Grant Details
Grant Number: |
1R03CA176743-01A1 Interpret this number |
Primary Investigator: |
Giuliano, Anna |
Organization: |
H. Lee Moffitt Cancer Ctr & Res Inst |
Project Title: |
Cutaneous Human Papillomavirus Infection and Risk of Incident External Genital Le |
Fiscal Year: |
2013 |
Abstract
Penile cancer is a disease with a high mortality, serious physical and psychosexual consequences. Our
knowledge on the role of Human Papillomavirus (HPV) in penile carcinogenesis has been predominantly
derived from studies of mucosal HPV types in the alpha genus (alpha-HPV), one of the 16 genera of HPV. Mucosal
alpha-HPV infection is responsible for approximately 50% of annual penile cancer incidence. Little is known about
the diversity of HPV types involved in the development of precursor lesions to penile cancer. The significance
of cutaneous HPV in the beta-genus (beta-HPV), a group of HPV ubiquitously and persistently present on healthy
human skin, or its combined exposures with mucosal alpha-HPV in penile carcinogenesis has not been evaluated.
The goal of this project is to conduct a prospective epidemiologic investigation of a new hypothesis:
exposures to cutaneous beta-HPV, either individually or jointly with mucosal alpha-HPV, increase the risk of external
genital lesions (EGLs) that have malignant potential for penile cancer. The two specific aims of the study are:
(1) estimate baseline prevalence of cutaneous beta-HPV and mucosal alpha-HPV exposures, and investigate factors
associated with any beta-HPV exposure as well as joint exposures with mucosal alpha-HPV; (2) determine whether
baseline exposures to cutaneous beta-HPV, individually or jointly with mucosal alpha-HPV exposures, are associated
with subsequent development of EGLs.
We propose a case-cohort design nested within an established and ongoing longitudinal cohort of 4072
men (the HIM Study). The study population will consist of a randomly selected sub-cohort of 550 men and all
incident EGL cases (n=230 to date) arising from the parent cohort. Baseline serum samples will be tested for
type-specific serum antibodies to a wide array of cutaneous beta-HPV and mucosal alpha-HPV types as the marker of
HPV exposures using high throughput multiplex serology assays. Incident EGL cases will be enumerated from
the parent cohort based on biopsy-confirmed pathologic diagnosis, the gold standard for EGL diagnosis.
The proposed project is the first epidemiologic study to evaluate the temporal association between
cutaneous beta-HPV infection and risk of EGLs with malignant potential. It utilizes the existing resources of a
large NIH-funded study and is a cost-effective strategy to develop testable hypotheses. This study will make a
significant contribution by generating early knowledge of the prevalence of cutaneous beta-HPV exposures in the
general male community, and the significance of cutaneous beta-HPV in penile carcinogenesis. If cutaneous beta-
HPV is found to play an aetiological role in EGLs potentially leading to penile carcinoma, our findings can
inform future HPV-related cancer prevention strategies and vaccine development to prevent beta-HPV infection
and associated lesions, and in turn reduce penile cancer incidence, especially in older adult men who are at
increased risk but lack routine access to the current prophylactic vaccines.
Publications
Seroprevalence of Chlamydia trachomatis, herpes simplex 2, Epstein-Barr virus, hepatitis C and associated factors among a cohort of men ages 18-70 years from three countries.
Authors: Rahman S.
, Wathington D.
, Waterboer T.
, Pawlita M.
, Villa L.L.
, Lazcano-Ponce E.
, Willhauck-Fleckenstein M.
, Brenner N.
, Giuliano A.R.
.
Source: Plos One, 2021; 16(6), p. e0253005.
EPub date: 2021-06-22 00:00:00.0.
PMID: 34157055
Related Citations
Cutaneous HPV and alpha-mucosal 9-valent HPV sero-status associations.
Authors: Rahman S.
, Giuliano A.R.
, Rollison D.E.
, Pawlita M.
, Waterboer T.
, Villa L.L.
, Lazcano Ponce E.
.
Source: Papillomavirus Research (amsterdam, Netherlands), 2017 Dec; 4, p. 54-57.
EPub date: 2017-08-02 00:00:00.0.
PMID: 29179870
Related Citations
Seroprevalence Of Cutaneous Human Papillomaviruses (hpvs) Among Men In The Multinational Hpv Infection In Men Study
Authors: Rahman S.
, Pierce Campbell C.M.
, Waterboer T.
, Rollison D.E.
, Ingles D.J.
, Torres B.N.
, Michel A.
, Sudenga S.L.
, Pawlita M.
, Villa L.L.
, et al.
.
Source: The Journal Of General Virology, 2016 Dec; 97(12), p. 3291-3301.
PMID: 27902363
Related Citations
Cutaneous beta human papillomaviruses and the development of male external genital lesions: A case-control study nested within the HIM Study.
Authors: Pierce Campbell C.M.
, Gheit T.
, Tommasino M.
, Lin H.Y.
, Torres B.N.
, Messina J.L.
, Stoler M.H.
, Rollison D.E.
, Sirak B.A.
, Abrahamsen M.
, et al.
.
Source: Virology, 2016 10; 497, p. 314-322.
EPub date: 2016-08-10 00:00:00.0.
PMID: 27518539
Related Citations
Seroprevalence of Cutaneous Human Papillomaviruses and the Risk of External Genital Lesions in Men: A Nested Case-Control Study.
Authors: Rahman S.
, Rollison D.E.
, Pierce Campbell C.M.
, Waterboer T.
, Michel A.
, Pawlita M.
, Villa L.L.
, Lazcano Ponce E.
, Wang W.
, Borenstein A.R.
, et al.
.
Source: Plos One, 2016; 11(11), p. e0167174.
EPub date: 2016-11-28 00:00:00.0.
PMID: 27893841
Related Citations
Seroprevalence and Associated Factors of 9-Valent Human Papillomavirus (HPV) Types among Men in the Multinational HIM Study.
Authors: Rahman S.
, Pierce Campbell C.M.
, Rollison D.E.
, Wang W.
, Waterboer T.
, Michel A.
, Pawlita M.
, Villa L.L.
, Lazcano Ponce E.
, Borenstein A.R.
, et al.
.
Source: Plos One, 2016; 11(11), p. e0167173.
EPub date: 2016-11-30 00:00:00.0.
PMID: 27902759
Related Citations