Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age

Background: There is a paucity of data on the dynamics of human papillomavirus (HPV) antibodies in children. We aimed to describe the vertical transmission and clearance of antibodies against HPV6, 11, 16 and 18 in children.Methods: We used data from pregnant women recruited into the HERITAGE cohort...

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Main Authors: Monica Zahreddine, Marie-Hélène Mayrand, Christian Therrien, Andrea Trevisan, Carole Dagenais, Patricia Monnier, Louise Laporte, Joseph Niyibizi, Catherine Deshaies, Ana Maria Carceller, William Fraser, Paul Brassard, Jacques Lacroix, Marie-Josée Bédard, Isabelle Girard, François Audibert, François Coutlée, Helen Trottier
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:EClinicalMedicine
Online Access:http://www.sciencedirect.com/science/article/pii/S258953702030078X
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author Monica Zahreddine
Marie-Hélène Mayrand
Christian Therrien
Andrea Trevisan
Carole Dagenais
Patricia Monnier
Louise Laporte
Joseph Niyibizi
Catherine Deshaies
Ana Maria Carceller
William Fraser
Paul Brassard
Jacques Lacroix
Marie-Josée Bédard
Isabelle Girard
François Audibert
François Coutlée
Helen Trottier
author_facet Monica Zahreddine
Marie-Hélène Mayrand
Christian Therrien
Andrea Trevisan
Carole Dagenais
Patricia Monnier
Louise Laporte
Joseph Niyibizi
Catherine Deshaies
Ana Maria Carceller
William Fraser
Paul Brassard
Jacques Lacroix
Marie-Josée Bédard
Isabelle Girard
François Audibert
François Coutlée
Helen Trottier
author_sort Monica Zahreddine
collection DOAJ
description Background: There is a paucity of data on the dynamics of human papillomavirus (HPV) antibodies in children. We aimed to describe the vertical transmission and clearance of antibodies against HPV6, 11, 16 and 18 in children.Methods: We used data from pregnant women recruited into the HERITAGE cohort study between 2009 and 2012 who were positive for HPV-DNA at baseline. Dried blood spots were collected during the first trimester in pregnant participants, and at birth, 6, 12, and 24 months of age in children. The level of total immunoglobulin G (IgG) against HPV6, 11, 16 and 18 were measured using Luminex immunoassays. Spearman's coefficients were used to correlate HPV antibody levels between newborns and mothers. Panel and Kaplan-Meier graphics described antibody dynamics in the first 24 months of life.Findings: Antibodies from newborns and mothers (n = 58 pairs) were moderately to highly correlated with coefficients of 0·81 (95% confidence intervals (CI):0·70–0·88), 0·68 (95% CI:0·5–0·80), 0·90 (95% CI:0·83–0·94) and 0·85 (95% CI:0·76–0·91) against HPV6, 11, 16 and 18, respectively. In newborns seropositive at birth, anti-HPV antibodies were cleared by 80% and 100% at 12 and 24 months, respectively. Only two children presented detectable HPV antibodies at 24 months. The first child had no detectable antibodies at birth and the second presented increasing levels after two undetected measures.Interpretation: Correlation between mother and newborn IgG antibodies against HPV suggests vertical transfer. Most children cleared anti-HPV antibodies within six to 12 months.Funding: The Canadian Institutes of Health Research (CIHR) Keywords: Human papillomavirus, Serology, Mother-newborn correlation, Vertically acquired immunity, Antibody clearance, Antibody dynamics
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spelling doaj.art-e516ec55e40d4ca4bb8fe311537214ea2022-12-21T19:12:56ZengElsevierEClinicalMedicine2589-53702020-04-0121Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of ageMonica Zahreddine0Marie-Hélène Mayrand1Christian Therrien2Andrea Trevisan3Carole Dagenais4Patricia Monnier5Louise Laporte6Joseph Niyibizi7Catherine Deshaies8Ana Maria Carceller9William Fraser10Paul Brassard11Jacques Lacroix12Marie-Josée Bédard13Isabelle Girard14François Audibert15François Coutlée16Helen Trottier17Department of Social and Preventive Medicine, Université de Montréal, Montreal, Canada; Sainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada; Department of Obstetrics and Gynecology, Université de Montréal and CRCHUM, Montreal, CanadaLaboratoire de Santé Publique du Québec, Institut National de Santé Publique du Québec, Sainte-Anne-de-Bellevue, CanadaDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada; Sainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaLaboratoire