Evidence map›Paper›PMID 31236460›Full record

ArticleLaryngoscope investigative otolaryngology2019

Mapping of human papilloma virus, p16, and epstein-barr virus in non-malignant tonsillar disease.

Anna Holm, Alexandra Schindele, Annika Allard, Irene Eriksson, Karl Sandström, Göran Laurell, Karin Nylander, Katarina Olofsson

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 60% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

8 authors at 1 institution in 1 country.

Anna HolmDivision of Otorhinolaryngology, Department of Clinical Sciences Uppsala University Uppsala Sweden.ORCID https://orcid.org/0000-0003-3522-1842
Alexandra SchindeleDivision of Otorhinolaryngology, Department of Clinical Sciences Uppsala University Uppsala Sweden.
Annika AllardDivision of Clinical Virology, Department of Clinical Microbiology Uppsala University Uppsala Sweden.
Irene ErikssonDivision of Clinical Virology, Department of Clinical Microbiology Uppsala University Uppsala Sweden.
Karl SandströmDivision of Otorhinolaryngology, Department of Surgical Sciences Uppsala University Uppsala Sweden.
Göran LaurellDivision of Otorhinolaryngology, Department of Surgical Sciences Uppsala University Uppsala Sweden.
Karin NylanderDivision of Pathology Uppsala University Uppsala Sweden.
Katarina OlofssonDivision of Otorhinolaryngology, Department of Clinical Sciences Uppsala University Uppsala Sweden.
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDue to their location in the entrance of the aero-digestive tract, tonsils are steadily exposed to viruses. Human papilloma virus (HPV) and Epstein-Barr virus (EBV) are two potentially oncogenic viruses that tonsils encounter. The incidence of HPV positive tonsillar cancer is on the rise and it is unknown when infection with HPV occurs.

aimTo investigate if tonsils are infected with HPV and EBV, to study the co-expression of HPV and its surrogate marker p16, and to evaluate the number of EBV positive cells in benign tonsillar disease. MATERIALS AND

methodsTonsils from 40 patients in a university hospital were removed due to hypertrophy, chronic or recurrent infection. These were analyzed for presence of HPV, its surrogate marker p16, and EBV. HPV was studied using PapilloCheck (a PCR method), while p16 was identified in epithelial and lymphoid tissue with immunohistochemistry and EBV using EBER-ISH (Epstein-Barr encoding region-in situ hybridization).

resultsHPV was not detected, and p16 was present at low numbers in all epithelial samples as well as in 92.5% of the lymphoid tonsillar samples. At least one EBER-positive cell was seen in 65% of cases. Larger numbers of EBER-expressing cells were only seen in two cases.

conclusionThese findings demonstrate that EBV and HPV infect tonsils independently, but further studies are warranted to confirm their infectious relationship. LEVEL OF EVIDENCE: Cross-sectional study.

Indexed as

EBER‐ISHEpstein‐Barr virusHuman papillomavirusimmunohistochemistrynon‐malignant tonsillar diseasePapilloCheck

Identifiers

PMID31236460
PMCPMC6580074
OpenAlexW2937368271

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.