Evidence map›Paper›PMID 33073473›Full record

ArticleHead & neck2021

Association of human papillomavirus integration with better patient outcomes in oropharyngeal squamous cell carcinoma.

Lisa M Pinatti, Hana N Sinha, Collin V Brummel, Christine M Goudsmit, Timothy J Geddes, George D Wilson, Jan A Akervall, Chad J Brenner, Heather M Walline, Thomas E Carey

Open access · bronzeAbstract read
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. HPV Integration in Head and Neck Cancer: Downstream Splicing Events and Expression Ratios Linked with Poor Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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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

10 authors at 3 institutions in 1 country.

Lisa M PinattiCancer Biology Program, Program in the Biomedical Sciences, Rackham Graduate School, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-4864-5698
Hana N SinhaDepartment of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Collin V BrummelDepartment of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Christine M GoudsmitDepartment of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Timothy J GeddesBeaumont BioBank, Beaumont Hospital, Royal Oak, Michigan, USA.
George D WilsonBeaumont BioBank, Beaumont Hospital, Royal Oak, Michigan, USA.ORCID 0000-0003-3756-1701
Jan A AkervallBeaumont BioBank, Beaumont Hospital, Royal Oak, Michigan, USA.
Chad J BrennerDepartment of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-3238-1111
Heather M WallineDepartment of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Thomas E CareyDepartment of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-5202-7518
University of Michigan · USBeaumont Hospital, Royal Oak · USMercy Medical Center · US

Funding

Training Program in Tumor MicroenvironmentT32CA009676 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Maria G Castro, Analisa Virginia DiFeo · 1992 to 2026
$7.3M
Molecular Mechanisms of Tumor Behavior and Response to Therapy in HPV-positive Oropharyngeal CancerR01CA194536 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAREY, THOMAS E. · 2016 to 2021
$2.8M
NCI NIH HHS R01 CA194536NCI NIH HHS T32 CA009676
6 · The paper itself

Abstract

backgroundThe molecular drivers of human papillomavirus-related head and neck squamous cell carcinoma (HPV + HNSCC) are not entirely understood. This study evaluated the relationship between HPV integration, expression of E6/E7, and patient outcomes in p16+ HNSCCs.

methodsHPV type was determined by HPV PCR-MassArray, and integration was called using detection of integrated papillomavirus sequences polymerase chain reaction (PCR). We investigated whether fusion transcripts were produced by reverse transcriptase polymerase chain reaction (RT-PCR). E6/E7 expression was assessed by quantitative RT-PCR. We assessed if there was a relationship between integration and E6/E7 expression, clinical variables, or patient outcomes.

resultsMost samples demonstrated HPV integration, which sometimes resulted in a fusion transcript. HPV integration was positively correlated with age at diagnosis and E6/E7 expression. There was a significant difference in survival between patients with vs without integration.

conclusionsContrary to previous reports, HPV integration was associated with improved patient survival. Therefore, HPV integration may act as a molecular marker of good prognosis.

Indexed as

AlphapapillomavirusHead and Neck NeoplasmsOncogene Proteins, ViralPapillomavirus InfectionsDNA, ViralHuman papillomavirus 16HumansPapillomaviridaePapillomavirus E7 ProteinsSquamous Cell Carcinoma of Head and NeckDNA, ViralOncogene Proteins, ViralPapillomavirus E7 Proteinshead and neck squamous cell carcinoma (HNSCC)human papillomavirus (HPV)integrationoropharynxsurvival

Identifiers

PMID33073473
PMCPMC7898416
OpenAlexW3093211457

What OpenQuestion holds

Textmetadata
LicenceTDM
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.