History of chronic inflammatory disorders increases the risk of Merkel cell carcinoma, but does not correlate with Merkel cell polyomavirus infection

Background: We aimed to assess the connection between chronic inflammatory disorders (CIDs) and Merkel cell carcinoma (MCC). Methods: Merkel cell carcinoma cases diagnosed in 1978–2009 were extracted from the Finnish Cancer Registry and controls from the Population Registry. Information on reimburse...

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Veröffentlicht in:British journal of cancer 2017-01, Vol.116 (2), p.260-264
Hauptverfasser: Sahi, Helka, Sihto, Harri, Artama, Miia, Koljonen, Virve, Böhling, Tom, Pukkala, Eero
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container_issue 2
container_start_page 260
container_title British journal of cancer
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creator Sahi, Helka
Sihto, Harri
Artama, Miia
Koljonen, Virve
Böhling, Tom
Pukkala, Eero
description Background: We aimed to assess the connection between chronic inflammatory disorders (CIDs) and Merkel cell carcinoma (MCC). Methods: Merkel cell carcinoma cases diagnosed in 1978–2009 were extracted from the Finnish Cancer Registry and controls from the Population Registry. Information on reimbursed CIDs was linked to clinicopathological data including Merkel cell polyomavirus (MCV) status by qPCR and immunohistochemistry for the large T antigen of MCV (LTA), Ki-67 and tumour-infiltrating lymphocytes. Results: Chronic inflammatory disorders increased the risk of MCC significantly (odds ratio (OR) 1.39, 95% confidence interval (CI) 1.03–1.88), specifically connective tissue/systemic diseases (OR 1.75, 95% CI 1.09–1.80) and diabetic conditions (OR 1.51, 95% CI 1.03–2.22). Chronic inflammatory disorders associated with larger tumour diameter ( P =0.02) and higher Ki-67 expression ( P =0.005). The expression of LTA was seen significantly more often in the absence of CIDs ( P =0.05). Conclusions: Patients with CID are at significantly higher risk for aggressive MCC. Merkel cell polyomavirus positivity is more common in MCC patients unafflicted by CID.
doi_str_mv 10.1038/bjc.2016.391
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Methods: Merkel cell carcinoma cases diagnosed in 1978–2009 were extracted from the Finnish Cancer Registry and controls from the Population Registry. Information on reimbursed CIDs was linked to clinicopathological data including Merkel cell polyomavirus (MCV) status by qPCR and immunohistochemistry for the large T antigen of MCV (LTA), Ki-67 and tumour-infiltrating lymphocytes. Results: Chronic inflammatory disorders increased the risk of MCC significantly (odds ratio (OR) 1.39, 95% confidence interval (CI) 1.03–1.88), specifically connective tissue/systemic diseases (OR 1.75, 95% CI 1.09–1.80) and diabetic conditions (OR 1.51, 95% CI 1.03–2.22). Chronic inflammatory disorders associated with larger tumour diameter ( P =0.02) and higher Ki-67 expression ( P =0.005). The expression of LTA was seen significantly more often in the absence of CIDs ( P =0.05). Conclusions: Patients with CID are at significantly higher risk for aggressive MCC. Merkel cell polyomavirus positivity is more common in MCC patients unafflicted by CID.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2016.391</identifier><identifier>PMID: 27978533</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/250/255/2514 ; 692/4028/67/1813 ; 692/420/256/2515 ; 692/499 ; Adult ; Aged ; Aged, 80 and over ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Carcinoma, Merkel Cell - epidemiology ; Carcinoma, Merkel Cell - virology ; Case-Control Studies ; Chronic Disease ; Connective tissue ; Diabetes ; DNA, Viral - analysis ; Drug Resistance ; Epidemiology ; Female ; Finland - epidemiology ; Hepatitis ; Humans ; Infections ; Inflammation - complications ; Inflammation - epidemiology ; Inflammatory bowel disease ; Inflammatory diseases ; Lupus ; Male ; Medical research ; Merkel cell polyomavirus - genetics ; Merkel cell polyomavirus - isolation &amp; purification ; Middle Aged ; Molecular Medicine ; Multiple sclerosis ; Myasthenia gravis ; Oncology ; Polyomaviridae ; Polyomavirus Infections - epidemiology ; Polyomavirus Infections - virology ; Psoriasis ; Registries ; Rheumatoid arthritis ; Risk Factors ; Sarcoidosis ; Skin Neoplasms - epidemiology ; Skin Neoplasms - virology ; Tumor Virus Infections - epidemiology ; Tumor Virus Infections - virology ; Tumors</subject><ispartof>British journal of cancer, 2017-01, Vol.116 (2), p.260-264</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Nature Publishing Group Jan 17, 2017</rights><rights>Copyright © 2017 Cancer Research UK 2017 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-ca2a8465eb7b3d9a7da61b0e3390bd9fcfcc4c49c8ac57c753a504588fad281e3</citedby><cites>FETCH-LOGICAL-c483t-ca2a8465eb7b3d9a7da61b0e3390bd9fcfcc4c49c8ac57c753a504588fad281e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5243985/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5243985/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27978533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sahi, Helka</creatorcontrib><creatorcontrib>Sihto, Harri</creatorcontrib><creatorcontrib>Artama, Miia</creatorcontrib><creatorcontrib>Koljonen, Virve</creatorcontrib><creatorcontrib>Böhling, Tom</creatorcontrib><creatorcontrib>Pukkala, Eero</creatorcontrib><title>History of chronic inflammatory disorders increases the risk of Merkel cell carcinoma, but does not correlate with Merkel cell polyomavirus infection</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background: We aimed to assess the connection between chronic inflammatory disorders (CIDs) and Merkel cell carcinoma (MCC). Methods: Merkel cell carcinoma cases diagnosed in 1978–2009 were extracted from the Finnish Cancer Registry and controls from the Population Registry. Information on reimbursed CIDs was linked to clinicopathological data including Merkel cell polyomavirus (MCV) status by qPCR and immunohistochemistry for the large T antigen of MCV (LTA), Ki-67 and tumour-infiltrating lymphocytes. Results: Chronic inflammatory disorders increased the risk of MCC significantly (odds ratio (OR) 1.39, 95% confidence interval (CI) 1.03–1.88), specifically connective tissue/systemic diseases (OR 1.75, 95% CI 1.09–1.80) and diabetic conditions (OR 1.51, 95% CI 1.03–2.22). Chronic inflammatory disorders associated with larger tumour diameter ( P =0.02) and higher Ki-67 expression ( P =0.005). The expression of LTA was seen significantly more often in the absence of CIDs ( P =0.05). Conclusions: Patients with CID are at significantly higher risk for aggressive MCC. 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subjects 631/250/255/2514
692/4028/67/1813
692/420/256/2515
692/499
Adult
Aged
Aged, 80 and over
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Merkel Cell - epidemiology
Carcinoma, Merkel Cell - virology
Case-Control Studies
Chronic Disease
Connective tissue
Diabetes
DNA, Viral - analysis
Drug Resistance
Epidemiology
Female
Finland - epidemiology
Hepatitis
Humans
Infections
Inflammation - complications
Inflammation - epidemiology
Inflammatory bowel disease
Inflammatory diseases
Lupus
Male
Medical research
Merkel cell polyomavirus - genetics
Merkel cell polyomavirus - isolation & purification
Middle Aged
Molecular Medicine
Multiple sclerosis
Myasthenia gravis
Oncology
Polyomaviridae
Polyomavirus Infections - epidemiology
Polyomavirus Infections - virology
Psoriasis
Registries
Rheumatoid arthritis
Risk Factors
Sarcoidosis
Skin Neoplasms - epidemiology
Skin Neoplasms - virology
Tumor Virus Infections - epidemiology
Tumor Virus Infections - virology
Tumors
title History of chronic inflammatory disorders increases the risk of Merkel cell carcinoma, but does not correlate with Merkel cell polyomavirus infection
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