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Cervical Dysplasia, Infection, and Phylogeny of Human Papillomavirus in HIV-Infected and HIV-Uninfected Women at a Reproductive Health Clinic in Nairobi, Kenya
Joint Authors
Omire, Agnes
Budambula, Nancy L. M.
Kirumbi, Leah
Langat, Hillary
Kerosi, Danvas
Ochieng, Washingtone
Lwembe, Raphael
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-17
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
High risk human Papillomavirus (HPV) infections ultimately cause cervical cancer.
Human Immunodeficiency Virus (HIV) infected women often present with multiple high-risk HPV infections and are thus at a higher risk of developing cervical cancer.
However, information on the circulating high-risk HPV genotypes in Kenya in both HIV-infected and HIV-uninfected women is still scanty.
This study is aimed at determining the phylogeny and the HPV genotypes in women with respect to their HIV status and at correlating this with cytology results.
This study was carried out among women attending the Reproductive Health Clinic at Kenyatta National Hospital, a referral hospital in Nairobi, Kenya.
A cross-sectional study recruited a total of 217 women aged 18 to 50 years.
Paired blood and cervical samples were obtained from consenting participants.
Blood was used for serological HIV screening while cervical smears were used for cytology followed by HPV DNA extraction, HPV DNA PCR amplification, and phylogenetic analysis.
Out of 217 participants, 29 (13.4%) were HIV seropositive, while 68 (31.3%) were positive for HPV DNA.
Eight (3.7%) of the participants had abnormal cervical cytology.
High-risk HPV 16 was the most prevalent followed by HPV 81, 73, 35, and 52.
One participant had cervical cancer, was HIV infected, and had multiple high-risk infections with HPV 26, 35, and 58.
HPV 16, 6, and 81 had two variants each.
HPV 16 in this study clustered with HPV from Iran and Africa.
This study shows the circulation of other HPV 35, 52, 73, 81, 31, 51, 45, 58, and 26 in the Kenyan population that play important roles in cancer etiology but are not included in the HPV vaccine.
Data from this study could inform vaccination strategies.
Additionally, this data will be useful in future epidemiological studies of HPV in Nairobi as the introduction or development of new variants can be detected.
American Psychological Association (APA)
Omire, Agnes& Budambula, Nancy L. M.& Kirumbi, Leah& Langat, Hillary& Kerosi, Danvas& Ochieng, Washingtone…[et al.]. 2020. Cervical Dysplasia, Infection, and Phylogeny of Human Papillomavirus in HIV-Infected and HIV-Uninfected Women at a Reproductive Health Clinic in Nairobi, Kenya. BioMed Research International،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1134328
Modern Language Association (MLA)
Omire, Agnes…[et al.]. Cervical Dysplasia, Infection, and Phylogeny of Human Papillomavirus in HIV-Infected and HIV-Uninfected Women at a Reproductive Health Clinic in Nairobi, Kenya. BioMed Research International No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1134328
American Medical Association (AMA)
Omire, Agnes& Budambula, Nancy L. M.& Kirumbi, Leah& Langat, Hillary& Kerosi, Danvas& Ochieng, Washingtone…[et al.]. Cervical Dysplasia, Infection, and Phylogeny of Human Papillomavirus in HIV-Infected and HIV-Uninfected Women at a Reproductive Health Clinic in Nairobi, Kenya. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1134328
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134328