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HPV related carcinogenesis;is there a protective role? Article Summary

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Adeno-associated virus infection and cervical neoplasia: Is there a protective role against human papillomavirus-related carcinogenesis?
European Journal of Cancer Prevention, 06/26/08
Print     Email This Article     Save in My Library   Free Abstract
Agorastos T et al. - Data presented in this study suggest that human papillomavirus (HPV)-infected individuals are less likely to develop cervical neoplasia if adeno-associated virus (AAV) is present; AAV probably demonstrates a protective role against the pathogenic consequences of HPV infection.

Methods
  • Study to investigate whether AAV infection reduces the risk for HPV-related cervical neoplasia
  • A prospective descriptive analysis of the prevalence of AAV and HPV DNA sequences in women with and w/o neoplastic cervical lesions
  • Study population: 373 women (age=19-65 y)
  • Cytologic and colposcopic examination, AAV and HPV-DNA detection and typing were performed
  • Biopsies and treatment were performed as appropriate
  • Women with normal Papanicolaou smear test and colposcopic findings served as the control group (n=280)

Results
  • Women with proven cervical pathology were categorized into three groups:
  • (a) grade 1 cervical intraepithelial neoplasia (CIN 1) (n=31)
  • (b) grades 2 and 3 cervical intraepithelial neoplasia (CIN 2, 3) (n=45)
  • (c) women with invasive cervical cancer (n=17)
  • AAV infection was confirmed in 16.80% of women
  • AAV detection was not different between HPV (-) and HPV (+) controls
  • In disease groups, prevalence of AAV was lower in the HPV (+) vs HPV (-) pts
  • No difference in the prevalence of AAV DNA between HPV (+) and HPV (-) unaffected (control) women

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