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Cervical Neoplasia: Papillomavirus Infection and Resistance to Anti Tumor Immunity

Received: 15 October 2020     Accepted: 28 October 2020     Published: 23 November 2020
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Abstract

This study aim to identify the expression of resistance to antitumor immunity on cellular and tissue alterations predictive of Human Papillomavirus infection as well as to establish the relationship between this resistance and the grades of Intraepithelial neoplasms of the cervix in patients from Lubumbashi and Kinshasa in the Democratic Republic of Congo. This is a study on cervical biopsies whose diagnosis of intraepithelial neoplasia was confirmed by a routine histopathological examination in two pathology laboratories in the Democratic Republic of Congo, or the laboratory of Lubumbashi and the LEBOMA laboratory of Kinshasa. The paraffin blocks were selected during a period from March 2017 to March 2020 at the laboratory of Lubumbashi and at the LEBOMA laboratory in Kinshasa. Laboratory manipulations were carried out at the molecular pathology unit of the LEBOMA Pathological Anatomy and Cytology Cabinet in Kinshasa. Papillomavirus infection was retained by the presence of predictive cellular and tissue alterations. The expression of PD-L1 signifies resistance to anti-tumor immunity. The following results were observed; A total of 50 cases of intraepithelial neoplasia were recorded in a set of 107 patients with cervical lesions, i.e. a frequency of 46.7%. The cytological and histological alterations predictive of papillomavirus infection were observed in the following proportions: For cytological changes; koilocytosis was present in 92%, bi-nucleation was observed in 24% and dyskeratosis was identified in 46%, ie 46, 12 and 23 cases, respectively, out of 50 cases of cervical neoplasia recorded. The proportions of histological alterations are presented as follows: 62% of papillomatosis, 86% of acanthosis, 54% of basal hyperplasia and 34% of intraepithelial capillaries, i.e. 31, 43, 27 and 17 cases out of respectively. The 50 cases of intraepithelial neoplasia of the cervix recorded. PD-L1 expression was observed in 16 cases out of all intraepithelial neoplasia, ie 32% of cases. PD-L1 is mainly expressed in high-grade intraepithelial neoplasias, i.e. 81.25% 95% CI=54.35-95.95 and those involving bi-nucleation (OR=26.66 95% CI=4, 63-153.57, Fisher exact, p<0.01), the intraepithelial capillaries or 37.5%; 95% CI=15.20-64.57. It emerges from this study the expression of PD-L1 is not uniform over all the cyto-histological alterations predictive of human papillomavirus infection during neoplasias. intraepithelial of the cervix, but it is much more expressed in high-grade intraepithelial neoplasias and in those comprising the predictive alterations of Papillomavirus infection like the bi-nucleation and the intraepithelial capillary.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 5, Issue 4)
DOI 10.11648/j.ijcocr.20200504.12
Page(s) 82-92
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Intra-Epithelial Neoplasia, HPV, PD-L1

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    Mwenze Didier, Kyabu Véronique, Bokambandja Fabrice, Kasamba Eric, Mukalay Abdon, et al. (2020). Cervical Neoplasia: Papillomavirus Infection and Resistance to Anti Tumor Immunity. International Journal of Clinical Oncology and Cancer Research, 5(4), 82-92. https://doi.org/10.11648/j.ijcocr.20200504.12

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    Mwenze Didier; Kyabu Véronique; Bokambandja Fabrice; Kasamba Eric; Mukalay Abdon, et al. Cervical Neoplasia: Papillomavirus Infection and Resistance to Anti Tumor Immunity. Int. J. Clin. Oncol. Cancer Res. 2020, 5(4), 82-92. doi: 10.11648/j.ijcocr.20200504.12

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    AMA Style

    Mwenze Didier, Kyabu Véronique, Bokambandja Fabrice, Kasamba Eric, Mukalay Abdon, et al. Cervical Neoplasia: Papillomavirus Infection and Resistance to Anti Tumor Immunity. Int J Clin Oncol Cancer Res. 2020;5(4):82-92. doi: 10.11648/j.ijcocr.20200504.12

