“…The preponderance of A3 mutations in HPV driven cervical cancer, together with the observation that A3 mutations are enriched in the HPVassociated subset of head and neck squamous cell carcinoma (HNSC), suggest a possible off-target response to the virus [37,38,43,44]. Consistent with this, HPV16 infection has recently been shown to upregulate A3A and A3B mRNA expression in a keratinocyte cell line, and both are upregulated in pre-invasive cervical lesions [19,45]. However, within cervical cancer and HNSC the enrichment of A3 signature mutations is not related to the expression of A3 genes, at least as seen in the tumor biopsy [43,44].…”