Association between HPV-16 and HPV-18 viral loads and severity of cervical pre-invasive lesions in women with and without HIV in Botswana - Summary - MDSpire
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Association between HPV-16 and HPV-18 viral loads and severity of cervical pre-invasive lesions in women with and without HIV in Botswana
To explore the correlation between HPV-16 and HPV-18 genotype viral loads and the severity of cervical lesions in pre-cervical cancer patients in Botswana.
Approach:
Key Findings:
HPV-16 was detected in 33.94% and HPV-18 in 14.68% of the samples.
Higher cervical intraepithelial neoplasia (CIN) grade was associated with increased HPV-16 viral load.
HPV-18 exhibited a variable pattern, with the highest viral load observed in CIN II.
HPV-16 presence and elevated viral load were significant risk factors for CIN III.
HPV-18 presence and higher viral load were associated with increased risk for CIN II but not CIN III.
HIV status did not significantly impact the viral load of HPV-16 and HPV-18.
Interpretation:
Higher HPV-16 viral loads correlate with more severe cervical lesions, while HPV-18 is associated with CIN II. HIV status does not influence viral loads.
Limitations:
The study is based on a relatively small sample size of 109 patients.
Findings need to be confirmed in larger studies.
Conclusion:
Higher HPV-16 viral loads are linked to more severe cervical lesions, while HPV-18 is associated with CIN II. Further research is needed.
by Leabaneng Tawe, Pleasure Ramatlho, Siqi Zhang, Zackary Salem-Bango, Rebecca Ketlametswe, Daniel P. Morse, Doreen Ramogola-Masire, Erle S. Robertson, Giacomo M. Paganotti, Surbhi Grover