Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico

Background Cervical cancer (CC) is the fourth most common malignancy of the female genital tract. Human Papillomavirus (HPV) is the main cause of precancerous lesions and CC cases worldwide Objective We assessed the prevalence and distribution of HPV types and their association with precancerous les...

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Main Authors: Luz del Carmen Alarcón-Romero PhD, Jorge Organista-Nava PhD, Yazmín Gómez-Gómez PhD, Julio Ortiz-Ortiz PhD, Daniel Hernández-Sotelo PhD, Oscar del Moral-Hernández PhD, Miguel Angel Mendoza-Catalán PhD, Ramón Antaño-Arias PhD, Marco Antonio Leyva-Vázquez PhD, Natividad Sales-Linares BSc, Verónica Antonio-Véjar PhD, Berenice Illades-Aguiar PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748221103331
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author Luz del Carmen Alarcón-Romero PhD
Jorge Organista-Nava PhD
Yazmín Gómez-Gómez PhD
Julio Ortiz-Ortiz PhD
Daniel Hernández-Sotelo PhD
Oscar del Moral-Hernández PhD
Miguel Angel Mendoza-Catalán PhD
Ramón Antaño-Arias PhD
Marco Antonio Leyva-Vázquez PhD
Natividad Sales-Linares BSc
Verónica Antonio-Véjar PhD
Berenice Illades-Aguiar PhD
author_facet Luz del Carmen Alarcón-Romero PhD
Jorge Organista-Nava PhD
Yazmín Gómez-Gómez PhD
Julio Ortiz-Ortiz PhD
Daniel Hernández-Sotelo PhD
Oscar del Moral-Hernández PhD
Miguel Angel Mendoza-Catalán PhD
Ramón Antaño-Arias PhD
Marco Antonio Leyva-Vázquez PhD
Natividad Sales-Linares BSc
Verónica Antonio-Véjar PhD
Berenice Illades-Aguiar PhD
author_sort Luz del Carmen Alarcón-Romero PhD
collection DOAJ
description Background Cervical cancer (CC) is the fourth most common malignancy of the female genital tract. Human Papillomavirus (HPV) is the main cause of precancerous lesions and CC cases worldwide Objective We assessed the prevalence and distribution of HPV types and their association with precancerous lesions and CC. Methods HPV genotypes were detected by 3 methods depending on the year of in which the sample was analyzed: MY09/11 RFLPs (1997 to 2010), GP5+/6+ primer systems (2005 to 2010) and INNO-LiPA HPV Genotyping Extra (2010 to 2019) in cervical samples (No-IL: 4445; LSIL: 2464; HSILs: 151 and CC: 253) from women from southern Mexico. Results The overall HPV prevalence was 54.17%, and hpv-16 was the most common genotype. In single infection, the high-risk HPV genotypes (group 1) were associated with squamous intraepitelial lesions (LSIL: HPV–39 (OR = 10.58, 95% CI 4.09–27.36, P < .001); HSIL: HPV-31 (OR = 14.76, 95% CI 6.56–33.20, P < .001); and CC: HPV-16 (OR = 25.01, 95% CI 18.83–33.21, P < .001). In multiple infections, the HPV genotypes (HPV-16 and HPV-18) were also associated with a high risk of lesions [LSIL: HPV-18 (OR = 3.45; 95% CI 1.36–8.91; P = .009); HSIL: HPV-18 (OR = 5.12; 95% CI 1.21–21.68; P = .026); and CC: HPV-16 (OR = 3.03; 95% CI 1.72–5.32; P < .001)] compared to single infection. In the analysis adjusted for age, giving birth, and cigarette smoking, a significant increase in the risk of LSIL, HSIL, and CC was maintained. Conclusions This study provides current data on the prevalence and distribution of HPV genotypes in women from southern Mexico, which could serve as a valuable reference to guide nationwide CC screening programs and provide scientific evidence that could be useful for vaccine development efforts. Likewise, it was identified that infection with carcinogenic HPV genotypes is an independent risk factor for LSIL, HSIL, and CC.
