Evidence map›Paper›PMID 36213965›Full record

ArticleCancer discovery2023

Human Papillomavirus 42 Drives Digital Papillary Adenocarcinoma and Elicits a Germ Cell-like Program Conserved in HPV-Positive Cancers.

Lukas Leiendecker, Tobias Neumann, Pauline S Jung, Shona M Cronin, Thomas L Steinacker, Alexander Schleiffer, Michael Schutzbier, Karl Mechtler, Thibault Kervarrec, Estelle Laurent and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. S1 guideline sweat gland carcinoma.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Guideline
  2. HPV42 - a human papillomavirus classified as a low-risk type with oncogenic potential.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Review
  3. Article
  4. RNA-Sequencing Reveals Two Subgroups of Eccrine Porocarcinomas and Poromas.Journal of cellular and molecular medicine · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 12 institutions in 6 countries.

Lukas LeiendeckerResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0002-6164-3953
Tobias NeumannResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0003-3908-4224
Pauline S JungResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0002-8864-4091
Shona M CroninResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0003-3602-7160
Thomas L SteinackerInstitute of Molecular Biotechnology (IMBA), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0002-7244-5610
Alexander SchleifferResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0001-6251-2747
Michael SchutzbierResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0003-4856-262X
Karl MechtlerResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0002-3392-9946
Thibault KervarrecDepartment of Pathology, University Hospital Center of Tours, University of Tours, Tours, France.ORCID 0000-0002-2201-6914
Estelle LaurentPRISM INSERM U1192, Université de Lille, Villeneuve d'Ascq, France.ORCID 0000-0002-6138-2992
Kamel BachiriPRISM INSERM U1192, Université de Lille, Villeneuve d'Ascq, France.ORCID 0000-0003-0297-0521
Etienne CoyaudPRISM INSERM U1192, Université de Lille, Villeneuve d'Ascq, France.ORCID 0000-0002-5893-4557
Rajmohan MuraliDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-6988-4295
Klaus J BusamDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0888-9601
Babak Itzinger-MonshiDepartment of Dermatology, Hospital Rudolfstiftung, Vienna, Austria.ORCID 0000-0002-2988-2380
Reinhard KirnbauerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-5588-4179
Lorenzo CerroniDepartment of Dermatology, Medical University of Graz, Graz, Austria.ORCID 0000-0003-4986-9113
Eduardo CalonjeDepartment of Dermatopathology, St John's Institute of Dermatology, St Thomas' Hospital, London, United Kingdom.ORCID 0000-0001-7475-6423
Arno RüttenDermatopathology Friedrichshafen, Friedrichshafen, Germany.ORCID 0000-0001-5718-331X
Frank StubenrauchUniversity Hospital Tuebingen, Institute for Medical Virology and Epidemiology of Viral Diseases, Tuebingen, Germany.ORCID 0000-0002-6685-299X
Klaus G GriewankDepartment of Dermatology, University Hospital Essen, University of Duisburg, German Cancer Consortium (DKTK), Partner Site, Essen, Germany.ORCID 0000-0003-3899-9449
Thomas WiesnerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5877-2992
Anna C ObenaufResearch Institute of Molecular Pathology (IMP), Vienna BioCenter (VBC), Vienna, Austria.ORCID 0000-0002-9556-5914
Research Institute of Molecular Pathology · ATInserm · FRInstitute of Molecular Biotechnology · ATMedical University of Vienna · ATMemorial Sloan Kettering Cancer Center · USEssen University Hospital · DEInstitute of Virology of the Slovak Academy of Sciences · SKMedical University of Graz · ATRudolfinerhaus Hospital · ATSt Thomas' Hospital · GBUniversité de Tours · FRZF Friedrichshafen (Germany) · DE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Treatment of HIV- and HIV+ Patients with HPV16+ CIN2/3 Using pNGLV4a-hCRTE6E7L2 DNA vaccine administered intramuscularly via electroporationP50CA098252 · NCI · JOHNS HOPKINS UNIVERSITY · PI TZYY-CHOOU WU · 2003 to 2026
$53.5M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA098252
6 · The paper itself

Abstract

The skin is exposed to viral pathogens, but whether they contribute to the oncogenesis of skin cancers has not been systematically explored. Here we investigated 19 skin tumor types by analyzing off-target reads from commonly available next-generation sequencing data for viral pathogens. We identified human papillomavirus 42 (HPV42) in 96% (n = 45/47) of digital papillary adenocarcinoma (DPA), an aggressive cancer occurring on the fingers and toes. We show that HPV42, so far considered a nononcogenic, "low-risk" HPV, recapitulates the molecular hallmarks of oncogenic, "high-risk" HPVs. Using machine learning, we find that HPV-driven transformation elicits a germ cell-like transcriptional program conserved throughout all HPV-driven cancers (DPA, cervical carcinoma, and head and neck cancer). We further show that this germ cell-like transcriptional program, even when reduced to the top two genes (CDKN2A and SYCP2), serves as a fingerprint of oncogenic HPVs with implications for early detection, diagnosis, and therapy of all HPV-driven cancers. SIGNIFICANCE: We identify HPV42 as a uniform driver of DPA and add a new member to the short list of tumorigenic viruses in humans. We discover that all oncogenic HPVs evoke a germ cell-like transcriptional program with important implications for detecting, diagnosing, and treating all HPV-driven cancers. See related commentary by Starrett et al., p. 17. This article is highlighted in the In This Issue feature, p. 1.

Indexed as

Adenocarcinoma, Clear CellAdenocarcinoma, PapillaryBone NeoplasmsPapillomavirus InfectionsSkin NeoplasmsUterine Cervical NeoplasmsFemaleGerm CellsHuman Papillomavirus VirusesHumansPapillomaviridae

Identifiers

PMID36213965
PMCPMC9827110
OpenAlexW4303980753

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.