%0 Journal Article %T Human papillomavirus DNA and P16 expression in concurrent esophageal and gastric cardia cancers %A Guang-Cheng Ding %A Jing-Li Ren %A Fu-Bao Chang %A Ji-Lin Li %A Ling Yuan %A Xin Song %A Sheng-Li Zhou %A Tao Guo %A Zong-Min Fan %A Yi Zeng %A Li-Dong Wang %J World Journal of Gastroenterology %D 2010 %I Baishideng Publishing Group Co. Limited %X AIM: To investigate the relationship between human papillomavirus (HPV) infection and concurrent esophagus and gastric cardia cancer from the same patient (CC) and examine the significance of P16INK4A protein expression.METHODS: Polymerase chain reaction was used to detect the presence of HPV type16 (HPV16). The expression of P16INK4A protein was detected using immunohistochemistry.RESULTS: Among the CC specimens, HPV16-DNA was found in eight cases of esophageal squamous cell carcinoma (ESCC) and five cases of gastric cardia adenocarcinoma (GCA), respectively (47% vs 29%), and two of both ESCC and GCA. P16INK4A was highly expressed in both ESCC and GCA. In the HPV-associated positive CC, higher P16INK4A expression was observed in the GCA than in the ESCC (75% vs 25%, P < 0.05).CONCLUSION: HPV16 as a correlated risk factor may play an important role in the development of ESCC and GCA. P16INK4A may be a screening index in the HPV-associated carcinoma of gastric cardia. %K Esophageal squamous cell carcinoma %K Gastric cardia adenocarcinoma %K Human papillomavirus %K Polymerase chain reaction %K Immunohistochemistry %U http://www.wjgnet.com/1007-9327/full/v16/i46/5901.htm