Evidence map›Paper›PMID 35414827›Full record

ArticleOncology letters2022

Tonsillar swabs and sputum predict SLPI- and AnxA2 expression in tonsils: A prospective study on smoking dependent SLPI- and AnxA2-expression, and tonsillar HPV infection.

Elgar Susanne Quabius, Alessa Heinrichs, André Kühnel, Martin Laudien, Florian Hoppe, Robert Mlynski, Petra Ambrosch, Markus Hoffmann

Abstract read
In one paragraph

Article in Oncology letters, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Biomedicines · 2026
    Article
  2. 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.

Elgar Susanne QuabiusDepartment of Otorhinolaryngology, Head and Neck Surgery, University Clinic Schleswig-Holstein, D-24105 Kiel, Germany.
Alessa HeinrichsDepartment of Otorhinolaryngology, Head and Neck Surgery 'Otto Koerner', University of Rostock, D-18057 Rostock, Germany.
André KühnelDepartment of Otorhinolaryngology, Head and Neck Surgery, Asklepios Hospital Harburg, D-21075 Hamburg, Germany.
Martin LaudienDepartment of Otorhinolaryngology, Head and Neck Surgery, University Clinic Schleswig-Holstein, D-24105 Kiel, Germany.
Florian HoppeDepartment of Otorhinolaryngology-Head and Neck Surgery, Klinikum Oldenburg, D-26133 Oldenburg, Germany.
Robert MlynskiDepartment of Otorhinolaryngology, Head and Neck Surgery 'Otto Koerner', University of Rostock, D-18057 Rostock, Germany.
Petra AmbroschDepartment of Otorhinolaryngology, Head and Neck Surgery, University Clinic Schleswig-Holstein, D-24105 Kiel, Germany.
Markus HoffmannDepartment of Otorhinolaryngology, Head and Neck Surgery, University Clinic Schleswig-Holstein, D-24105 Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous retrospective studies have elucidated a correlation between secretory leucocyte protease inhibitor (SLPI) and Annexin A2 (AnxA2), patient smoking status and tonsillar human papilloma virus (HPV) status. The current study assessed these parameters prospectively and to the best of our knowledge, analyzed SLPI-/AnxA2-expression for the first time in tonsillar swabs and sputum. Samples were obtained from 52 patients with tonsillar squamous cell carcinoma and 163 patients with tonsillar hyperplasia (H; n=56) and chronic or recurrent tonsillitis (CRT; n=107). HPV-DNA, SLPI and AnxA2 gene expression was analyzed in sputum, tonsillar swabs and tissue by performing reverse transcription-quantitative PCR. Results were compared with smoking status, revealing that smoking resulted in significantly increased SLPI gene expression in all biomaterials of all cases. SLPI-gene expression was significantly decreased in all HPV-DNA-positive samples (tissue/swab/sputum), while AnxA2 was significantly increased in all HPV-DNA-positive samples. Results from swabs and sputum were able to predict SLPI- and AnxA2 gene expression of the corresponding tonsil. The current prospective study confirmed previous retrospective results underlining this hypothesis: Smoking enhances SLPI-expression, preventing HPV-binding to AnxA2. HPV-binding to AnxA2 appears essential for successful cell-entry. SLPI/AnxA2-gene expression in swabs and sputum reflect their expression in tonsillar tissue. Accordingly, a positive AnxA2/SLPI-ratio in sputum/swabs could possibly be used to reduce HPV-associated carcinogenesis, by performing tonsillectomy or HPV-vaccination in patients with positive AnxA2/SLPI-ratios.

Indexed as

Annexin A2human papilloma virussecretory leucocyte protease inhibitorsmokingsputumswabtonsillar SCCtonsils

Identifiers

PMID35414827
PMCPMC8988262

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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.