Classical Molecular Tests Using Urine Samples as a Potential Screening Tool for Human Papillomavirus Detection in Human Immunodeficiency Virus-Infected Women

Autor: Antonio Perez-Prados, Manuel E. Patarroyo, Sara C. Soto-De Leon, Andrea C. Pineda-Peña, Marina Muñoz, Manuel A. Patarroyo, Ricardo Sánchez, Milena Camargo
Přispěvatelé: Universidad Pública de Navarra. Departamento de Estadística e Investigación Operativa, Nafarroako Unibertsitate Publikoa. Estatistika eta Ikerketa Operatiboa Saila
Rok vydání: 2013
Předmět:
Urine samples
medicine.medical_treatment
Prevalence
HIV Infections
Cervix Uteri
Urine
Polymerase Chain Reaction
law.invention
Human papillomavirus type 18
Human papillomavirus type 6
PCR-based moleculat tests
Human papillomavirus type 58
law
Human papillomavirus type 16
Mixed infection
Viral
Human papillomavirus type 11
Papillomaviridae
Polymerase chain reaction
Priority journal
Virus detection
Cervical cancer
HPV infection
Immunosuppression
Middle Aged
Molecular Diagnostic Techniques
Female
Human
Adult
Microbiology (medical)
Major clinical study
Papillomavirus infection
Urinalysis
Uterine cervix cytology
Biology
Sensitivity and Specificity
Article
Cancer screening
Wart virus
Human immunodeficiency virus infection
Virology
Virus DNA
medicine
Humans
Human papillomavirus type 31
Human papillomavirus type 33
DNA Primers
Human papillomavirus (HPV)
Papillomavirus Infections
HIV
DNA
Nonhuman
medicine.disease
biology.organism_classification
DNA
Viral

Immunology
Human papillomavirus type 45
Controlled study
Ascus
Zdroj: Academica-e: Repositorio Institucional de la Universidad Pública de Navarra
Universidad Pública de Navarra
Repositorio EdocUR-U. Rosario
Universidad del Rosario
instacron:Universidad del Rosario
Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname
ISSN: 1098-660X
0095-1137
DOI: 10.1128/jcm.01302-13
Popis: Incluye un fichero de datos Human papillomavirus (HPV) is the main risk factor associated with the development of cervical cancer (CC); however, there are other factors, such as immunosuppression caused by the human immunodeficiency virus (HIV), that favor progression of the illness. This study was thus aimed at evaluating the functionality of classical PCR-based molecular tests for the generic identification of HPV DNA (GP5 /GP6 , MY09/MY11, and pU1M/2R primers, individually or in combination) using cervical and urine samples from 194 HIV-positive women. Infected samples were tested with type-specific primers for six high-risk types (HPV-16, -18, -31, -33, -45, and -58) and two low-risk types (HPV-6 and -11). HPV infection prevalence rates were 70.1% for the cervical samples and 63.9% for the urine samples. HPV-16 was the most prevalent viral type in the cervical and urine samples, with higher rates of multiple infections than single infections detected in such samples. HPV DNA detection by PCR (mainly with the pU1M/2R primer set) in urine samples was positively associated with abnormal cytological findings (atypical squamous cells of undetermined significance/squamous intraepithelial lesions [ASCUS/SIL]). It was determined that the operative characteristics for detection of cytological abnormalities were similar for cervical and urine samples. This suggested using PCR for the detection of HPV DNA in urine samples as a potential screening strategy for CC prevention in future prevention and control programs along with currently implemented strategies for reducing the impact of the disease, i.e., urine samples are economical, are easy to collect, have wide acceptability among women, and have operative characteristics similar to those of cervical samples. The authors are grateful to the Basque Cooperation Agency for Development and the Spanish Agency for International Development Cooperation (AECID) for supporting and financing this project.
Databáze: OpenAIRE