HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa

BackgroundWomen living with HIV in sub-Saharan Africa are at increased risk to develop cervical cancer (CC), which is caused by persistent infection with 13 oncogenic human papilloma viruses (HR-HPVs). It is important to accurately identify and target HIV-positive women at highest risk to develop CC...

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Main Authors: Ruby Mcharo, Tessa Lennemann, John France, Liseth Torres, Mercè Garí, Wilbert Mbuya, Wolfram Mwalongo, Anifrid Mahenge, Asli Bauer, Jonathan Mnkai, Laura Glasmeyer, Mona Judick, Matilda Paul, Nicolas Schroeder, Bareke Msomba, Magreth Sembo, Nhamo Chiwerengo, Michael Hoelscher, Otto Geisenberger, Ralph J. Lelle, Elmar Saathoff, Leonard Maboko, Mkunde Chachage, Arne Kroidl, Christof Geldmacher
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.763717/full
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author Ruby Mcharo
Tessa Lennemann
Tessa Lennemann
John France
Liseth Torres
Mercè Garí
Wilbert Mbuya
Wilbert Mbuya
Wolfram Mwalongo
Anifrid Mahenge
Asli Bauer
Asli Bauer
Jonathan Mnkai
Laura Glasmeyer
Mona Judick
Matilda Paul
Nicolas Schroeder
Bareke Msomba
Magreth Sembo
Nhamo Chiwerengo
Michael Hoelscher
Michael Hoelscher
Otto Geisenberger
Otto Geisenberger
Ralph J. Lelle
Elmar Saathoff
Elmar Saathoff
Leonard Maboko
Mkunde Chachage
Mkunde Chachage
Mkunde Chachage
Arne Kroidl
Arne Kroidl
Christof Geldmacher
Christof Geldmacher
author_facet Ruby Mcharo
Tessa Lennemann
Tessa Lennemann
John France
Liseth Torres
Mercè Garí
Wilbert Mbuya
Wilbert Mbuya
Wolfram Mwalongo
Anifrid Mahenge
Asli Bauer
Asli Bauer
Jonathan Mnkai
Laura Glasmeyer
Mona Judick
Matilda Paul
Nicolas Schroeder
Bareke Msomba
Magreth Sembo
Nhamo Chiwerengo
Michael Hoelscher
Michael Hoelscher
Otto Geisenberger
Otto Geisenberger
Ralph J. Lelle
Elmar Saathoff
Elmar Saathoff
Leonard Maboko
Mkunde Chachage
Mkunde Chachage
Mkunde Chachage
Arne Kroidl
Arne Kroidl
Christof Geldmacher
Christof Geldmacher
author_sort Ruby Mcharo
collection DOAJ
description BackgroundWomen living with HIV in sub-Saharan Africa are at increased risk to develop cervical cancer (CC), which is caused by persistent infection with 13 oncogenic human papilloma viruses (HR-HPVs). It is important to accurately identify and target HIV-positive women at highest risk to develop CC for early therapeutic intervention.MethodsA total of 2,134 HIV+ and HIV− women from South-West Tanzania were prospectively screened for cervical cancer and precancerous lesions. Women with cervical cancer (n=236), high- and low-grade squamous intraepithelial lesions (HSIL: n=68, LSIL: n=74), and without lesion (n=426) underwent high-resolution HPV genotyping.ResultsEighty percent of women who were diagnosed with HSIL or LSIL were living with HIV. Any lesion, young age, HIV status, and depleted CD4 T cell counts were independent risk factors for HPV infections, which were predominantly caused by HR-HPV types. While multiple HR-HPV type infections were predominant in HIV+ women with HSIL, single-type infections predominated in HIV+ CC cases (p=0.0006). HPV16, 18, and 45 accounted for 85% (68/80) and 75% (82/110) of HIV+ and HIV− CC cases, respectively. Of note, HPV35, the most frequent HPV type in HSIL-positive women living with HIV, was rarely detected as a single-type infection in HSIL and cancer cases.ConclusionHPV16, 18, and 45 should receive special attention for molecular diagnostic algorithms during CC prevention programs for HIV+ women from sub-Saharan Africa. HPV35 may have a high potential to induce HSIL in women living with HIV, but less potential to cause cervical cancer in single-type infections.
