.CrossRef
29.
go back to reference Dai L, Cao Y, Jiang W, Zabaleta J, Liu Z, Qiao J, Qin Z. KSHV co-infection down-regulates HPV16 E6 and E7 from cervical cancer cells. Oncotarget. 2017;8:35792.CrossRef Dai L, Cao Y, Jiang W, Zabaleta J, Liu Z, Qiao J, Qin Z. KSHV co-infection down-regulates HPV16 E6 and E7 from cervical cancer cells. Oncotarget. 2017;8:35792.CrossRef
30.
go back to reference Dai L, Zhao M, Jiang W, Lin Z, Del Valle L, Qin Z. KSHV co-infection, a new co-factor for HPV-related cervical carcinogenesis? Am J Cancer Res. 2018;8:2176–84.PubMedPubMedCentral Dai L, Zhao M, Jiang W, Lin Z, Del Valle L, Qin Z. KSHV co-infection, a new co-factor for HPV-related cervical carcinogenesis? Am J Cancer Res. 2018;8:2176–84.PubMedPubMedCentral
31.
go back to reference Wei LH, Kuo ML, Chen CA, Chou CH, Lai KB, Lee CN, Hsieh CY. Interleukin-6 promotes cervical tumor growth by VEGF-dependent angiogenesis via a STAT3 pathway. Oncogene. 2003;22:1517–27.CrossRef Wei LH, Kuo ML, Chen CA, Chou CH, Lai KB, Lee CN, Hsieh CY. Interleukin-6 promotes cervical tumor growth by VEGF-dependent angiogenesis via a STAT3 pathway. Oncogene. 2003;22:1517–27.CrossRef
32.
go back to reference Zhang Y, Wu JZ, Yang YQ, Ma R, Zhang JY, Feng JF. Expression of growth-regulated oncogene-1, hepatocyte growth factor, platelet-derived growth factor-AA and soluble E-selectin and their association with high-risk human papillomavirus infection in squamous cell carcinoma of the uterine cervix. Mol Med Rep. 2014;10:1013–24.CrossRef Zhang Y, Wu JZ, Yang YQ, Ma R, Zhang JY, Feng JF. Expression of growth-regulated oncogene-1, hepatocyte growth factor, platelet-derived growth factor-AA and soluble E-selectin and their association with high-risk human papillomavirus infection in squamous cell carcinoma of the uterine cervix. Mol Med Rep. 2014;10:1013–24.CrossRef
33.
go back to reference Cesarman E, Damania B, Krown SE, Martin J, Bower M, Whitby D. Kaposi sarcoma. Nat Rev Dis Prim. 2019;5:9.CrossRef Cesarman E, Damania B, Krown SE, Martin J, Bower M, Whitby D. Kaposi sarcoma. Nat Rev Dis Prim. 2019;5:9.CrossRef
34.
go back to reference Rose-John S. Interleukin-6 family cytokines. Cold Spring Harbor Perspect Biol. 2018;10:a028415.CrossRef Rose-John S. Interleukin-6 family cytokines. Cold Spring Harbor Perspect Biol. 2018;10:a028415.CrossRef
35.
go back to reference Underbrink MP, Hoskins SL, Pou AM, Albrecht T. Viral interaction: a possible contributing factor in head and neck cancer progression. Acta Otolaryngol. 2008;128:1361–9.CrossRef Underbrink MP, Hoskins SL, Pou AM, Albrecht T. Viral interaction: a possible contributing factor in head and neck cancer progression. Acta Otolaryngol. 2008;128:1361–9.CrossRef
36.
go back to reference Pal A, Kundu R. Human papillomavirus E6 and E7: the cervical cancer hallmarks and targets for therapy. Front Microbiol. 2019;10:3116.CrossRef Pal A, Kundu R. Human papillomavirus E6 and E7: the cervical cancer hallmarks and targets for therapy. Front Microbiol. 2019;10:3116.CrossRef
37.
go back to reference Hoppe-Seyler K, Bossler F, Braun JA, Herrmann AL, Hoppe-Seyler F. The HPV E6/E7 oncogenes: key factors for viral carcinogenesis and therapeutic targets. Trends Microbiol. 2018;26:158–68.CrossRef Hoppe-Seyler K, Bossler F, Braun JA, Herrmann AL, Hoppe-Seyler F. The HPV E6/E7 oncogenes: key factors for viral carcinogenesis and therapeutic targets. Trends Microbiol. 2018;26:158–68.CrossRef
38.
go back to reference Khorasanizadeh F, Hassanloo J, Khaksar N, Mohammad TS, Marzaban M, Rashidi H, Akbari SA, Zendehdel K. Epidemiology of cervical cancer and human papilloma virus infection among Iranian women—analyses of national data and systematic review of the literature. Gynecol Oncol. 2013;128:277–81.CrossRef Khorasanizadeh F, Hassanloo J, Khaksar N, Mohammad TS, Marzaban M, Rashidi H, Akbari SA, Zendehdel K. Epidemiology of cervical cancer and human papilloma virus infection among Iranian women—analyses of national data and systematic review of the literature. Gynecol Oncol. 2013;128:277–81.CrossRef
39.
go back to reference Dorrucci M, Serraino D, Rezza G, Study TIH-S. The effect of aging on the incidence of Kaposi’s sarcoma among HIV-positive individuals with known dates of seroconversion. Int J Cancer. 2003;104:251–4.CrossRef Dorrucci M, Serraino D, Rezza G, Study TIH-S. The effect of aging on the incidence of Kaposi’s sarcoma among HIV-positive individuals with known dates of seroconversion. Int J Cancer. 2003;104:251–4.CrossRef
40.
go back to reference Mesri EA, Cesarman E, Boshoff C. Kaposi’s sarcoma and its associated herpesvirus. Nat Rev Cancer. 2010;10:707–19.CrossRef Mesri EA, Cesarman E, Boshoff C. Kaposi’s sarcoma and its associated herpesvirus. Nat Rev Cancer. 2010;10:707–19.CrossRef
Metadata
Title
The prevalence of human herpesvirus 8 in normal, premalignant, and malignant cervical samples of Iranian women
Authors
Sara Chavoshpour-Mamaghani
Zabihollah Shoja
Yaghoub Mollaei-Kandelous
Kimia Sharifian
Somayeh Jalilvand
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2021
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/s12985-021-01614-z

Other articles of this Issue 1/2021

Virology Journal 1/2021 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.