2002, Number 4
Next >>
Bioquimia 2002; 27 (4)
Prevalence of high-risk human papilloma virus in anal epitelium of HIV-positive men who have sex with men
Villanueva P, Díaz P, Guido M, Rangel A, Sotelo R, García-Carrancá A
Language: Spanish
References: 24
Page: 94-102
PDF size: 218.33 Kb.
ABSTRACT
Almost 70 types of Human Papilloma virus (HPV) are associated with lesions of the anogenital tract. High-risk HPV types (such as HPV16, 18, 30, 31, and 33) are frequently found associated with anal squamous intraepithelial lesions. It has been shown that HIV-positive men who have sex with men are in higher risk of developing precancerous anal lesions. This increased risk is related to HPV infection and to the immunosupression associated with HIV.
The present work is a cross-sectional study with 31 HIVpositive men who have sex with men (MSM) to determine the prevalence of HPV in the anal canal. HPV DNA was detected using the Hybrid Capture II assay. Anal infection of HPV was detected in 74.2% of the subjects. Infection with multiple types (positive to both assays: low and high-oncogenic risk types) was found in 58%.
This study emphasizes the need for HPV screening in HIVpositive MSM due to their high risk for HPV anal infection and HPV-associated anal disease.
REFERENCES
Vieyra F, Luna-Pérez P, Peña J P, Rodríguez-Coria D. Característicasclínicas asociadas de 41 pacientes con carcinoma epidermoide deano, estudiados en un centro de cáncer. Rev Gastroenterol Mex 1997;62 (2): 89-93.
Wexner S, Milsom J, Dailey T. The demographics of anal cancers arechanging. Dis Colon Rectum 1987; 30: 942-946.
Caussy D, Goedert J, Palefsky J, Gonzales J, Rabkin C, DiGioia R, et al.Interaction of human immunodeficiency and papilloma viruses:Association with anal epithelial abnormality in homosexual men. Int JCancer 1990; 46: 214-219.
Critchlow C, Surawicz C, Colmes K, Kuypers J, Daling J, Hawes S, et al.Prospective study of high grade anal squamous intraepithelial neoplasiain a cohort of homosexual men: influence of HIV infection,immunosuppression and human papilomavirus infection. AIDS 1995:9; 1255-1262.
Melbye M, Palefsky J, Ryder L, Nielsen H, Bergmann O, Pindborg J,Biggar R. Immune status as a determinant of human papillomavirusdetection and its association with anal epithelial abnormalities. Int JCancer 1990; 46: 203-206.
Palefsky J, Berry M. Pathogenesis and Clinical Manifestations of HIV-Associated Anogenital Neoplasia. The AIDS Knowledge Base Education.1988.Página web: http//:HIVInSite.usf.edu/akb/1997/07analca/index.htlm
Palefsky J. Anal squamous intraepitelial lesions: Relation to HIV andhuman Papillomavirus infection. JAIDS 1999; 21: s42-s48.
Palefsky J, Holly E, Ralston M, Jay N. Prevalence and risk factors forHuman Papillomavirus infection of the anal canal in humanimmunodeficiency virus (HIV)- positive and HIV-negative homosexualmen. J Infect Dis 1998b; 177: 361-367.
Goldie S, Kuntz K, Weinstein M, Freedberg K, Welton M, Palefsky J. Theclinical effectiveness and cost-effectiveness of screening for analsquamous intraepithelial lesions in homosexual and Bisexual HIV-Positive Men. JAMA 1999; 281: 1822-1829.
Holm R, Tanum G, Karlsen F, Nesland M. Prevalence and physical stateof human papillomavirus DNA in anal carcinoma. Mod Path 1994; 7(4): 449-53.
Palefsky J, Holly E, Hogeboom C, Ralston M, DaCosta M, Botts R, et al.Virologic, immunologic, and clinical parameters in the incidence andprogression of anal squamous intraepithelial lesions in HIV-positiveand HIV-negative homosexual men. J Acquir Immune Defic Syndr AndHuman Retrovirol 1998; 17: 314-319.
Scheffner M, Romanczuk H, Munger K, Huibregtse J M, Mietz J A,Howley P. Function of human Papillomavirus proteins, in HumanPathogenic Papillomaviruses, zur Hausen: Ed. Springer-Verlag;1994. p.83-89.
Howley P. Role of the human papillomaviruses in human cancer. CancerRes 1991; (s) 51: 5019s-5022s.
Vousden K H. Cell Transformation by Human Papillomaviruses, in Virusand Cancer. Cambridge University Press: Ed. Minson A, Neil J, McCraeM; 1994.p. 27-46.
Dewhurst S. HIV-1: Molecular Biology, 1996.Página web: http//:www.urmc.rochester.edu/smd/mbi/grad/hiv279.htlm
Palefsky J. Anogenital Neoplasia in HIV-Positive Women and Men,HIV:Advances in research and Therapy. Vol 6, No. 3, 1996. InternationalAssociation of Physicians in AIDS Care:Página web: http://www.iapac.org/clinmgt/diseases/neoplasia/anogen.html
Mueller N. Overview of the epidemiology of malignancy in immunedeficiency. JAIDS 1999; 21: s5-s10.
Friedman H, Saah A, Sherman M, Busseniers A, Blakcwelder W, KaslowR, et al. Human Papillomavirus, anal squamous intraepithelial lesionsand human immunodeficiency virus in a cohort of gay men. J InfectDis 1998; 178: 45-52.
Cappiello G, Garbuglia A, Salvi R, Retzza G, Giuliani M, Petzzotti P, etal. HIV infection increases the risk of squamous intra-epithelial lesionsin women with human papillomavirus infection: An analysis of HPVgenotypes. Int J Cancer 1997; 72: 982-986.
Lacey H B, Wilson G E, Tilsoton P, Wilkins E, Bailey A, Corbitt G, et al.A study of anal intraepithelial neoplasia in HIV positive homosexualmen. Sex Transm Infect 1999; 75(3): 172-177.
Lundberg G. The 1988 Bethesda system for reporting cervical/vaginalcytological diagnoses. JAMA 1989; 262 (7): 931-934.
Benjamín I, Echols L. The Pap Test: Cervical changes and health care.Pagina web: http://www.oncolink.com/spec.../gyn_onc/cervical/screening/pap_test.htlm. 1999.
Cockerell C. Human Papillomavirus Infections. International Associationof Physicians in AIDS Care. Página web: http//:www.iapac.org/clinmgt/diseases/cm/cm6.htlm 1995.
Sun X, Ferenczy A, Johnson D, Koulos J, Lungu O, Richart R, WrightT. Evaluation of the hybrid capture human papillomavirusdeoxyribonucleic acid detection test. Am J Ostet Gynecol 1995; 173:1432-1437.