%0 Journal Article
%T High-Risk Genotypes of Human Papillomavirus at Diverse Anogenital Sites among Chinese Women: Infection Features and Potential Correlation with Cervical Intraepithelial Neoplasia.
%A Zhao C
%A An J
%A Li M
%A Li J
%A Zhao Y
%A Wang J
%A Xie HQ
%A Wei L
%J Cancers (Basel)
%V 16
%N 11
%D 2024 May 31
%M 38893229
%F 6.575
%R 10.3390/cancers16112107
%X <B>BACKGROUND: </B>Both cervical cancer and cervical intraepithelial neoplasia (CIN) are associated with human papillomavirus (HPV) infection at different anogenital sites, but the infection features of high-risk (HR) HPVs at these sites and their association with cervical lesions have not been well characterized. Given the limitation of cervical HPV 16/18 test in screening patients with high-grade CIN (CIN 2+), studies on whether non-16/18 HR-HPV subtype(s) have potential as additional indicator(s) to improve CIN 2+ screening are needed.<BR><B>METHODS: </B>The infection of 15 HR-HPVs in vulva, anus, vagina, and cervix of 499 Chinese women was analyzed, and CIN lesion-associated HR-HPV subtypes were revealed.<BR><B>RESULTS: </B>In addition to the well-known cervical-cancer-associated HPV 16, 52, and 58, HPV 51, 53, and 56 were also identified as high-frequency detected subtypes prevalently and consistently present at the anogenital sites studied, preferentially in multi-infection patterns. HPV 16, 52, 58, 56, and 53 were the top five prevalent subtypes in patients with CIN 2+. In addition, we found that cervical HPV 33/35/52/53/56/58 co-testing with HPV 16/18 might improve CIN 2+ screening performance.<BR><B>CONCLUSIONS: </B>This study provided a new insight into HR-HPV screening strategy based on different subtype combinations, which might be used in risk stratification clinically.