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Cited by 721

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Multiple Human Papilloma Virus Infections and Their Impact on the Development of High-Risk Cervical Lesions

Salazar, Katrina L., Zhou, Haijun Steve, Xu, Jiaqiong, Peterson, Leif E., Schwartz, Mary R., Mody, Dina R., Ge, Yimin·2015·Acta Cytologica

Abstract

Objective: Individuals are often infected with multiple genotypes of human papillomavirus (HPV) simultaneously, but the role these infections play in the development of cervical disease is not well established. This study aimed to determine the association of multiple HPV infections with high-risk cervical lesions (hrCLs). Study Design: HPV genotyping was performed on 798 SurePath specimens collected between December 1, 2009, and April 30, 2011. The cases were classified as hrCL (n = 90) or non-hrCL (n = 708) based on cytology diagnoses. The association between hrCL and HPV infection patterns was analyzed. Results: Multiple HPV infections were frequently encountered (38.2%) in the cohort. Increased frequency of hrCLs was associated with a single high-risk HPV (hrHPV) infection. An additive or synergistic effect was not observed for hrCL in multiple HPV infections. The hrCL rates appeared to decrease in various patterns of multiple HPV infections, but the reduction was not statistically significant. Conclusions: Multiple HPV infections are common with no additive or synergistic effect on the development of hrCL. Conversely, reduced hrCL rates were observed in various patterns of multiple HPV infections compared to their single-genotype infection counterparts, suggestive of possible intergenotypic competition or more effective immune response triggered by multiple infections. Further studies in larger cohorts are needed.

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Metadata

Authors
Salazar, K. L., Zhou, H. S., Xu, J., Peterson, L. E., Schwartz, M. R., Mody, D. R., & Ge, Y.
Venue
Acta Cytologica
Publisher
S. Karger AG
Published
2015
Volume
59
Issue
5
Pages
391-398
ISSN
  • 0001-5547 (ISSN-L)
  • 1938-2650
OpenAlex
W2216873924
Cited by
721
References
2
FWCI
43.35
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Multiple Human Papilloma Virus Infections and Their Impact on the Development of High-Risk Cervical Lesions. https://app.cochat.ai/papers/10.1159/000442512
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Salazar, K. L., Zhou, H. S., Xu, J., Peterson, L. E., Schwartz, M. R., Mody, D. R., & Ge, Y. (2015). Multiple Human Papilloma Virus Infections and Their Impact on the Development of High-Risk Cervical Lesions. Acta Cytologica. https://doi.org/10.1159/000442512

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.