P16 immunoexpression in oral squamous cell carcinoma: a cross-sectional study from a tertiary care center
DOI:
https://doi.org/10.55629/pakjpathol.v36i4.960Abstract
Objective: This study delves into the pivotal role of the p16 gene, a tumor suppressor, in OSCC by assessing the frequency of p16 overexpression in OSCC.
Material and Methods: This descriptive cross-sectional study was conducted in Pathology Department, SZABMU (PIMS), Islamabad, Pakistan, from January 2023 to October 2023. A total of 135 samples diagnosed with OSCC in 2022. immunohistochemical staining for p16 was performed on each specimen. The data obtained from the staining were analyzed using appropriate statistical tests to determine any significant associations.
Results: Among 135 samples, p16 tested positive in 20 cases and negative in 115 cases. 65 years was the average age of the patients. History of addiction was found in 47% of them. The buccal mucosa was the most frequently affected site for the tumor.
Conclusion: In our analysis, we found that oropharyngeal squamous cell carcinoma in our population exhibits low levels of p16 expression, specifically below 50%. These results indicate a limited occurrence of HPV as a contributing factor to oral squamous cell carcinoma in our studied demographic.
Key words: Immunohistochemistry, Oropharyngeal squamous cell carcinoma, p16
References
Muzaffar J, Bari S, Kirtane K, Chung CH. Recent advances and future directions in clinical management of head and neck squamous cell carcinoma. Cancers. 2021; 13(2): 338. DOI: https://doi.org/10.3390/cancers13020338
Hashmi AA, Younus N, Naz S, Irfan M, Hussain Z, Shaikh ST, et al. p16 immunohistochemical expression in head and neck squamous cell carcinoma: Association with prognostic parameters. Cureus. 2020; 12(6): e8601.
DOI: https://doi.org/10.7759/cureus.8601
Anwar N, Chundriger Q, Awan S, Moatter T, Ali TS, Rasheed AM, et al. Prevalence of high-risk human papillomavirus in oral squamous cell carcinoma with or without chewing habits. PloS One. 2024; 19(5): e0300354. DOI: https://doi.org/10.1371/journal.pone.0300354
Tan Y, Wang Z, Xu M, Li B, Huang Z, Qin S, et al. Oral squamous cell carcinomas: state of the field and emerging directions. Int J Oral Sci. 2023; 15(1): 44-8. DOI: https://doi.org/10.1038/s41368-023-00249-w
Pekarek L, Garrido-Gil MJ, Sánchez-Cendra A, Cassinello J, Pekarek T, Fraile-Martinez O, et al. Emerging histological and serological biomarkers in oral squamous cell carcinoma: Applications in diagnosis, prognosis evaluation and personalized therapeutics. Oncol Rep. 2023; 50(6): 213-6. DOI: https://doi.org/10.3892/or.2023.8650
Tranby EP, Heaton LJ, Tomar SL, Kelly AL, Fager GL, Backley M, et al. Oral cancer prevalence, mortality, and costs in Medicaid and commercial insurance claims data. Cancer Epidemiol, Biomarkers Prev. 2022; 31(9): 1849-57. DOI: https://doi.org/10.1158/1055-9965.epi-22-0114
Saba K, Zareef U, Chughtai N, Imtiaz SA, Askary SH, Askary GR, et al. Salivary Biomarkers in oral squamous cell carcinoma: current perspectives and challenges in their clinical application. Indus J Biosc Res. 2024; 2(02): 258-72.
DOI: https://doi.org/10.70749/ijbr.v2i02.171
Al-Jamaei A, Van Dijk B, Helder M, Forouzanfar T, Leemans C, De Visscher J. A population-based study of the epidemiology of oral squamous cell carcinoma in the Netherlands 1989–2018, with emphasis on young adults. Int J Oral Maxillofac Surg. 2022; 51(1): 18-26. DOI: https://doi.org/10.1016/j.ijom.2021.03.006
Naz F, Tanveer N, Verma H, Arava S, Kakkar A, Pandey S, et al. Histomorphology based prediction of p16 immunopositivity and p16/HPV DNA co-positivity in oral squamous cell carcinoma. Ann Diagn Pathol. 2024; 73: 152389. DOI:https://doi.org/10.1016/j.anndiagpath.2024.152389
Simoens C, Gheit T, Ridder R, Gorbaslieva I, Holzinger D, Lucas E, et al. Accuracy of high-risk HPV DNA PCR, p16 (INK4a) immuno-histochemistry or the combination of both to diagnose HPV-driven oropharyngeal cancer. BMC Infect Dis. 2022; 22(1): 676. DOI: https://doi.org/10.1186/s12879-022-07654-2
Rubió-Casadevall J, Galceran J, Ameijide A, Puigdemont M, Llauradó L, Marruecos J, et al. Population-based risk assessment of second primary cancers following a first head and neck cancer: Patterns of association and difficulties of its analysis. Clin Transl Oncol. 2021; 23(4): 788-98. DOI: https://doi.org/10.1007/s12094-020-02470-z
Nannapaneni S, Griffith CC, Magliocca KR, Chen W, Lyu X, Chen Z, et al. Co-expression of fibroblast growth factor receptor 3 with mutant p53, and its association with worse outcome in oropharyngeal squamous cell carcinoma. PLoS One. 2021; 16(2): e0247498. DOI: https://doi.org/10.1371/journal.pone.0247498
Mylly M, Nissi L, Huusko T, Routila J, Vaittinen S, Irjala H, et al. Epidemiological study of p16 Incidence in head and neck squamous cell carcinoma 2005–2015 in a representative Northern European population. Cancers. 2022; 14(22): 5717. DOI: https://doi.org/10.3390/cancers14225717
Touska P, Connor S. Imaging of human papilloma virus associated oropharyngeal squamous cell carcinoma and its impact on diagnosis, prognostication, and response assessment. The Br J Radiol. 2022; 95(1138): 20220149. DOI: https://doi.org/10.1259/bjr.20220149
Gallus R, Rizzo D, Rossi G, Mureddu L, Galli J, Artuso A, et al. p16 Expression in laryngeal squamous cell carcinoma: A surrogate or independent prognostic marker?. Pathogens. 2024; 13(2): 100. DOI: https://doi.org/10.3390/pathogens13020100
de Andrade Cavalcante SL, de Barros Silva PG, Hirth CG, Frederico IK, Furtado CL, do Ó Pessoa C, Barreto GA, Silva LF. The p16 immunostaining predicts the risk of recurrence in prostate Cancer. Asian Pacific J Cancer Prev. 2025; 26(1): 77-83. DOI: https://doi.org/10.31557/apjcp.2025.26.1.77
Chahoud J, Zacharias NM, Pham R, Qiao W, Guo M, Lu X, et al. Prognostic significance of p16 and its relationship with human papillomavirus status in patients with penile squamous cell carcinoma: results of 5 years follow-up. Cancers. 2022; 14(24): 6024. DOI: https://doi.org/10.3390/cancers14246024
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Armaghana Qamar Khan, Maryam Hameed, Sana Hanif, Momina Habib, Ramsha Ali, Ahmareen Khalid Sheikh

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purpose. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
