{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:59:40Z","timestamp":1793109580785,"version":"4.5.0"},"reference-count":46,"publisher":"American Society for Clinical Investigation","issue":"16","license":[{"start":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T00:00:00Z","timestamp":1629676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["R01 CA181745"],"award-info":[{"award-number":["R01 CA181745"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["T32 CA113275"],"award-info":[{"award-number":["T32 CA113275"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,23]]},"abstract":"<jats:p>\n                    Persistent HPV infection is causative for the majority of cervical cancer cases; however, current guidelines do not require HPV testing for newly diagnosed cervical cancer. Using an institutional cohort of 88 patients with cervical cancer treated uniformly with standard-of-care chemoradiation treatment (CRT) with prospectively collected clinical outcome data, we observed that patients with cervical tumors containing HPV genotypes other than HPV 16 have worse survival outcomes after CRT compared with patients with HPV 16\n                    <jats:sup>+<\/jats:sup>\n                    tumors, consistent with previously published studies. Using RNA sequencing analysis, we quantified viral transcription efficiency and found higher levels of E6 and the alternative transcript E6*I in cervical tumors with HPV genotypes other than HPV 16. These findings were validated using whole transcriptome data from The Cancer Genome Atlas (\n                    <jats:italic>n<\/jats:italic>\n                    = 304). For the first time to our knowledge, transcript expression level of HPV E6*I was identified as a predictive biomarker of CRT outcome in our complete institutional data set (\n                    <jats:italic>n<\/jats:italic>\n                    = 88) and within the HPV 16\n                    <jats:sup>+<\/jats:sup>\n                    subset (\n                    <jats:italic>n<\/jats:italic>\n                    = 36). In vitro characterization of HPV E6*I and E6 overexpression revealed that both induce CRT resistance through distinct mechanisms dependent upon p53\u2013p21. Our findings suggest that high expression of E6*I and E6 may represent novel biomarkers of CRT efficacy, and these patients may benefit from alternative treatment strategies.\n                  <\/jats:p>","DOI":"10.1172\/jci.insight.138734","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T12:02:22Z","timestamp":1626177742000},"source":"Crossref","is-referenced-by-count":20,"title":["HPV transcript expression affects cervical cancer response to chemoradiation"],"prefix":"10.1172","volume":"6","author":[{"given":"Fiona J.","family":"Ruiz","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology,"},{"name":"Division of Biological and Biomedical Sciences Molecular Cell Biology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5490-2374","authenticated-orcid":true,"given":"Matthew","family":"Inkman","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology,"},{"name":"Institute for Informatics,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramachandran","family":"Rashmi","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoshad","family":"Muhammad","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishanth","family":"Gabriel","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4266-6700","authenticated-orcid":true,"given":"Christopher A.","family":"Miller","sequence":"additional","affiliation":[{"name":"McDonnell Genome Institute,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2703-8784","authenticated-orcid":true,"given":"Michael D.","family":"McLellan","sequence":"additional","affiliation":[{"name":"McDonnell Genome Institute,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology,"},{"name":"Alvin J. 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Siteman Cancer Center,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie K.","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology,"},{"name":"Alvin J. Siteman Cancer Center,"},{"name":"Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"232","published-online":{"date-parts":[[2021,8,23]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"B2","unstructured":"SEER. SEER Cancer Statistics Review (CSR) 1975-2016. https:\/\/seer.cancer.gov\/csr\/1975_2016\/index.html Updated: April 9, 2020. Accessed July 9, 2021"},{"key":"B3","unstructured":"CDC. 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