Persistence of newly detected human papillomavirus type 31 infection, stratified by variant lineage.

Persistence of newly detected human papillomavirus type 31 infection, stratified by variant lineage.
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DOI:
10.1002/ijc.27689
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发表时间:
2013-02-01
影响因子:
6.4
通讯作者:
Kiviat, Nancy B.
Kiviat, Nancy B.
中科院分区:
医学1区
文献类型:
--
作者:
Xi, Long Fu;Schiffman, Mark;Koutsky, Laura A.;He, Zhonghu;Winer, Rachel L.;Hulbert, Ayaka;Lee, Shu-Kuang;Ke, Yang;Kiviat, Nancy B.

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Variants of human papillomavirus (HPV) type 31 have been shown to be related both to risk of cervical lesions and racial composition of a population. It is largely undetermined whether variants differ in their likelihood of persistence. Study subjects were women who participated in the ASCUS-LSIL Triage Study and who had a newly detected HPV31 infection during a 2-year follow-up with 6-month intervals. HPV31 isolates were characterized by sequencing and assigned to 1 of 3 variant lineages. Loss of the newly detected HPV31 infection was detected in 76 (47.5%) of the 160 women (32/67 with A variants, 16/27 with B variants, and 28/66 with C variants). The adjusted hazard ratio associating loss of the infection was 1.2 (95% CI, 0.7–2.1) for women with A variants and 2.1 (95% CI, 1.2–3.5) for women with B variants as compared to those with C variants. Infections with A and C variants were detected in 50 and 41 Caucasian women and in 15 and 23 African-American women, respectively. The likelihood of clearance of the infection was significantly lower in African-American women with C variants than in African-American women with A variants (P=0.05). There was no difference in the likelihood of clearance between A and C variants among Caucasian women. Our data indicated that infections with B variants were more likely to resolve than those with C variants. The difference in clearance of A versus C variants in African-Americans but not in Caucasians suggests a possibility of the race-related influence in retaining the variant-specific infection.
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