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Adami, H.-O.

Publications and source records attributed to Adami, H.-O..

3 recordsLinked to original sources

Cytomegalovirus promotes proliferation and survival of prostate cancer cells and constitutes a therapeutic target

Metastatic prostate cancer is incurable and new therapeutic targets and drugs are needed. Viruses are associated with several cancer types, but their connection to prostate cancer is unclear. Here we show that human herpes virus cytomegalovirus (CMV) infection is common in the healthy prostate epithelium as well as in prostate cancer, with 85% of tumors being infected to varying degrees. The CMV gene locus UL122-UL123 upheld viral genome persistence in endogenously CMV infected prostate cancer cell lines. CMV promoted prostate cancer cell viability independently of androgen receptor status and anti-androgen resistance, partly through CMV UL97 and the androgen signaling pathway. DNA intercalation mitigated CMV infection and reduced CMV-dependent tumor size in xenotransplantation experiments. The anti-herpes drug aciclovir showed modest effects, but the well tolerated CMV UL97 kinase inhibitor maribavir partly mimicked CMV loss by inducing apoptosis and attenuating proliferation, resulting in reduced tumor growth in vivo. We conclude that CMV infects prostate cells in vivo and alters core prostate cancer cell properties, suggesting that it can be therapeutically targeted to improve prostate cancer outcomes.

cancer biology↗

Sub-species niche specialization in the oral microbiome is associated with nasopharyngeal carcinoma risk in an endemic area of southern China

Oral health and changes in the oral microbiome have been associated with both local and systemic cancer. Poor oral hygiene is a known risk factor for Nasopharyngeal Carcinoma (NPC), a virally-associated head and neck cancer endemic to southern China. We explored the relationship between NPC and the oral microbiome using 16s rRNA sequencing in a study of 499 NPC patients and 495 population-based age and sex frequency-matched controls from an endemic area of Southern China. We found a significant reduction in community richness in cases compared to controls. Differences in the overall microbial community structure between cases and controls could not be explained by other potential confounders; disease status explained 5 times more variation in the Unweighted UniFrac distance than the next most explanatory variable. In feature-based analyses, we identified a pair of co-excluding Granulicatella adiacens (G. adicans) amplicon sequence variants (ASVs) which were strongly associated with NPC status and differed by a single nucleotide. The G. adicans variant an individual carried was also associated with the overall microbial community based on beta diversity. Co-occurrence analysis suggested the two G. adicans ASVs sit at the center of two co-excluding clusters of closely related organisms. Our results suggest there are differences in the oral microbiome between NPC patients and healthy controls and these may be associated with both a loss of microbial diversity and niche specialization among closely related commensals. Importance The relationship between oral health and the risk of Nasopharyngeal Carcinoma has been previously established. However, the role of oral microbiome has not been evaluated in the disease in a large epidemiological study. This paper clearly establishes a difference in the oral microbiome between NPC patients and healthy controls which cannot be explained by other confounding factors. It furthermore identifies a pair of closely related co-excluding organisms associated with the disease, highlighting the importance of modern methods for single nucleotide resolution in 16s rRNA sequence characterization. To the best of our knowledge, this is one of the first examples of cancer-associated niche-specialization of the oral microbiome.

microbiology↗

Genome sequencing analysis identifies high-risk Epstein-Barr virus subtypes for nasopharyngeal carcinoma

Epstein-Barr virus (EBV) infection is ubiquitous worldwide and associated with multiple cancers including nasopharyngeal carcinoma (NPC). The role of EBV viral genomic variation in NPC development and its striking endemicity in southern China has been poorly explored. Through large-scale genome sequencing and association study of EBV isolates from China, we identified two non-synonymous EBV variants within BALF2 strongly associated with NPC risk (conditional P value 1.75x10-6 for SNP162476_C and 3.23x10-13 for SNP163364_T), whose cumulative effects contributed to 83% of the overall risk in southern China. Phylogenetic analysis of the risk variants revealed a unique origin in southern China followed by clonal expansion. EBV BALF2 haplotype carrying the risk variants were shown to reduce viral lytic DNA replication, as a result potentially promoting viral latency. Our discovery has not only provided insight to the unique endemic pattern of NPC occurrence in southern China, but also paved the way for the identification of individuals at high risk of NPC and effective intervention program to reduce the disease burden in southern China.

genetics↗