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SEROPREVALENCE OF HPV VACCINE TYPES 6, 11, 16 AND 18 IN HIV-INFECTED AND UNINFECTED WOMEN FROM BRAZIL
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Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Medicina Interdisciplinar. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil / Hospital Geral de Nova Iguaçu. Nova Iguaçu, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Johns Hopkins University School of Medicine. Department of Pediatrics. Baltimore, USA.
Johns Hopkins University School of Medicine. Department of Pediatrics. Baltimore, USA.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de AIDS e Imunologia Molecular. Rio de Janeiro, RJ, Brasil / Hospital Geral de Nova Iguaçu. Nova Iguaçu, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas, Rio de Janeiro, RJ, Brasil.
Johns Hopkins University School of Medicine. Department of Pediatrics. Baltimore, USA.
Johns Hopkins University School of Medicine. Department of Pediatrics. Baltimore, USA.
Abstract
Background: Information on vaccine-type HPV seroprevalence is essential for vaccine strategies; however,
limited data are available on past exposure to HPV-quadrivalent vaccine types in HIV-infected woman
in Brazil.
Objectives: To assess the seroprevalence for HPV types 6, 11, 16 and 18 in HIV-infected and uninfected
women, from Rio de Janeiro, Brazil and to investigate potential associations with age and pregnancy
status.
Study-design: 1100-sera were tested by virus-like particle (VLPs)-based ELISA for antibodies to HPV types
16, 18, 6 and 11. Statistical analysis was carried out by STATA/SE 10.1 and comparisons among HIVinfected
and HIV-uninfected women were assessed by Poisson regression models with robust variance.
Results: HPV-6, 11, 16 and 18 seroprevalence was significantly higher among HIV-positive women (29.9%,
8.5%, 56.2% and 38.0%, respectively) compared to HIV-negative women (10.9%, 3.5%, 30.8% and 21.7%,
respectively), when adjusted by age and pregnancy status. Overall, 69.4% of HIV-infected and 41.5% of
HIV-uninfected women tested positive for any HPV quadrivalent vaccine type. However 4.7% and 1.1%,
respectively, tested positive for all HPV vaccine type. In HIV-uninfected women who were pregnant,
we found a higher HPV-11 seroprevalence (8.5% vs. 1.5%; P < 0.001) and a lower HPV 16 seroprevalence
(22.6% vs. 34.2%; P = 0.010) compared to not pregnant women. HIV-uninfected women, aged 40 or more
years old had a higher HPV 16 seroprevalence compared to women aged less than 40 years old.
Conclusions: We did not observe a strong association between age and positive HPV antibodies nor an
association between pregnancy and HPV seroprevalence. HPV seroprevalence was significantly higher
among HIV-infected women compared to HIV negative women. In both populations the seroprevalence
to all four HPV vaccine types was low suggesting that women may potentially benefit from the HPV
vaccines.
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