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Nasopharyngeal cancer (NPC) is a very distinct subtype of head and neck cancer, with etiological
association with the oncogenic virus, the Epstein-Barr virus (EBV). Interestingly, nearby the
nasopharynx, the oropharynx is another anatomical site that is uniquely prone to oncovirus-induced
cancer, namely the human papillomavirus-associated oropharyngeal cancer. We and others, have
recently dissected the genomic landscapes of both of these 2 viral-associated head and neck cancers,
which revealed very distinct mutational profiles compared to viral-negative head and neck cancer.
Further, our recent exome-reanalysis efforts identified for the first time several novel commonalities
between EBV(+)NPC and HPV(+)HNSCC, which may essentially inform us the “essential common
drives” for these oncovirus-associated head and neck cancers. Importantly, among these “common
signals” are potential drug targets, which are to be investigated in the future for these cancers.
Therefore, these previously distinct cancer subtypes may be more similar than what we thought
previously, in terms of genomic compositions and druggability. With the increasing availability of the
genomic data and efforts for new model development, genomic-based therapeutic research on
HPV(+)HNSCC and EBV(+)NPC may benefit each other in the clinic in future.