de Santé Publique du Québec, Institut National de Santé Publique du Québec, Sainte-Anne-de-Bellevue, CanadaDepartment of Obstetrics and Gynecology, McGill University Health Centre, Montreal, CanadaSainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada; Sainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaSainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaDepartment of Pediatrics, Sainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaDepartment of Obstetrics and Gynecology, Centre de recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, CanadaDivision of Clinical Epidemiology, McGill University Health Center, Montreal, CanadaDepartment of Pediatrics, Sainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaDepartment of Obstetrics and Gynecology, Université de Montréal and CRCHUM, Montreal, CanadaDepartment of Obstetrics and Gynecology, St-Mary's Hospital Center, McGill University, Montreal, CanadaDepartment of Obstetrics and Gynecology, Sainte-Justine University Hospital Center, Université de Montréal, Montreal, CanadaDepartment of Microbiology, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montreal, CanadaDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada; Sainte-Justine University Hospital Center, Université de Montréal, Montreal, Canada; Corresponding author at: Sainte-Justine Hospital Research Center, 3175 Côte-Sainte-Catherine Street, Room B.17.002, Montreal (QC), H3T 1C5, Canada.Background: There is a paucity of data on the dynamics of human papillomavirus (HPV) antibodies in children. We aimed to describe the vertical transmission and clearance of antibodies against HPV6, 11, 16 and 18 in children.Methods: We used data from pregnant women recruited into the HERITAGE cohort study between 2009 and 2012 who were positive for HPV-DNA at baseline. Dried blood spots were collected during the first trimester in pregnant participants, and at birth, 6, 12, and 24 months of age in children. The level of total immunoglobulin G (IgG) against HPV6, 11, 16 and 18 were measured using Luminex immunoassays. Spearman's coefficients were used to correlate HPV antibody levels between newborns and mothers. Panel and Kaplan-Meier graphics described antibody dynamics in the first 24 months of life.Findings: Antibodies from newborns and mothers (n = 58 pairs) were moderately to highly correlated with coefficients of 0·81 (95% confidence intervals (CI):0·70–0·88), 0·68 (95% CI:0·5–0·80), 0·90 (95% CI:0·83–0·94) and 0·85 (95% CI:0·76–0·91) against HPV6, 11, 16 and 18, respectively. In newborns seropositive at birth, anti-HPV antibodies were cleared by 80% and 100% at 12 and 24 months, respectively. Only two children presented detectable HPV antibodies at 24 months. The first child had no detectable antibodies at birth and the second presented increasing levels after two undetected measures.Interpretation: Correlation between mother and newborn IgG antibodies against HPV suggests vertical transfer. Most children cleared anti-HPV antibodies within six to 12 months.Funding: The Canadian Institutes of Health Research (CIHR) Keywords: Human papillomavirus, Serology, Mother-newborn correlation, Vertically acquired immunity, Antibody clearance, Antibody dynamicshttp://www.sciencedirect.com/science/article/pii/S258953702030078X
spellingShingle Monica Zahreddine
Marie-Hélène Mayrand
Christian Therrien
Andrea Trevisan
Carole Dagenais
Patricia Monnier
Louise Laporte
Joseph Niyibizi
Catherine Deshaies
Ana Maria Carceller
William Fraser
Paul Brassard
Jacques Lacroix
Marie-Josée Bédard
Isabelle Girard
François Audibert
François Coutlée
Helen Trottier
Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age
EClinicalMedicine
title Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age
title_full Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age
title_fullStr Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age
title_full_unstemmed Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age
title_short Antibodies to human papillomavirus types 6, 11, 16 and 18: Vertical transmission and clearance in children up to two years of age
title_sort antibodies to human papillomavirus types 6 11 16 and 18 vertical transmission and clearance in children up to two years of age
url http://www.sciencedirect.com/science/article/pii/S258953702030078X
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