Cited by 42Cervical Cancer and HPV ResearchReproductive tract infections researchWomen's cancer prevention and management

HPV genotype distribution in Brazilian women with and without cervical lesions: correlation to cytological data

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Martins, Toni Ricardo, Mendes de Oliveira, Cristina, Rosa, Luciana Reis, de Campos Centrone, Cristiane, Rodrigues, Célia Luiza Regina, Villa, Luisa Lina, Levi, José Eduardo·2016·Virology Journal

Abstract

BACKGROUND: Human Papillomavirus (HPV) genotype distribution varies according to the method of assessment and population groups. This study analyzed type-specific HPV infections among women ranging from 14-95 years old, displaying normal and abnormal cytology, from São Paulo and Barretos cities, Brazil. METHODS: Women found positive for High Risk-HPVs DNA by either the Hybrid Capture 2 (HC2) or Cobas HPV Test (n = 431) plus a random sample of 223 negative by both assays and 11 samples with indeterminate results, totalizing 665 samples, were submitted to HPV detection by the PapilloCheck test. Cytological distribution included 499 women with a cytological result of Negative for Intraepithelial Lesion or Malignancy and 166 with some abnormality as follows: 54 Atypical Squamous Cells of Undetermined Significance; 66 Low-Grade Squamous Intraepithelial Lesion; 43 High-Grade Squamous Intraepithelial Lesion and 3 (0.5 %) Invasive Cervical Cancer. RESULTS: From the 323 samples (48.6 %) that had detectable HPV-DNA by the PapilloCheck assay, 31 were HPV negative by the cobas HPV and HC2 assays. Out of these 31 samples, 14 were associated with HR-HPVs types while the remaining 17 harbored exclusively low-risk HPVs. In contrast, 49 samples positive by cobas HPV and HC 2 methods tested negative by the PapilloCheck assay (19.8 %). Overall, the most frequent HR-HPV type was HPV 16 (23.2 %), followed by 56 (21.0 %), 52 (8.7 %) and 31 (7.7 %) and the most frequent LR-HPV type was HPV 42 (12.1 %) followed by 6 (6.2 %). Among the HR-HPV types, HPV 56 and 16 were the most frequent types in NILM, found in 19.1 and 17.7 % of the patients respectively while in HSIL and ICC cases, HPV 16 was the predominant type, detected in 37.2 and 66.7 % of these samples. CONCLUSIONS: In the population studied, HPV 16 and 56 were the most frequently detected HR-HPV types. HPV 56 was found mainly in LSIL and NILM suggesting a low oncogenic potential. HPV 16 continues to be the most prevalent type in high-grade lesions whereas HPV 18 was found in a low frequency both in NILM and abnormal smears. Surveillance of HPV infections by molecular methods is an important tool for the development and improvement of prevention strategies.

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  • Sexual activity is higher in younger women.

    “Since sexual activity is higher in younger women, multiple genotype infection is higher at this age [30–32].”

    From HPV Genotypes distribution in Indian women with and without cervical carcinoma: Implication for HPV vaccination program in Odisha, Eastern India (2017) · cites this paper as [32]

    The Discussion reports that multiple HPV infections were more frequent in women under 31, but only suggests that this may be associated with more intense sexual activity in younger women. It does not establish the citing sentence’s categorical claim about sexual activity. Page numbers are not provided in our copy. (LLM, conf=0.87)

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Sorted by citations

Authors
Martins, T. R., Mendes de Oliveira, C., Rosa, L. R., de Campos Centrone, C., Rodrigues, C. L. R., Villa, L. L., & Levi, J. E.
Affiliations
Universidade de São Paulo (BR)
Corresponding author
Martins, Toni Ricardo
Venue
Virology Journal
Published
2016-08-12
Volume
13
Issue
1
Pages
138-138
ISSN
1743-422X (ISSN-L)
OpenAlex
W2518081258
Cited by
42
References
1
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 10 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 3
FWCI
3.13
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Virology Journal (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (publishedVersion)
Funders
  • CNPq (573799/2008-3)
  • FAPESP (2008/57889-1)
Topics
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Keywords
human papillomavirus, HPV genotype distribution, high-risk HPV, low-risk HPV, cervical lesions, cervical cytology, HPV16, HPV 56, Hybrid Capture 2, cobas HPV test, ASCUS, low-grade squamous intraepithelial lesion, high-grade squamous intraepithelial lesion
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Brazil, Uterine Cervical Neoplasms, Female, Genotype, Humans, Middle Aged, Vaginal Smears, Papillomaviridae, Papillomavirus Infections, Young Adult

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