Certain HPV types have been linked to the genesis and development of p
remalignent and malignant skin diseases, There have been several contr
adictory reports on the role of HPV infections in the development of k
eratoacanthomas (KAs). To further study the involvement of HPVs in the
aetiology of KAs, we investigated paraffin-embedded specimens of 80 b
iopsies of KAs for the presence of HPV 1, 2, 3, 4, 5, 7, 26, 37, 38, 4
7 and 59 DNA by in situ hybridization (ISH) with biotinylated probes u
nder high stringency conditions (Tm-10 degrees C). Every fourth biopsy
specimens was also examined by polymerase chain reaction (PCR) with c
onsensus primers targeting the HPV E1 and L1 regions, The positive cas
es were further studied by direct DNA sequencing. All specimens proved
to be negative for all HPV DNAs studied by ISH. Three out of 20 cases
produced in positive PCR amplifications when consensus primers target
ing the L1 region were used, However, the same samples remained negati
ve with general primers targeting the E1 region, The DNA sequence anal
ysis of the PCR-positive products showed a 76% homology with HPV type
17. Our results suggest that the known HPV types are unlikely to have
any role in the aetiology of KAs.