2007
DOI: 10.1016/j.mce.2006.10.014
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Role of hormone cofactors in the human papillomavirus-induced carcinogenesis of the uterine cervix

Abstract: If human papillomavirus (HPV) is necessary for the development of (pre)neoplastic lesions of the uterine cervix, it is not sufficient. Among the cofactors involved in the malignant transformation of cells infected by HPV, sex hormones may facilitate the cervical carcinogenesis by different mechanisms, including the induction of squamous metaplasia in the transformation zone of the cervix, interactions between steroid hormones and HPV gene expression and alterations of the local immune microenvironment.

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Cited by 35 publications
(23 citation statements)
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“…First, co-factors may promote HPV infection by causing cervical epithelial injury, such as: early age at first sexual activity and first delivery, multiple pregnancies and/or multiple sexual partners (Kahn et (Delvenne et al, 2007), leading to increased risk for cervical cancer in longer use of contraceptive in this study. Estrogen contained in oral contraceptives may affect cervical carcinogenesis in several ways, such as: increasing the S-phase fraction (Bhattacharya et al, 1997), increasing the sensitivity of cervical transformation zone (Hughes et al, 1988;Castellsague et al, 2003) and binding to a specific DNA sequences within transcriptional regulatory regions on the HPV DNA either to increase or to suppress transcription of various genes (Moodley et al, 2003).…”
Section: Discussionmentioning
confidence: 84%
“…First, co-factors may promote HPV infection by causing cervical epithelial injury, such as: early age at first sexual activity and first delivery, multiple pregnancies and/or multiple sexual partners (Kahn et (Delvenne et al, 2007), leading to increased risk for cervical cancer in longer use of contraceptive in this study. Estrogen contained in oral contraceptives may affect cervical carcinogenesis in several ways, such as: increasing the S-phase fraction (Bhattacharya et al, 1997), increasing the sensitivity of cervical transformation zone (Hughes et al, 1988;Castellsague et al, 2003) and binding to a specific DNA sequences within transcriptional regulatory regions on the HPV DNA either to increase or to suppress transcription of various genes (Moodley et al, 2003).…”
Section: Discussionmentioning
confidence: 84%
“…High levels of sex hormones appear to be involved in cervical carcinogenesis: oestrogen has been suggested to stimulate HPV gene expression, influence the cervical immune response, and stimulate cell proliferation in the transformation zone (Delvenne et al , 2007; Gariglio et al , 2009). Exposure to sex hormones is related to both parity and OC use.…”
Section: Discussionmentioning
confidence: 99%
“…It results from a metaplastic conversion of glandular epithelial cells into squamous epithelium in response to a repetitive hormone induce vaginal pH acidification and sexual intercourse injury. 33 This metaplastic process is often associated with local deregulation of cytokine and chemokine production as well as inflammatory response. Herfs et al 34 hypothesized that this could lead to the establishment of an immunosuppressive microenvironment and potentiate tumor cell progression to the underlying stroma.…”
Section: Discussionmentioning
confidence: 99%