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  • @article{10.11648/j.ijcocr.20200504.12,
      author = {Mwenze Didier and Kyabu Véronique and Bokambandja Fabrice and Kasamba Eric and Mukalay Abdon and Kalenga Prosper and Lebwaze Bienvenu},
      title = {Cervical Neoplasia: Papillomavirus Infection and Resistance to Anti Tumor Immunity},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {5},
      number = {4},
      pages = {82-92},
      doi = {10.11648/j.ijcocr.20200504.12},
      url = {https://doi.org/10.11648/j.ijcocr.20200504.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20200504.12},
      abstract = {This study aim to identify the expression of resistance to antitumor immunity on cellular and tissue alterations predictive of Human Papillomavirus infection as well as to establish the relationship between this resistance and the grades of Intraepithelial neoplasms of the cervix in patients from Lubumbashi and Kinshasa in the Democratic Republic of Congo. This is a study on cervical biopsies whose diagnosis of intraepithelial neoplasia was confirmed by a routine histopathological examination in two pathology laboratories in the Democratic Republic of Congo, or the laboratory of Lubumbashi and the LEBOMA laboratory of Kinshasa. The paraffin blocks were selected during a period from March 2017 to March 2020 at the laboratory of Lubumbashi and at the LEBOMA laboratory in Kinshasa. Laboratory manipulations were carried out at the molecular pathology unit of the LEBOMA Pathological Anatomy and Cytology Cabinet in Kinshasa. Papillomavirus infection was retained by the presence of predictive cellular and tissue alterations. The expression of PD-L1 signifies resistance to anti-tumor immunity. The following results were observed; A total of 50 cases of intraepithelial neoplasia were recorded in a set of 107 patients with cervical lesions, i.e. a frequency of 46.7%. The cytological and histological alterations predictive of papillomavirus infection were observed in the following proportions: For cytological changes; koilocytosis was present in 92%, bi-nucleation was observed in 24% and dyskeratosis was identified in 46%, ie 46, 12 and 23 cases, respectively, out of 50 cases of cervical neoplasia recorded. The proportions of histological alterations are presented as follows: 62% of papillomatosis, 86% of acanthosis, 54% of basal hyperplasia and 34% of intraepithelial capillaries, i.e. 31, 43, 27 and 17 cases out of respectively. The 50 cases of intraepithelial neoplasia of the cervix recorded. PD-L1 expression was observed in 16 cases out of all intraepithelial neoplasia, ie 32% of cases. PD-L1 is mainly expressed in high-grade intraepithelial neoplasias, i.e. 81.25% 95% CI=54.35-95.95 and those involving bi-nucleation (OR=26.66 95% CI=4, 63-153.57, Fisher exact, p<0.01), the intraepithelial capillaries or 37.5%; 95% CI=15.20-64.57. It emerges from this study the expression of PD-L1 is not uniform over all the cyto-histological alterations predictive of human papillomavirus infection during neoplasias. intraepithelial of the cervix, but it is much more expressed in high-grade intraepithelial neoplasias and in those comprising the predictive alterations of Papillomavirus infection like the bi-nucleation and the intraepithelial capillary.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Cervical Neoplasia: Papillomavirus Infection and Resistance to Anti Tumor Immunity
    AU  - Mwenze Didier
    AU  - Kyabu Véronique
    AU  - Bokambandja Fabrice
    AU  - Kasamba Eric
    AU  - Mukalay Abdon
    AU  - Kalenga Prosper
    AU  - Lebwaze Bienvenu
    Y1  - 2020/11/23
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijcocr.20200504.12
    DO  - 10.11648/j.ijcocr.20200504.12
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 82
    EP  - 92
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20200504.12
    AB  - This study aim to identify the expression of resistance to antitumor immunity on cellular and tissue alterations predictive of Human Papillomavirus infection as well as to establish the relationship between this resistance and the grades of Intraepithelial neoplasms of the cervix in patients from Lubumbashi and Kinshasa in the Democratic Republic of Congo. This is a study on cervical biopsies whose diagnosis of intraepithelial neoplasia was confirmed by a routine histopathological examination in two pathology laboratories in the Democratic Republic of Congo, or the laboratory of Lubumbashi and the LEBOMA laboratory of Kinshasa. The paraffin blocks were selected during a period from March 2017 to March 2020 at the laboratory of Lubumbashi and at the LEBOMA laboratory in Kinshasa. Laboratory manipulations were carried out at the molecular pathology unit of the LEBOMA Pathological Anatomy and Cytology Cabinet in Kinshasa. Papillomavirus infection was retained by the presence of predictive cellular and tissue alterations. The expression of PD-L1 signifies resistance to anti-tumor immunity. The following results were observed; A total of 50 cases of intraepithelial neoplasia were recorded in a set of 107 patients with cervical lesions, i.e. a frequency of 46.7%. The cytological and histological alterations predictive of papillomavirus infection were observed in the following proportions: For cytological changes; koilocytosis was present in 92%, bi-nucleation was observed in 24% and dyskeratosis was identified in 46%, ie 46, 12 and 23 cases, respectively, out of 50 cases of cervical neoplasia recorded. The proportions of histological alterations are presented as follows: 62% of papillomatosis, 86% of acanthosis, 54% of basal hyperplasia and 34% of intraepithelial capillaries, i.e. 31, 43, 27 and 17 cases out of respectively. The 50 cases of intraepithelial neoplasia of the cervix recorded. PD-L1 expression was observed in 16 cases out of all intraepithelial neoplasia, ie 32% of cases. PD-L1 is mainly expressed in high-grade intraepithelial neoplasias, i.e. 81.25% 95% CI=54.35-95.95 and those involving bi-nucleation (OR=26.66 95% CI=4, 63-153.57, Fisher exact, p<0.01), the intraepithelial capillaries or 37.5%; 95% CI=15.20-64.57. It emerges from this study the expression of PD-L1 is not uniform over all the cyto-histological alterations predictive of human papillomavirus infection during neoplasias. intraepithelial of the cervix, but it is much more expressed in high-grade intraepithelial neoplasias and in those comprising the predictive alterations of Papillomavirus infection like the bi-nucleation and the intraepithelial capillary.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • Pathology Department, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Pathology Department, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Molecular Pathology Unit, Cabinet of Anatomy and Cytology Pathological LEBOMA, Kinshasa, Democratic Republic of Congo

  • Department of Biomedical Sciences, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Department of Biomedical Sciences, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

  • Molecular Pathology Unit, Cabinet of Anatomy and Cytology Pathological LEBOMA, Kinshasa, Democratic Republic of Congo

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