As the one HPV-positive OSCC in this cohort had no loss of pRb and lacked HPV mRNA in a whole section following RNAscope ISH analysis, the p16 overexpression could be a result of CDKN2A mutation, and HPV a commensal with the HPV DNA not located in the tumor cells but in the adjacent mucosal epithelial cells (40). Here, CDKN2A is linked to neoplasm.