RESEARCH PAPER
Prevalence and genotypic characteristics of cervical papillomaviruses in a cohort of HIV-positive women in Peru
 
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1
Infectious Diseases Service, Department of Internal Medicine, Almenara General Hospital, EsSalud, Lima, Peru
 
2
Vice-Rectorate of Research, Faculty of Medicine, Federico Villarreal National University, Lima, Peru
 
3
Cytopathology and Genetics Service, Department of Clinical Pathology, Almenara General Hospital, EsSalud, Lima, Peru
 
4
Gynecology and Obstetrics Service, Aurelio Diaz Ufano y Peral Hospital, Almenara Health Network, EsSalud, Lima, Peru
 
 
Submission date: 2023-09-28
 
 
Final revision date: 2024-04-04
 
 
Acceptance date: 2024-04-04
 
 
Online publication date: 2026-01-13
 
 
Corresponding author
Jaime A. Collins   

Infectious Diseases Service, Department of Internal Medicine, Almenara General Hospital, EsSalud, Lima, Peru
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Papillomaviruses are the main causes of cervical cancer. Objective of the study was to determine the prevalence and genotypic characteristics of cervical papillomaviruses in HIV (human immunodeficiency virus)-positive women.

Material and methods:
Prospective cross-sectional observational study among HIV-positive women at Almenara General Hospital in Peru, between November 2017 and December 2018, was conducted. HPV detection and typing was performed using a polymerase chain reaction technique that evaluated 21 genotypes, stratified according to oncogenic risk, i.e., six low-risk or non-oncogenic (6, 11, 42, 43, 44, and 81), and fifteen high-risk or truly oncogenic (16, 18, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 66, and 68).

Results:
We evaluated 148 HIV-positive women. The overall prevalence of papillomavirus infection of the cervix was 41% (61/148). Of these infections, 75% (46/61) were caused by oncogenic genotypes, and in this risk group, 57% (26/46) of women were affected by a single papillomavirus genotype. The most frequent non-oncogenic genotypes detected were human papillomavirus (HPV)-6 in 26% (16/61) and HPV-11 in 23% (14/61) of women. The most frequent oncogenic genotypes were HPV-16 (16%; 10/61), HPV-52 (13%; 8/61), HPV-58 (13%; 8/61), HPV-53 (12%; 7/61), HPV-31 (10%; 6/61), and HPV-45 (10%; 6/61). The frequency of HPV-18 reached 5% (3/61), while concurrent infection with HPV-16/18 was detected in 3% (2/61) of patients.

Conclusions:
The prevalence of papillomavirus infection of the cervix in HIV-positive women is high in our center, with three quarters caused by oncogenic genotypes. Genotype 16 was the most frequent high-risk papillomavirus.
REFERENCES (19)
1.
Crosbie EJ, Einstein MH, Franceschi S, Kitchener HC. Human papillomavirus and cervical cancer. Lancet 2013; 382: 889-899.
 
2.
Liu G, Sharma M, Tan N, Barnabas RV. HIV-positive women have higher risk of human papilloma virus infection, precancerous lesions, and cervical cancer. AIDS 2018; 32: 795-808.
 
3.
Caicedo-Martínez M, Fernández-Deaza G, Ordóñez-Reyes C, Olejua P, Nuche-Berenguer B, Mello MB, Murillo R. High-risk human papillomavirus infection among women living with HIV in Latin America and the Caribbean: a systematic review and meta-analysis. Int J STD AIDS 2021; 32: 1278-1289.
 
4.
Clifford GM, Tully S, Franceschi S. Carcinogenicity of human papillomavirus (HPV) types in HIV-positive women: a meta-analysis from HPV infection to cervical cancer. Clin Infect Dis 2017; 64: 1228-1235.
 
5.
Dickey BL, Coghill AE, Ellsworth GB, Wilkin TJ, Villa LL, Giulia-no AR. An updated systematic review of human papillomavirus genotype distribution by cervical disease grade in women living with human immunodeficiency virus highlights limited findings from Latin America. Sex Transm Dis 2021; 48: e248-e254. DOI: 10.1097/OLQ.0000000000001412.
 
