Evidence of a higher prevalence of HPV infection in HTLV-1-infected women: a cross-sectional study

Revista da Sociedade Brasileira de Medicina Tropical

Sônia Sampaio Lôpo²  Paula Matos Oliveira²  Iuri Usêda Santana¹  Geisa Barbosa Pena¹  Maria Betânia Torrales¹  Rita Elizabeth Mascarenhas¹  Bernardo Galvão-castro²  Maria Fernanda Rios Grassi² 

[1] ,Escola Bahiana de Medicina e Saúde Pública Pós-Graduação em Medicina e Saúde Humana Salvador BA

关键词: HTLV-1;    HPV;    Proviral load;    Brazil;    HTLV-1;    HPV;    Carga proviral;    Brasil;   

DOI  :  10.1590/S0037-86822012000300005

来源: SciELO

【 摘 要 】

INTRODUCTION:HTLV-1 infection increases susceptibility to other infections. Few studies have addressed the co-infection between HPV and HTLV-1 and the immune response involved in this interaction. The aim of this study was to determine the prevalence of cervical HPV infection in HTLV-1-infected women and to establish the risk factors involved in this co-infection. METHODS: A cross-sectional study was carried out in Salvador, Brazil, between September 2005 and December 2008, involving 50 HTLV-1-infected women from the HTLV Reference Center and 40 uninfected patients from gynecological clinic, both at the Bahiana School of Medicine. HPV infection was assessed using hybrid capture. HTLV-1 proviral load was quantified using real-time polymerase chain reaction (PCR). RESULTS: The mean age of HTLV-1-infected women (38 ± 10 years) was similar to that of the control group (36 ± 13 years). The prevalence of HPV infection was 44% in the HTLV-1-infected group and 22.5% in uninfected women (p = 0.03). HTLV-1-infected women had lower mean age at onset of sexual life (17 ± 3 years versus 19 ± 3 years; p = 0.03) and greater number of lifetime partners compared with the control group (4 ± 3 versus 2 ± 1; p < 0.01). In the group of HTLV-1-infected patients, there was neither difference in HTLV-1 proviral load between HPV-infected women and the uninfected. CONCLUSIONS: The prevalence of HPV infection was higher in HTLV-1-infected women. Further studies should be performed to evaluate the progression of this co-infection.

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