HPV types 16/18 L1 E6 and E7 proteins seropositivity and cervical cancer risk in HIV-positive and HIV-negative black South African women
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Authors
Singini, Mwiza Gideon
Singh, Elvira
Bradshaw, Debbie
Chen, Wenlong Carl
Motlhale, Melitah
Kamiza, Abram Bunya
Villiers, Chantal Babb de
Muchengeti, Mazvita
Mathew, Christopher G.
Newton, Robert
Issue Date
2022-03-29
Type
Article
Language
en_US
Keywords
Cervical Cancer , Human Papillomavirus , E6 and E7 , L1 Proteins , Seropositivity , South Africa
Alternative Title
Abstract
Background:
In populations with high rates of human immunodeficiency virus (HIV)-coinfection, the nature of the relationship between human papillomavirus (HPV)-16 and -18 (L1, E6 and E7) antibodies and cervical cancer is still uncertain. We measured the association between seropositivity to HPV (L1, E6 and E7) proteins and cervical cancer among black South African women with and without HIV co-infection.
Methods:
We used questionnaire data and serum collected from consecutively recruited patients with a newly diagnosed cancer from the Johannesburg Cancer Study from 1346 cervical cancer cases and 2532 controls (diagnosed with other non-infection related cancers). Seropositivity to HPV proteins was measured using a multiplex serological assay based on recombinant glutathione S-transferase (GST) fusion proteins. We measured associations between their presence and cervical cancer using unconditional logistic regression models and evaluated the sensitivity and specificity of these HPV biomarkers.
Results:
Among controls, HIV-negative women from rural areas compared to urban had significantly higher HPV seroprevalence, HPV16 E7 (8.6% vs 3.7%) and HPV18 E7 (7.9% vs 2.0%). HPV16 E6 and E7 antibodies were positively associated with cervical cancer in HIV-positive (Adjusted Odds Ratio (AOR) = 33; 95% CI 10–107) and HIV-negative women (AOR = 97; 95% CI 46–203). In HIV-positive women, HPV E6/E7 antibodies had low sensitivity (43.0%) and high specificity (90.6%) for cervical cancer detection. In HIV-negative women, HPV E6/E7 antibodies sensitivity was 70.6% and specificity was 89.7%.
Conclusions:
Our data show that HPV (L1, especially E6 and E7) antibody positivity is associated with cervical cancer in both HIV-positive and HIV-negative women. Nonetheless, being HIV-positive plays an important role in the development of cervical cancer.
Description
Citation
Singini, M. G., Singh, E., Bradshaw, D., Chen, W. C., Motlhale, M., Kamiza, A. B., de Villiers, C. B., Muchengeti, M., Mathew, C. G., Newton, R., Bender, N., Waterboer, T., & Sitas, F. (2022). HPV types 16/18 L1 E6 and E7 proteins seropositivity and cervical cancer risk in HIV-positive and HIV-negative black South African women. Infectious agents and cancer, 17(1), 14. https://doi.org/10.1186/s13027-022-00418-2
Publisher
Infectious Agents and Cancer