Adeno-Associated Virus Is Associated with a Lower Risk of High-Grade Cervical Neoplasia

Adeno-associated virus (AAV) is a ubiquitous human helper-dependent parvovirus which may interact with human papillomaviruses (HPV) to modify a woman's risk of cervical neoplasia. This analysis was nested in a cohort study of low-income women receiving Pap smears as part of their family plannin...

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Veröffentlicht in:Experimental and molecular pathology 2001-04, Vol.70 (2), p.83-89
Hauptverfasser: Coker, Ann L., Russell, Rebecca B., Bond, Sharon M., Pirisi, Lucia, Liu, Yong, Mane, Michael, Kokorina, Natalia, Gerasimova, Tsilya, Hermonat, Paul L.
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container_end_page 89
container_issue 2
container_start_page 83
container_title Experimental and molecular pathology
container_volume 70
creator Coker, Ann L.
Russell, Rebecca B.
Bond, Sharon M.
Pirisi, Lucia
Liu, Yong
Mane, Michael
Kokorina, Natalia
Gerasimova, Tsilya
Hermonat, Paul L.
description Adeno-associated virus (AAV) is a ubiquitous human helper-dependent parvovirus which may interact with human papillomaviruses (HPV) to modify a woman's risk of cervical neoplasia. This analysis was nested in a cohort study of low-income women receiving Pap smears as part of their family planning services. We selected cases (55 with high-grade cervical squamous intraepithelial lesions (HSIL) and 162 with low-grade LSIL) and controls (96 women with normal cervical cytology) and analyzed cervical DNA for AAV, using PCR amplification/dot blot hybridization, and HPV, using hybrid capture I. AAV positivity was associated with a significantly reduced risk of HSIL (age and HPV-adjusted odds ratio (aOR) = 0.32) yet not with LSIL (aOR = 0.78); 53.8% of HSIL, 66.9% of LSIL, and 70.7% of controls were AAV+. AAV appears to interact with HPV to reduce SIL risk; relative to the HPV−/AAV+ exposure, the respective aORs for HSIL and HPV+/AAV−, HPV+/AAV+, and HPV−/AAV+ were 17.0, 6.9, and 3.5. AAV+ was not associated with age, race, HPV status, or sexual or reproductive risk factors. These results strongly suggest that AAV may play a protective or inhibitory role in late stage cervical carcinogenesis. This conclusion needs to be verified in additional epidemiologic studies.
doi_str_mv 10.1006/exmp.2000.2347
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Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Papanicolaou Test</topic><topic>Papillomaviridae - isolation &amp; purification</topic><topic>Polymerase Chain Reaction</topic><topic>Risk Factors</topic><topic>sexually transmitted infection</topic><topic>Socioeconomic Factors</topic><topic>Tumors</topic><topic>Uterine Cervical Neoplasms - virology</topic><topic>Vaginal Smears</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coker, Ann L.</creatorcontrib><creatorcontrib>Russell, Rebecca B.</creatorcontrib><creatorcontrib>Bond, Sharon M.</creatorcontrib><creatorcontrib>Pirisi, Lucia</creatorcontrib><creatorcontrib>Liu, Yong</creatorcontrib><creatorcontrib>Mane, Michael</creatorcontrib><creatorcontrib>Kokorina, Natalia</creatorcontrib><creatorcontrib>Gerasimova, Tsilya</creatorcontrib><creatorcontrib>Hermonat, Paul L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Experimental and molecular pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coker, Ann L.</au><au>Russell, Rebecca B.</au><au>Bond, Sharon M.</au><au>Pirisi, Lucia</au><au>Liu, Yong</au><au>Mane, Michael</au><au>Kokorina, Natalia</au><au>Gerasimova, Tsilya</au><au>Hermonat, Paul L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adeno-Associated Virus Is Associated with a Lower Risk of High-Grade Cervical Neoplasia</atitle><jtitle>Experimental and molecular pathology</jtitle><addtitle>Exp Mol Pathol</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>70</volume><issue>2</issue><spage>83</spage><epage>89</epage><pages>83-89</pages><issn>0014-4800</issn><eissn>1096-0945</eissn><coden>EXMPA6</coden><abstract>Adeno-associated virus (AAV) is a ubiquitous human helper-dependent parvovirus which may interact with human papillomaviruses (HPV) to modify a woman's risk of cervical neoplasia. 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These results strongly suggest that AAV may play a protective or inhibitory role in late stage cervical carcinogenesis. This conclusion needs to be verified in additional epidemiologic studies.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>11263951</pmid><doi>10.1006/exmp.2000.2347</doi><tpages>7</tpages></addata></record>
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subjects adeno-associated virus
Adult
Ambulatory Care Facilities
Biological and medical sciences
Carcinoma, Squamous Cell - virology
Case-Control Studies
cervical neoplasms, papillomavirus, epidemiology
Cohort Studies
Dependovirus - genetics
Dependovirus - isolation & purification
DNA, Viral - analysis
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Papanicolaou Test
Papillomaviridae - isolation & purification
Polymerase Chain Reaction
Risk Factors
sexually transmitted infection
Socioeconomic Factors
Tumors
Uterine Cervical Neoplasms - virology
Vaginal Smears
women
title Adeno-Associated Virus Is Associated with a Lower Risk of High-Grade Cervical Neoplasia
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