1. Prevalence and Distribution of High-Risk Human Papillomavirus Genotypes in Invasive Carcinoma of the Uterine Cervix in Uruguay
- Author
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Adela Sica, Nora Berois, Mabel Cedeira, Enrique Barrios, Patricia de Cremoux, Eduardo Osinaga, Xavier Sastre-Garau, Daniel Mazal, Benedicta Caserta, Tumor Immunology and Glycobiology / Glicobiología e Inmunobiología Tumoral [Montevideo], Institut Pasteur de Montevideo, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Département de Biopathologie, Institut Curie [Paris], Departamento de Anatomia Patologica y Citologia del Hospital de la Mujer, Centro Hospitalario Pereira Rossell, Departamento de Metodos Cuantitativos, Facultad de Medicina- Universidad de la República [Montevideo] (UCUR), and Departamento de inmunobiologia
- Subjects
[SDV]Life Sciences [q-bio] ,Uterine Cervical Neoplasms ,Gastroenterology ,law.invention ,0302 clinical medicine ,Risk Factors ,law ,Genotype ,Prevalence ,Papillomaviridae ,Polymerase chain reaction ,0303 health sciences ,High prevalence ,Invasive carcinoma ,Hpv types ,Obstetrics and Gynecology ,Human papillomavirus genotypes ,Middle Aged ,Prognosis ,3. Good health ,Oncology ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Female ,Adult ,medicine.medical_specialty ,Adenocarcinoma ,Young Adult ,03 medical and health sciences ,Internal medicine ,medicine ,Invasive cervical cancer ,Humans ,Neoplasm Invasiveness ,Typing ,Human papillomavirus ,Retrospective Studies ,030304 developmental biology ,Gynecology ,business.industry ,Papillomavirus Infections ,Uterine Cervical Dysplasia ,Cross-Sectional Studies ,Uterine cervix ,DNA, Viral ,Uruguay ,Neoplasm Grading ,business ,Follow-Up Studies - Abstract
ObjectivesPersistent infection with specific genotypes of human papillomaviruses (HPVs) is the main cause of invasive cervical cancer (ICC). Only a few of the various HPV types account for most of the cases worldwide, and geographical differences in their distribution are evident. Data from locally prevalent genotypes are essential in view of introduction of HPV type-specific prophylactic vaccines.MethodsIn this work, we have investigated HPV type distribution in samples of ICC cases that occurred in Uruguayan women. DNA extracted from ICC treated in Centro Hospitalario Pereira Rossell of Montevideo between 1999 and 2007 were analyzed. Search and typing were performed by polymerase chain reaction using generic GP5+/GP6+ primers and specific primers for HPV types 16, 18, 33, and 45. Positive GP5+/GP6+ samples, which were negative for all 4 high-risk HPV-specific types screened were further analyzed by sequencing.ResultsHuman papillomavirus DNA sequences were found in 163 (92.6%) of 176 cases. The most prevalent genotypes were HPV16 (67.6%) and HPV18 (8.5%) followed by HPV45 (6.8%) and HPV33 (3.4%), as single or mixed infection. Other less frequent genotypes were HPV31, HPV35, HPV39, HPV51, HPV52, HPV58, HPV66, and HPV73. The viral type could not be determined (HPV X) in 1 case (0.6%) of the HPV DNA–positive cervical cancers and double infections were found in 1.7% of the cases. The higher percentage of most aggressive HPV (16/18/45) genotypes was detected in cases diagnosed at younger than 60 years old, whereas these genotypes were less frequent in older patients.ConclusionWe conclude that HPV types 16, 18, and 45 have a very high prevalence in ICC of Uruguayan women. Results provide evidence that 16 of 18 infections are more aggressive, but most cancers could be vaccine preventable.
- Published
- 2013