Abstract
The paraffin sections from 20 nipples with Paget's disease (10 central intraductal and 10 invasive ductal carcinomas) were analyzed for human papilloma virus (HPV) DNA of the low- and intermediate/high-risk groups. Polymerase chain reaction (PCR) and dot (slot) blot hybridization were used for the detection of HPV DNA types 6/11/16/18/31/33/35. In addition, we examined the c-erbB-2 oncogene expression in the specimens to differentiate benign cells in the surface epithelium of the nipple and areola from Paget cells. We found that the oncogene expression of the c-erbB-2 displayed a strong signal in the Paget cells. Using PCR and dot (slot) blot hybridization, we could not detect the HPV DNAs that are specific for the low- and intermediate/high riskgroups in the 20 cases of Paget's disease. Our results showed for the first time that this type of virus did not contribute to the pathogenesis of Paget's disease.
References
Wright TC, Kurman RJ, Ferenczy A: Precancerous lesions of the cervix. In: Kurman RJ (ed) Blaustein's Pathology of the Female Genital Tract, 4th ed. Springer-Verlag, New York, 1994, pp 229–277
Tavassoli FA: Pathology of the Breast. Appleton & Lange, Norwalk, CT, 1992, pp 565–592
Bässler R: Mamma. In: Remmele W (ed) Pathologie, vol 3. Springer-Verlag, Berlin, 1984, pp 305–391
Friedrich EG Jr, Wilkinson EJ, Steingraeber PH, Lewis DJ: Paget's disease of the vulva and carcinoma of the breast. Obstet Gynecol 46: 130–134, 1975
Band V, Zjchowski D, Kulesa V, Sager R: Human papillomavirus DNAs immortalize normal human mammary epithelial cells and reduce their growth factor requirements. Proc Natl Acad Sci USA 87: 463–467, 1990
Kowalzick L, Grimmel M, Weyer U, de Villier E-M, Janner M: Recurrent papillomas of the nipple associated with human papillomavirus 41. Br J Dermatol 122: 757–762, 1990
Sitori C, Morano E: Unita subvivali e difese immunitarie nel cancro mammario umane con particolare riguardo al carcinoma di paget. Studio ultrastutturale. Gaslini 3: 105–117, 1971
Di Lonardo A, Venuti A, Marcante ML: Human papillomavirus in breast cancer. Breast Cancer Res Treat 21: 95–100, 1992
Ferre F, Gardano F: Detection of human papillomavirus types 6/11, 16 and 18 using the polymerase chain reaction. Cancer Cells 7: 215–218, 1989
Manos MM, Ting Y, Wright DK, Lewis AJ, Broker TR, Wolinsky SM: Use of polymerase chain reaction amplification for the detection of genital human papillomaviruses. Cancer Cells 7: 209–213, 1989
Chan VT-W: Molecular hybridization of nucleic acids. In: Herrington CS, McGee JO'D (eds) Diagnostic Molecular Pathology. IRL Press, New York, 1992, pp 65–83
Barnes DM, Lammie GA, Millis RR, Gullick WL, Allen DS, Alman DG: An immunohistochemical evaluation of c-erbB-2 expression in human breast carcinoma. Br J Cancer 58: 448–452, 1988
Czerwenka K, Lu Y, Heuss F: Amplification and expression of the c-erbB-2 oncogene in normal, hyperplastic, and malignant endometria. Int J Gynecol Pathol 14: 98–106, 1995
Shibata DJ: The polymerase chain reaction and the molecular genetic analysis of tissue biopsies. In: Herrington CS, McGee JO'D (eds) Diagnostic Molecular Pathology. IRL Press, New York, 1992, pp 85–111
Davis LG, Dibner MD, Battey JF: Basic methods. In: Davis LG (ed) Molecular Biology. Elsevier, New York, 1986, pp 327–328
Dallas PB, Flanagan JL, Nightingale BN, Morris BJ: Polymerase chain reaction for fast, nonradioactive detection of high- and low-risk papillomavirus types in routine cervical specimens and in biopsies. J Med Virol 27: 105–111, 1989
Bratthauer GL, Tavassoli FA, O'Leary TJ: Etiology of breast carcinoma: no apparent role for papillomavirus types 6/11/16/18. Path Res Pract 188: 384–386, 1992
Snow SN, DeSouky S, Lo JS, Kurtycz D: Failure to detect human papilloma virus DNA in extramammary Paget's disease. Cancer 69: 249–251, 1992
Taddei GL, Moncini D, Cattaneo A, Carli P, Baroni G: Extra-mammary Paget's disease. An HPV-correlated neoplasia? Pathologica 85: 645–648, 1993
Hawley Nelson P, Vousen KH Hubbert NL, Lowy DR, Schiller JT: HPV 16 E6 and E7 proteins cooperate to immortalize human foreskin keratinocytes. EMBO J 8: 3905–3910, 1989
Münger K, Yee CL, Phelps WC, Pietenpol JA, Moses HL, Howley PM: Biochemical and biological differences between E7 oncoproteins of the high- and low-risk human papillomavirus types are determined by amino-terminal sequences. J Virol 65: 3943–3948, 1991
Cullen AP, Reid R, Campion M, Lovincz AT: An analysis of the physical state of different human papillomavirus DNAs in intraepithelial and invasive cervical neoplasia. J Virol 65: 606–612, 1991
Broker TR: Structure and genetic expression of papilloma viruses. Obstet Gynecol North Am 14: 329–348, 1987
Slamon DJ, Godolphin W, Jones LA, Holt JAM Wong SG, Keith DE, Levin WJ, Stuart SG, Udove J, Ullrich A, Press MF: Studies of the HER-2/neu proto-oncogene in human breast and ovarian cancer. Science 244: 707–712, 1989
Schiffman MH, Bauer HM, Lorincz AT, Manos MM, Byrne JC, Glass AG, Cadell DM, Howley PM: Comparison of Southern blot hybridization and polymerase chain reaction methods for the detection of human papillomavirus DNA. J Clin Microbiol 29: 573–577, 1991
Ting Y, Manos MM: Detection and typing of genital human papillomaviruses. In: Innis Met al. (eds) PCR Protocols: A Guide to Methods and Applications. Academic Press, San Diego, CA, 1990, pp 356–367
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Czerwenka, K., Heuss, F., Hosmann, J.W. et al. Human papilloma virus DNA: A factor in the pathogenesis of mammary Paget's disease?. Breast Cancer Res Tr 41, 51–57 (1996). https://doi.org/10.1007/BF01807036
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DOI: https://doi.org/10.1007/BF01807036