俄罗斯hiv阳性和hiv阴性男男性行为者中HPV基因型高致癌风险的患病率

IF 2.6
Ilia Beliakov, Maria Senina, Yuriy Tyulenev, Elena Novoselova, Viktor Surovtsev, Alexander Guschin
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引用次数: 3

摘要

目的:男男性行为者(MSM)是由高危人乳头瘤病毒(HR HPV)感染引起的终身肛门癌的高危人群。本研究的目的是调查莫斯科(俄罗斯)有和没有艾滋病毒感染的男男性行为者(MSM)肛管HR HPV感染的流行情况。我们评估了一些HIV合并感染(HSV和CMV)和HPV分布在有和没有HIV感染的MSM中的相关性。方法:对hiv阳性(n = 60)和hiv阴性(n = 60)两组男男性行为者进行评价。在男性肛门拭子中调查了14种高危型(HR) HPV、HSV1/2和CMV。结果:hiv阳性和hiv阴性男男性人群中HR hpv的检出率几乎相同,均为66.7%。hiv阳性状态与几种(超过两种)HPV类型存在统计学关联(p=0.044)。hiv阳性男男性接触者中最常见的HR HPV基因型为HPV18、HPV16、HPV56和HPV33, hiv阴性者为HPV56、HPV51、HPV66和HPV16。我们发现HPV16 (p=0.028)、HPV18 (p=0.00006)、HPV58 (p=0.003)、HPV33 (p=0.019)和HPV39 (p=0.026)五种HR HPV类型与MSM的HIV状态有统计学意义的关联。评估hiv阳性MSM组HSV1(1.7%)、HSV2(10%)感染频率和CMV(3.3%)感染频率。在hiv阴性MSM组中,HSV1(5%)和HSV2(6.7%)感染的频率以及CMV(0%)感染的频率也进行了评估。结论:在hiv阳性的男男性行为者中,多种HPV基因型的检出率明显高于单一HPV基因型。根据我们的数据,25%的艾滋病毒阳性男男性行为者携带HPV39;这是与这群男男性接触者相关的五种HR型HPV(16、18、58、33和39)中唯一一种尚未包括在市场上可用的HPV疫苗中的类型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Prevalence of High Carcinogenic Risk of HPV Genotypes among HIV-Positive and HIV-Negative MSM from Russia.

The Prevalence of High Carcinogenic Risk of HPV Genotypes among HIV-Positive and HIV-Negative MSM from Russia.

Objective: Men who have sex with men (MSM) have a high risk of lifelong anal cancer caused by high-risk human papillomavirus (HR HPV) infections. The aim of this study was to investigate the prevalence of anal canal HR HPV infection among men who have sex with men (MSM) with and without HIV infection in Moscow (Russia). We evaluated associations of some HIV coinfections (HSV and CMV) and HPV distribution among MSM with and without HIV infection.

Methods: Two groups of HIV-positive (n = 60) and HIV-negative (n = 60) MSM were evaluated in the study. Fourteen high-risk (HR) HPV types, HSV1/2, and CMV were investigated in men anal swabs.

Results: HR HPVs were found with nearly the same frequency of 66.7% in both groups: HIV-positive and HIV-negative MSM. HIV-positive status was statistically associated with the presence of several (more than two) HPV types (p=0.044). The most prevalent HR HPV genotypes were HPV18, HPV16, HPV56, and HPV33 for HIV-positive MSM and HPV56, HPV51, HPV66, and HPV16 for HIV-negatives. We found a statistically significant association of five HR HPV types with HIV status of MSM: HPV16 (p=0.028), HPV18 (p=0.00006), HPV58 (p=0.003), HPV33 (p=0.019), and HPV39 (p=0.026). The frequency of HSV1 (1.7%) and HSV2 (10%) infections and CMV (3.3%) infection was evaluated in the group of HIV-positive MSM. The frequency of HSV1 (5%) and HSV2 (6.7%) infections and CMV (0%) infection was evaluated, as well, in the group of HIV-negative MSM.

Conclusion: Multiple HPV genotypes were detected significantly more often than single HPV genotype in the group of HIV-positive MSM. According to our data, 25% of HIV-positive MSM have HPV39; this is the only one of the five types of HR HPV (16, 18, 58, 33, and 39) associated with this group of MSM that has not yet been included in the HPV vaccines available on the market.

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