Evidence map›Paper›PMID 28771189›Full record

ReviewViruses2017

Integration of Human Papillomavirus Genomes in Head and Neck Cancer: Is It Time to Consider a Paradigm Shift?

Iain M Morgan, Laurence J DiNardo, Brad Windle

Open access · goldAbstract readReview
In one paragraph

Review in Viruses, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Article
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  4. HPV in oropharyngeal squamous papillomas: a missing link in head and neck viral pathogenesis.Virchows Archiv : an international journal of pathology · 2026
    Article
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  20. Extrachromosomal DNA in cancer.Nature reviews. Cancer · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Iain M MorganPhilips Institute for Oral Health Research, Virginia Commonwealth University (VCU) School of Dentistry, Department of Oral and Craniofacial Molecular Biology, Richmond, VA 23298, USA. immorgan@vcu.edu.
Laurence J DiNardoVCU Massey Cancer Center, Richmond, VA 23298, USA. laurence.dinardo@vcuhealth.org.
Brad WindlePhilips Institute for Oral Health Research, Virginia Commonwealth University (VCU) School of Dentistry, Department of Oral and Craniofacial Molecular Biology, Richmond, VA 23298, USA. bwindle@vcu.edu.
Children's Hospital of Richmond at VCU · USVCU Massey Comprehensive Cancer CenterVirginia Commonwealth University · US

Funding

Virus Vector Shared ResourceP30CA016059 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Kim Felder Rhoads · 1985 to 2026
$51.0M
Novel Structures of the Human Papilloma Virus Genome in HNSCCR03DE026230 · NIDCR · VIRGINIA COMMONWEALTH UNIVERSITY · PI WINDLE, BRAD E. · 2016 to 2017
$458k
NCI NIH HHS P30 CA016059NIDCR NIH HHS R03 DE026230
6 · The paper itself

Abstract

Human papillomaviruses (HPV) are detected in 70-80% of oropharyngeal cancers in the developed world, the incidence of which has reached epidemic proportions. The current paradigm regarding the status of the viral genome in these cancers is that there are three situations: one where the viral genome remains episomal, one where the viral genome integrates into the host genome and a third where there is a mixture of both integrated and episomal HPV genomes. Our recent work suggests that this third category has been mischaracterized as having integrated HPV genomes; evidence indicates that this category consists of virus-human hybrid episomes. Most of these hybrid episomes are consistent with being maintained by replication from HPV origin. We discuss our evidence to support this new paradigm, how such genomes can arise, and more importantly the implications for the clinical management of HPV positive head and neck cancers following accurate determination of the viral genome status.

Indexed as

Genome, ViralVirus IntegrationDNA DamageFemaleHead and Neck NeoplasmsHuman papillomavirus 16HumansKeratinocytesMaleMouthPapillomavirus InfectionsPlasmidsRNA, MessengerVirus ReplicationRNA, Messengerepisomalhead and neck cancerHPV16human papillomavirushuman papillomavirus 16integrationmixedoral keratinocytesThe Cancer Genome Atlas

Identifiers

PMID28771189
PMCPMC5580465
OpenAlexW2740018417

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.