Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness

Human Papillomavirus (HPV) type 16 is the main etiological agent of cervical cancer worldwide. Mutations within the virus genome may lead to an increased risk of cancer development and decreased vaccine response, but there is a lack of information about strains circulating in Sub-Saharan Africa. End...

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Main Authors: Paula Iglesias, Celine Tendobi, Silvia Carlos, Maria D. Lozano, David Barquín, Luis Chiva, Gabriel Reina
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/10/12/2492
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author Paula Iglesias
Celine Tendobi
Silvia Carlos
Maria D. Lozano
David Barquín
Luis Chiva
Gabriel Reina
author_facet Paula Iglesias
Celine Tendobi
Silvia Carlos
Maria D. Lozano
David Barquín
Luis Chiva
Gabriel Reina
author_sort Paula Iglesias
collection DOAJ
description Human Papillomavirus (HPV) type 16 is the main etiological agent of cervical cancer worldwide. Mutations within the virus genome may lead to an increased risk of cancer development and decreased vaccine response, but there is a lack of information about strains circulating in Sub-Saharan Africa. Endocervical cytology samples were collected from 480 women attending a voluntary cervical cancer screening program at Monkole Hospital and four outpatient centers in Kinshasa, Democratic Republic of the Congo (DRC). The prevalence of HPV infection was 18.8% and the most prevalent high-risk types were HPV16 (12.2%) followed by HPV52 (8.8%) and HPV33/HPV35 (7.8% each). HPV16 strains were characterized: 57.1% were classified as C lineage; two samples (28.6%) as A1 and one sample belonged to B1 lineage. HPV33, HPV35, HPV16, and HPV58 were the most frequent types associated with low-grade intraepithelial lesion while high-grade squamous intraepithelial lesions were predominantly associated with HPV16. Several L1 mutations (T266A, S282P, T353P, and N181T) were common in Kinshasa, and their potential effect on vaccine-induced neutralization, especially the presence of S282P, should be further investigated. Long control region (LCR) variability was high with frequent mutations like G7193T, G7521A, and G145T that could promote malignancy of these HPV16 strains. This study provides a helpful basis for understanding HPV16 variants circulating in Kinshasa and the potential association between mutations of LCR region and malignancy and of L1 and vaccine activity.
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spelling doaj.art-77d5b39b51034022960eed6f58c8bf4e2023-11-24T16:50:01ZengMDPI AGMicroorganisms2076-26072022-12-011012249210.3390/microorganisms10122492Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine EffectivenessPaula Iglesias0Celine Tendobi1Silvia Carlos2Maria D. Lozano3David Barquín4Luis Chiva5Gabriel Reina6Microbiology Department, Clínica Universidad de Navarra, 31008 Pamplona, SpainDepartment of Obstetrics and Gynecology, Centre Hospitalier Mère-Enfant (CHME), Ngafani, Kinshasa 4484, Democratic Republic of the CongoDepartment of Preventive Medicine and Public Health, Universidad de Navarra, 31008 Pamplona, SpainIdiSNA, Navarra Institute for Health Research, 31008 Pamplona, SpainMicrobiology Department, Clínica Universidad de Navarra, 31008 Pamplona, SpainIdiSNA, Navarra Institute for Health Research, 31008 Pamplona, SpainMicrobiology Department, Clínica Universidad de Navarra, 31008 Pamplona, SpainHuman Papillomavirus (HPV) type 16 is the main etiological agent of cervical cancer worldwide. Mutations within the virus genome may lead to an increased risk of cancer development and decreased vaccine response, but there is a lack of information about strains circulating in Sub-Saharan Africa. Endocervical cytology samples were collected from 480 women attending a voluntary cervical cancer screening program at Monkole Hospital and four outpatient centers in Kinshasa, Democratic Republic of the Congo (DRC). The prevalence of HPV infection was 18.8% and the most prevalent high-risk types were HPV16 (12.2%) followed by HPV52 (8.8%) and HPV33/HPV35 (7.8% each). HPV16 strains were characterized: 57.1% were classified as C lineage; two samples (28.6%) as A1 and one sample belonged to B1 lineage. HPV33, HPV35, HPV16, and HPV58 were the most frequent types associated with low-grade intraepithelial lesion while high-grade squamous intraepithelial lesions were predominantly associated with HPV16. Several L1 mutations (T266A, S282P, T353P, and N181T) were common in Kinshasa, and their potential effect on vaccine-induced neutralization, especially the presence of S282P, should be further investigated. Long control region (LCR) variability was high with frequent mutations like G7193T, G7521A, and G145T that could promote malignancy of these HPV16 strains. This study provides a helpful basis for understanding HPV16 variants circulating in Kinshasa and the potential association between mutations of LCR region and malignancy and of L1 and vaccine activity.https://www.mdpi.com/2076-2607/10/12/2492Human Papillomavirus 16KinshasaL1LCRvariantscervical cancer
spellingShingle Paula Iglesias
Celine Tendobi
Silvia Carlos
Maria D. Lozano
David Barquín
Luis Chiva
Gabriel Reina
Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness
Microorganisms
Human Papillomavirus 16
Kinshasa
L1
LCR
variants
cervical cancer
title Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness
title_full Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness
title_fullStr Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness
title_full_unstemmed Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness
title_short Characterization of Human Papillomavirus 16 from Kinshasa (Democratic Republic of the Congo)—Implications for Pathogenicity and Vaccine Effectiveness
title_sort characterization of human papillomavirus 16 from kinshasa democratic republic of the congo implications for pathogenicity and vaccine effectiveness
topic Human Papillomavirus 16
Kinshasa
L1
LCR
variants
cervical cancer
url https://www.mdpi.com/2076-2607/10/12/2492
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