1. Diagnostic value of human papillomavirus (HPV) 16 and HPV18 viral loads for the detection of high-grade cervical intraepithelial neoplasia (CIN2+) in a cohort of African women living with HIV.
- Author
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Segondy M, Ngou J, Kelly H, Omar T, Goumbri-Lompo O, Doutre S, Mayaud P, and Didelot MN
- Subjects
- Adolescent, Adult, Africa South of the Sahara, Cervix Uteri pathology, Cervix Uteri virology, Coinfection diagnosis, Coinfection pathology, Female, Humans, Middle Aged, Papillomavirus Infections pathology, Prospective Studies, Real-Time Polymerase Chain Reaction, Sensitivity and Specificity, Uterine Cervical Neoplasms pathology, Viral Envelope Proteins analysis, Viral Envelope Proteins genetics, Young Adult, Uterine Cervical Dysplasia pathology, HIV Infections complications, Human papillomavirus 16 isolation & purification, Human papillomavirus 18 isolation & purification, Papillomavirus Infections diagnosis, Uterine Cervical Neoplasms diagnosis, Viral Load, Uterine Cervical Dysplasia diagnosis
- Abstract
Background: African women living with HIV (WLHIV) are at high risk of cervical cancer but rarely adequately screened. Better strategies enabling identification of WLHIV with high-grade cervical intraepithelial lesions (CIN2+) are required., Objectives: To investigate the diagnostic value of HPV16 and HPV18 viral loads in a cohort of African WLHIV., Design: HPV16 and HPV18 viral loads were determined by quantitation of the E6 gene DNA by real-time PCR in cervical specimens collected at baseline and endline (16 months) from 245 African WLHIV positive for HPV16 or/and HPV18. Cervical biopsies were graded using the histopathological CIN classification., Results: Women with CIN2+ had higher viral load for HPV16 (p < 0.0001) or HPV18 (p = 0.03) than those without CIN2+. HPV16 viral load ≥3.59 log copies/1000 cells detected CIN2+ with sensitivity and specificity of 93.5% (95%CI: 81.7-98.3%) and 74.1% (95%CI: 66.3-80.6%), respectively, whereas HPV18 viral load ≥1.63 log copies/1000 cells detected CIN2+ with sensitivity and specificity of 59.1% (95%CI: 38.7-76.7%) and 66.9% (95%CI: 58.8-74.1%), respectively. A high baseline HPV16 viral load was significantly associated with persistence of, or progression to CIN2+ at endline; these findings were not observed for HPV18., Conclusions: HPV16 viral load is a powerful marker of CIN2+ in African WLHIV. HPV18 viral load is of lower diagnostic value in this population., (Copyright © 2018 Elsevier B.V. All rights reserved.)
- Published
- 2018
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