Abstract

BackgroundAdenocarcinoma is the most common type of non-small cell lung cancer and is frequently observed in non-smoking patients. Adenocarcinoma in-situ (formerly referred to as bronchioloalveolar carcinoma) is a subset of lung adenocarcinoma characterized by growth along alveolar septae without evidence of stromal, vascular, or pleural invasion, that disproportionately affects never-smokers, women, and Asians. Adenocarcinoma in-situ is morphologically and histologically similar to a contagious lung neoplasm of sheep called ovine pulmonary adenocarcinoma (OPA). OPA is caused by infection with the exogenous betaretrovirus, jaagsiekte sheep retrovirus (JSRV), whose envelope protein (Env) is a potent oncogene. Several studies have reported that a proportion of human lung adenocarcinomas are immunopositive for an antigen related to the Gag protein of JSRV, however other groups have been unable to verify these observations by PCR.MethodsHere we examine human lung cancer tissue arrays (TA) for evidence of JSRV Env protein and DNA by immunohistochemical staining and PCR, respectively.ResultsOur results reveal that a subset of human lung cancers express an antigen that reacts with a JSRV Env-specific monoclonal antibody in immunohistochemistry and that exogenous JSRV-like env and gag sequences can be amplified from TA tumor samples, albeit inefficiently.ConclusionsWhile a causative role has not been established, these data suggest that a JSRV-like virus might infect humans. With next generation sequencing approaches, a JSRV-like virus in human lung cancers may be identified which could have profound implications for prevention, diagnosis and therapy.

Highlights

  • Adenocarcinoma is the most common type of non-small cell lung cancer and is frequently observed in non-smoking patients

  • Detection of jaagsiekte sheep retrovirus (JSRV) envelope protein (Env) protein in human lung cancer tissue arrays To evaluate the association between JSRV Env and human lung cancer, three sections of a human lung cancer tissue array purchased from US Biomax were analyzed by immunohistochemical staining using an anti-JSRV Env monoclonal antibody [35]

  • Immunohistochemical staining with the JSRV Env specific monoclonal antibody yielded the following results. 21% of adenocarcinomas and squamous cell carcinomas were positive according to our criteria, of which 2% of adenocarcinoma and 4% of squamous cell carcinomas were highly positive (Table 1)

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Summary

Introduction

Adenocarcinoma is the most common type of non-small cell lung cancer and is frequently observed in non-smoking patients. Adenocarcinoma in-situ is morphologically and histologically similar to a contagious lung neoplasm of sheep called ovine pulmonary adenocarcinoma (OPA). Several studies have reported that a proportion of human lung adenocarcinomas are immunopositive for an antigen related to the Gag protein of JSRV, other groups have been unable to verify these observations by PCR. Bronchioloalveolar carcinoma (BAC) is a subtype of pulmonary adenocarcinoma that often presents as multifocal lesions in the peripheral regions of the lung with a “ground glass” appearance by radiologic imaging. It is defined histologically by a pure lepidic growth pattern with neoplastic cells growing on preserved alveolar walls with. It has been estimated that 15–25% of human cancer may have a viral etiology and two viruses in particular, the human papilloma virus (HPV) and jaagsiekte sheep retrovirus (JSRV), have been speculated to play a role in the pathogenesis of human lung cancer [11]

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