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spelling doaj.art-15bddb881e4d4fdc8d763d693956f2e82022-12-21T22:57:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-11-011110.3389/fonc.2021.763717763717HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East AfricaRuby Mcharo0Tessa Lennemann1Tessa Lennemann2John France3Liseth Torres4Mercè Garí5Wilbert Mbuya6Wilbert Mbuya7Wolfram Mwalongo8Anifrid Mahenge9Asli Bauer10Asli Bauer11Jonathan Mnkai12Laura Glasmeyer13Mona Judick14Matilda Paul15Nicolas Schroeder16Bareke Msomba17Magreth Sembo18Nhamo Chiwerengo19Michael Hoelscher20Michael Hoelscher21Otto Geisenberger22Otto Geisenberger23Ralph J. Lelle24Elmar Saathoff25Elmar Saathoff26Leonard Maboko27Mkunde Chachage28Mkunde Chachage29Mkunde Chachage30Arne Kroidl31Arne Kroidl32Christof Geldmacher33Christof Geldmacher34National Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyDepartment of Obstetrics and Gynecology, Mbeya Zonal Referral Hospital, Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaInstitute of Computational Biology, Helmholtz Zentrum München, Neuherberg, GermanyNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaInstitute for Pathology, Otto-von-Guericke University Magdeburg, Magdeburg, GermanyNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyGerman Center for Infection Research (DZIF), Partner Site Munich, Munich, GermanyDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyGerman Center for Infection Research (DZIF), Partner Site Munich, Munich, GermanyDepartment of Gynecology and Obstetrics, University of Muenster, Muenster, GermanyDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyGerman Center for Infection Research (DZIF), Partner Site Munich, Munich, GermanyNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaNational Institute for Medical Research (NIMR)-Mbeya Medical Research Center (MMRC), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyUniversity of Dar es Salaam–Mbeya College of Health and Allied Sciences (UDSM-MCHAS), Mbeya, TanzaniaDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyGerman Center for Infection Research (DZIF), Partner Site Munich, Munich, GermanyDivision of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, GermanyGerman Center for Infection Research (DZIF), Partner Site Munich, Munich, GermanyBackgroundWomen living with HIV in sub-Saharan Africa are at increased risk to develop cervical cancer (CC), which is caused by persistent infection with 13 oncogenic human papilloma viruses (HR-HPVs). It is important to accurately identify and target HIV-positive women at highest risk to develop CC for early therapeutic intervention.MethodsA total of 2,134 HIV+ and HIV− women from South-West Tanzania were prospectively screened for cervical cancer and precancerous lesions. Women with cervical cancer (n=236), high- and low-grade squamous intraepithelial lesions (HSIL: n=68, LSIL: n=74), and without lesion (n=426) underwent high-resolution HPV genotyping.ResultsEighty percent of women who were diagnosed with HSIL or LSIL were living with HIV. Any lesion, young age, HIV status, and depleted CD4 T cell counts were independent risk factors for HPV infections, which were predominantly caused by HR-HPV types. While multiple HR-HPV type infections were predominant in HIV+ women with HSIL, single-type infections predominated in HIV+ CC cases (p=0.0006). HPV16, 18, and 45 accounted for 85% (68/80) and 75% (82/110) of HIV+ and HIV− CC cases, respectively. Of note, HPV35, the most frequent HPV type in HSIL-positive women living with HIV, was rarely detected as a single-type infection in HSIL and cancer cases.ConclusionHPV16, 18, and 45 should receive special attention for molecular diagnostic algorithms during CC prevention programs for HIV+ women from sub-Saharan Africa. HPV35 may have a high potential to induce HSIL in women living with HIV, but less potential to cause cervical cancer in single-type infections.https://www.frontiersin.org/articles/10.3389/fonc.2021.763717/fullhuman papilloma virus—HPVhuman immunodeficiency virus—HIVcervical cancercervical dysplasiahigh-grade intraepithelial lesionslow-grade intraepithelial lesions
spellingShingle Ruby Mcharo
Tessa Lennemann
Tessa Lennemann
John France
Liseth Torres
Mercè Garí
Wilbert Mbuya
Wilbert Mbuya
Wolfram Mwalongo
Anifrid Mahenge
Asli Bauer
Asli Bauer
Jonathan Mnkai
Laura Glasmeyer
Mona Judick
Matilda Paul
Nicolas Schroeder
Bareke Msomba
Magreth Sembo
Nhamo Chiwerengo
Michael Hoelscher
Michael Hoelscher
Otto Geisenberger
Otto Geisenberger
Ralph J. Lelle
Elmar Saathoff
Elmar Saathoff
Leonard Maboko
Mkunde Chachage
Mkunde Chachage
Mkunde Chachage
Arne Kroidl
Arne Kroidl
Christof Geldmacher
Christof Geldmacher
HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa
Frontiers in Oncology
human papilloma virus—HPV
human immunodeficiency virus—HIV
cervical cancer
cervical dysplasia
high-grade intraepithelial lesions
low-grade intraepithelial lesions
title HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa
title_full HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa
title_fullStr HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa
title_full_unstemmed HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa
title_short HPV Type Distribution in HIV Positive and Negative Women With or Without Cervical Dysplasia or Cancer in East Africa
title_sort hpv type distribution in hiv positive and negative women with or without cervical dysplasia or cancer in east africa
topic human papilloma virus—HPV
human immunodeficiency virus—HIV
cervical cancer
cervical dysplasia
high-grade intraepithelial lesions
low-grade intraepithelial lesions
url https://www.frontiersin.org/articles/10.3389/fonc.2021.763717/full
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