## Abstract Human papillomavirus (HPV) persistence is the major cause of cervical cancer, but most HPV infections will not persist and risk factors for HPV persistence are not well known. __Chlamydia (C.) trachomatis__ infection seems to also be associated with cervical cancer. We investigated whet
Perinatal infection and persistence of human papillomavirus types 16 and 18 in infants
β Scribed by John Cason; Jeremy N. Kaye; Richard J. Jewers; Parminder K. Kambo; Jon M. Bible; Barbara Kell; Bhavneet Shergill; Farzin Pakarian; K. Shanti Raju; Jennifer M. Best
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 1016 KB
- Volume
- 47
- Category
- Article
- ISSN
- 0146-6615
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β¦ Synopsis
Abstract
Perinatal transmission of genital human papillomaviruses (HPVs), including HPVβ16 and β18 which are associated with anogenital carcinomas have been described previously [Pakarian et al. (1994): British Journal of Obstetrics and Gynaecology 101:514β517; Kaye et al. (1994) Journal of Medical Virology 44:415β421]. A study was undertaken to investigate whether HPVβ16 and β18 DNA in infants contaminated at delivery persists until they are 6 months of age. Of 61 pregnant women recruited, 42 (68.8%) were HPVβ16 and 13 (21.3%) were HPVβ18 DNA positive. At 24 hr there were transmission rates from HPV DNA positive mothers to their infants of about 73% (HPVβ16: 69%; HPVβ18: 76.9%). Ten mothers who were both HPVβ16 and β18 DNA positive produced six (60%) infants who were also doubly positive at 24 hr. HPV DNA persisted to 6 weeks in 79.5% (HPVβ16: 84%; HPVβ18: 75%) of those infants who were positive at birth. At 6 months of age, persistent HPVβ16 DNA was detected in 83.3% of cases, but HPVβ18 DNA persistence at this time was 20%. To extend these observations over a greater age range of children HPVβ16 L1 and L2 proteins were expressed in insect cells via recombinant baculoviruses and sera from 229 children were examined to determine at what age IgM antibodies to HPV were acquired. There was a bimodal distribution of IgM seropositivity which peaked between 2 and 5 and 13 and 16 years of age, suggesting that two distinct modes of transmission may occur. The observation that infection with high cancer risk genital HPVs may occur in early life and persist is of considerable importance for HPV vaccine strategies. Β© WileyβLiss, Inc.
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