Multiple human papillomavirus genotype infections in cervical cancer progression in the study to understand cervical cancer early endpoints and determinants

Determining the causal attribution of human papillomavirus (HPV) genotypes to cervical disease is important to estimate the effect of HPV vaccination and to establish a type spectrum for HPV‐based screening. We analyzed the prevalence of HPV infections and their attribution to cervical disease in a...

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Veröffentlicht in:International journal of cancer 2009-11, Vol.125 (9), p.2151-2158
Hauptverfasser: Wentzensen, Nicolas, Schiffman, Mark, Dunn, Terence, Zuna, Rosemary E., Gold, Michael A., Allen, Richard A., Zhang, Roy, Sherman, Mark E., Wacholder, Sholom, Walker, Joan, Wang, Sophia S.
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container_end_page 2158
container_issue 9
container_start_page 2151
container_title International journal of cancer
container_volume 125
creator Wentzensen, Nicolas
Schiffman, Mark
Dunn, Terence
Zuna, Rosemary E.
Gold, Michael A.
Allen, Richard A.
Zhang, Roy
Sherman, Mark E.
Wacholder, Sholom
Walker, Joan
Wang, Sophia S.
description Determining the causal attribution of human papillomavirus (HPV) genotypes to cervical disease is important to estimate the effect of HPV vaccination and to establish a type spectrum for HPV‐based screening. We analyzed the prevalence of HPV infections and their attribution to cervical disease in a population of 1,670 women referred to colposcopy for abnormal cytology at the University of Oklahoma. HPV genotyping was performed from cytology specimens using the Linear Array assay that detects 37 HPV genotypes. We used different methods of type attribution to revised cervical disease categories. We found very high prevalence of multiple HPV infections with up to 14 genotypes detected in single specimens. In all disease categories except for cancers, there was a significant trend of having more infections at a younger age. We did not see type interactions in multiple genotype infections. HPV16 was the most frequent genotype at all disease categories. Based on different attribution strategies, the attribution of vaccine genotypes (6, 11, 16, 18) ranged from 50.5 to 67.3% in cancers (n = 107), from 25.6 to 74.8% in CIN3 (n = 305), from 15.2 to 52.2% in CIN2 (n = 427), and from 6.6 to 26.0% in
doi_str_mv 10.1002/ijc.24528
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We analyzed the prevalence of HPV infections and their attribution to cervical disease in a population of 1,670 women referred to colposcopy for abnormal cytology at the University of Oklahoma. HPV genotyping was performed from cytology specimens using the Linear Array assay that detects 37 HPV genotypes. We used different methods of type attribution to revised cervical disease categories. We found very high prevalence of multiple HPV infections with up to 14 genotypes detected in single specimens. In all disease categories except for cancers, there was a significant trend of having more infections at a younger age. We did not see type interactions in multiple genotype infections. HPV16 was the most frequent genotype at all disease categories. 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subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
cervical cancer
Cervical Intraepithelial Neoplasia - etiology
Cervical Intraepithelial Neoplasia - virology
Cervix Uteri - virology
Disease Progression
epidemiology
Female
Genotype
HPV
Human papillomavirus
Human papillomavirus 16
Humans
Middle Aged
molecular
Papillomaviridae - classification
Papillomaviridae - genetics
Papillomavirus Infections - complications
Papillomavirus Infections - epidemiology
Papillomavirus Infections - virology
Papillomavirus Vaccines - immunology
SUCCEED
Uterine Cervical Neoplasms - etiology
Uterine Cervical Neoplasms - virology
title Multiple human papillomavirus genotype infections in cervical cancer progression in the study to understand cervical cancer early endpoints and determinants
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