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Figure 1.

Flowchart depicting summary of the study.

Genotyping was carried out on 270 advanced stage cervical cancer samples by high-throughput, GP5+/6+ primers based luminex array; consensus MY09/11 and SPF1/2 primers. HPV positivity was 95% (257/270). APOT assay was done on 86 HPV16+ and/or HPV18+ samples, with good clinical follow-up and good quality RNA. In 18 samples, only episomal form of HPV was identified, rest 68 hinted toward possible integration. Site of integration could be predicted with high score by BLAST and/or BLAT in 48 samples.

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Figure 1 Expand

Figure 2.

Frequency of 24 HPV types as detected by Luminex array.

The graph depicts frequency of 24 HPV types in 178 cervical cancer biopsy samples which were found to be positive GP5+/6+ primers. HPV16 infection predominated in the samples. Each bar represents different HPV types.

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Figure 2 Expand

Figure 3.

Kaplan-Meier analysis for episomal vs. integrated viral genome.

Kaplan-Meier survival curve for patients with episomal form of virus (n = 18) vs. integrated form (n = 68) is depicted. Most of the patients with episomal form (16 out of 18) had a disease free survival as compared to patients with integrated form, indicating a good clinical outcome, although with a borderline significance (p = 0.067).

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Figure 3 Expand

Figure 4.

Frequency of HPV integration into different chromosomal loci.

Site of integration as determined by APOT assay in 48 cases positive for HPV16, HPV18 or both and with high prediction score using BLAST/BLAT. Integration event was found to be more common in 1p and 3q chromosomal loci. Each bar represents different chromosomal locus.

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Figure 4 Expand

Table 1.

Summary of HPV Integration Sites.

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Table 1 Expand