The biology of HPV-positive oropharyngeal cancer is characterized by p53 degradation, retinoblastoma Rb pathway inactivation, and p16 upregulation, while, by contrast, tobacco-related oropharyngeal cancer is characterized by TP53 mutation and downregulation of CDKN2A (encoding p16) [33]. This evidence concerns the gene TP53 and oropharynx cancer.