6.
Teixeira MF, Sabidó M, Leturiondo AL, de Oliveira Ferreira C, Torres KL, Benzaken AS. High risk human papillomavirus prevalence and genotype distribution among women infected with HIV in Manaus, Amazonas. Virol J 2018; 15: 36. DOI: 10.1186/s12985-018-0942-6.
 
7.
Freitas BC, Suehiro TT, Consolaro ME, Silva VR. HPV infection and cervical abnormalities in HIV positive women in different regions of Brazil, a middle-income country. Asian Pac J Cancer Prev 2015; 16: 8085-8091.
 
8.
Menon S, Wusiman A, Boily MC, Kariisa M, Mabeya H, Luchters S, et al. Epidemiology of HPV genotypes among HIV positive women in Kenya: a systematic review and meta-analysis. PLoS One 2016; 11: e0163965. DOI: 10.1371/journal.pone.0163965.
 
9.
Ndizeye Z, Vanden Broeck D, Lebelo RL, Bogers J, Benoy I, Van Geertruyden JP. Prevalence and genotype-specific distribution of human papillomavirus in Burundi according to HIV status and urban or rural residence and its implications for control. PLoS One 2019; 14: e0209303. DOI: 10.1371/journal.pone.0209303.
 
10.
Konopnicki D, Manigart Y, Gilles C, Barlow P, De Marchin J, Feoli F, et al. High-risk human papillomavirus genotypes distribution in a cohort of HIV-positive women living in Europe: epidemiological implication for vaccination against human papillomavirus. AIDS 2016; 30: 425-433.
 
11.
Thorsteinsson K, Storgaard M, Katzenstein TL, Ladelund S, Rønsholt FF, Johansen IS, et al. Prevalence and distribution of cervical high-risk human papillomavirus and cytological abnormalities in women living with HIV in Denmark – the SHADE. BMC Cancer 2016; 16: 866. DOI: 10.1186/s12885-016-2881-1.
 
12.
Soohoo M, Blas M, Byraiah G, Carcamo C, Brown B. Cervical HPV infection in female sex workers: a global perspective. Open AIDS J 2013; 7: 58-66.
 
13.
Kelly H, Weiss HA, Benavente Y, de Sanjose S, Mayaud P; ART and HPV Review Group. Association of antiretroviral therapy with high-risk human papillomavirus, cervical intraepithelial neoplasia, and invasive cervical cancer in women living with HIV: a systematic review and meta-analysis. Lancet HIV 2018; 5: e45-e58. DOI: 10.1016/S2352-3018(17)30149-2.
 
14.
Ministry of Health of Peru. Cancer situation room in Peru (January-April, 2022). Lima: National Centre for Epidemiology, Disease Prevention and Control; 2022.
 
15.
Ministry of Health of Peru. Clinical practice guidelines for the prevention and management of cervical cancer. Lima; 2017.
 
16.
Venegas-Rodríguez G, Jorges-Nimer A, Galdos-Kajatt O. Papillomavirus vaccine in Peru. Rev Peru Ginecol Obstet 2020; 66. DOI: https://doi. org/10.31403/rpgo. v66i2286.
 
17.
Ghebre RG, Grover S, Xu MJ, Chuang LT, Simonds H. Cervical cancer control in HIV-infected women: past, present, and future. Gynecol Oncol Rep 2017; 21: 101-108.
 
18.
Tan N, Sharma M, Winer R, Galloway D, Rees H, Barnabas RV. Model-estimated effectiveness of single dose 9-valent HPV vaccination for HIV-positive and HIV-negative females in South Africa. Vaccine 2018; 36 (32 Pt A): 4830-4836.
 
19.
Ministry of Health of Peru, General Directorate of Medicines, Supplies and Drugs. Sanitary Registration of Pharmaceutical Products. Gardasil 9, recombinant nonavalent human papillomavirus vaccine – Sanitary Registration: BE01039 [Internet]. Lima: Minsa; 2023. Available at: https://www.digemid.minsa.gob.... (Accessed: 20.04.2023).
 
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ISSN:1730-1270
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