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spelling doaj.art-db9c71a90c5440878fe780c485630b642022-12-22T03:23:18ZengSAGE PublishingCancer Control1073-27482022-05-012910.1177/10732748221103331Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern MexicoLuz del Carmen Alarcón-Romero PhDJorge Organista-Nava PhDYazmín Gómez-Gómez PhDJulio Ortiz-Ortiz PhDDaniel Hernández-Sotelo PhDOscar del Moral-Hernández PhDMiguel Angel Mendoza-Catalán PhDRamón Antaño-Arias PhDMarco Antonio Leyva-Vázquez PhDNatividad Sales-Linares BScVerónica Antonio-Véjar PhDBerenice Illades-Aguiar PhDBackground Cervical cancer (CC) is the fourth most common malignancy of the female genital tract. Human Papillomavirus (HPV) is the main cause of precancerous lesions and CC cases worldwide Objective We assessed the prevalence and distribution of HPV types and their association with precancerous lesions and CC. Methods HPV genotypes were detected by 3 methods depending on the year of in which the sample was analyzed: MY09/11 RFLPs (1997 to 2010), GP5+/6+ primer systems (2005 to 2010) and INNO-LiPA HPV Genotyping Extra (2010 to 2019) in cervical samples (No-IL: 4445; LSIL: 2464; HSILs: 151 and CC: 253) from women from southern Mexico. Results The overall HPV prevalence was 54.17%, and hpv-16 was the most common genotype. In single infection, the high-risk HPV genotypes (group 1) were associated with squamous intraepitelial lesions (LSIL: HPV–39 (OR = 10.58, 95% CI 4.09–27.36, P < .001); HSIL: HPV-31 (OR = 14.76, 95% CI 6.56–33.20, P < .001); and CC: HPV-16 (OR = 25.01, 95% CI 18.83–33.21, P < .001). In multiple infections, the HPV genotypes (HPV-16 and HPV-18) were also associated with a high risk of lesions [LSIL: HPV-18 (OR = 3.45; 95% CI 1.36–8.91; P = .009); HSIL: HPV-18 (OR = 5.12; 95% CI 1.21–21.68; P = .026); and CC: HPV-16 (OR = 3.03; 95% CI 1.72–5.32; P < .001)] compared to single infection. In the analysis adjusted for age, giving birth, and cigarette smoking, a significant increase in the risk of LSIL, HSIL, and CC was maintained. Conclusions This study provides current data on the prevalence and distribution of HPV genotypes in women from southern Mexico, which could serve as a valuable reference to guide nationwide CC screening programs and provide scientific evidence that could be useful for vaccine development efforts. Likewise, it was identified that infection with carcinogenic HPV genotypes is an independent risk factor for LSIL, HSIL, and CC.https://doi.org/10.1177/10732748221103331
spellingShingle Luz del Carmen Alarcón-Romero PhD
Jorge Organista-Nava PhD
Yazmín Gómez-Gómez PhD
Julio Ortiz-Ortiz PhD
Daniel Hernández-Sotelo PhD
Oscar del Moral-Hernández PhD
Miguel Angel Mendoza-Catalán PhD
Ramón Antaño-Arias PhD
Marco Antonio Leyva-Vázquez PhD
Natividad Sales-Linares BSc
Verónica Antonio-Véjar PhD
Berenice Illades-Aguiar PhD
Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico
Cancer Control
title Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico
title_full Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico
title_fullStr Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico
title_full_unstemmed Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico
title_short Prevalence and Distribution of Human Papillomavirus Genotypes (1997–2019) and Their Association With Cervical Cancer and Precursor Lesions in Women From Southern Mexico
title_sort prevalence and distribution of human papillomavirus genotypes 1997 2019 and their association with cervical cancer and precursor lesions in women from southern mexico
url https://doi.org/10.1177/10732748221103331
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