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Published in: Cancer Causes & Control 8/2009

Open Access 01-10-2009 | Original paper

Prevalence and type distribution of human papillomavirus in 5,000 British Columbia women—implications for vaccination

Authors: Richard A. Moore, Gina Ogilvie, Daniel Fornika, Veronika Moravan, Marc Brisson, Mahsa Amirabbasi-Beik, Anita Kollar, Thomas Burgess, Ray Hsu, Laura Towers, Jane Lo, Jasenka Matisic, Angela Brooks-Wilson

Published in: Cancer Causes & Control | Issue 8/2009

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Abstract

Background

Human papilloma virus (HPV) prevalence studies performed in different regions and population groups across Canada would inform public health decisions regarding implementation of anti-HPV vaccines.

Methods

A total of 8,700 liquid-based specimens from 8,660 women aged 13–86 from throughout British Columbia were collected. DNA was isolated from 4,980 of these samples and assessed for HPV prevalence and type distribution. HPV was detected by PCR analysis using tagged GP5+/6+ consensus primers to amplify the L1 region of HPV; typing was done by bi-directional sequencing of PCR products.

Results

Overall HPV prevalence was 16.8% (age adjusted 15.5%). Prevalence of high-risk HPV was 13.9, and 10.7% of samples contained HPV16. HPV prevalence was highest in the youngest group of women (<20 years). One-third of HPV positive samples contained more than one HPV type. Percentages of low-grade (LGIL) and high-grade intraepithelial lesions (HGIL) containing high-risk HPV are 52.3 and 79.4%, respectively.

Conclusions

Overall HPV prevalence in this study is within the range of estimates from other studies. The prevalence of HPV16 is higher than what is found in other Canadian and international studies. HPV16 and HPV18 compose a majority of the high-risk virus in this study. Use of current HPV vaccines could considerably reduce HPV-related conditions including cervical cancer and procedures such as colposcopy.
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Literature
2.
go back to reference Munoz N, Mendez F, Posso H et al (2004) Incidence, duration, and determinants of cervical human papillomavirus infection in a cohort of Colombian women with normal cytological results. J Infect Dis 190:2077–2087. doi:10.1086/425907 PubMedCrossRef Munoz N, Mendez F, Posso H et al (2004) Incidence, duration, and determinants of cervical human papillomavirus infection in a cohort of Colombian women with normal cytological results. J Infect Dis 190:2077–2087. doi:10.​1086/​425907 PubMedCrossRef
3.
go back to reference Harper DM, Franco EL, Wheeler C et al (2004) Efficacy of a bivalent L1 virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women: a randomised controlled trial. Lancet 364:1757–1765. doi:10.1016/S0140-6736(04)17398-4 PubMedCrossRef Harper DM, Franco EL, Wheeler C et al (2004) Efficacy of a bivalent L1 virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women: a randomised controlled trial. Lancet 364:1757–1765. doi:10.​1016/​S0140-6736(04)17398-4 PubMedCrossRef
4.
go back to reference Harper DM, Franco EL, Wheeler CM et al (2006) Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and 18: follow-up from a randomised control trial. Lancet 367:1247–1255. doi:10.1016/S0140-6736(06)68439-0 PubMedCrossRef Harper DM, Franco EL, Wheeler CM et al (2006) Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and 18: follow-up from a randomised control trial. Lancet 367:1247–1255. doi:10.​1016/​S0140-6736(06)68439-0 PubMedCrossRef
6.
go back to reference Villa LL, Costa RL, Petta CA et al (2005) Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol 6:271–278. doi:10.1016/S1470-2045(05)70101-7 PubMedCrossRef Villa LL, Costa RL, Petta CA et al (2005) Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol 6:271–278. doi:10.​1016/​S1470-2045(05)70101-7 PubMedCrossRef
8.
go back to reference SurePath (2005) British Columbia Cervical Cancer Screening Program Feasibility Study: SurePath TM Liquid-Based Cytology: BC Cancer Agency SurePath (2005) British Columbia Cervical Cancer Screening Program Feasibility Study: SurePath TM Liquid-Based Cytology: BC Cancer Agency
9.
go back to reference de Roda Husman AM, Walboomers JM, van den Brule AJ, Meijer CJ, Snijders PJ (1995) The use of general primers GP5 and GP6 elongated at their 3′ ends with adjacent highly conserved sequences improves human papillomavirus detection by PCR. J Gen Virol 76(Pt 4):1057–1062. doi:10.1099/0022-1317-76-4-1057 PubMedCrossRef de Roda Husman AM, Walboomers JM, van den Brule AJ, Meijer CJ, Snijders PJ (1995) The use of general primers GP5 and GP6 elongated at their 3′ ends with adjacent highly conserved sequences improves human papillomavirus detection by PCR. J Gen Virol 76(Pt 4):1057–1062. doi:10.​1099/​0022-1317-76-4-1057 PubMedCrossRef
10.
go back to reference Asato T, Maehama T, Nagai Y, Kanazawa K, Uezato H, Kariya K (2004) A large case–control study of cervical cancer risk associated with human papillomavirus infection in Japan, by nucleotide sequencing-based genotyping. J Infect Dis 189:1829–1832. doi:10.1086/382896 PubMedCrossRef Asato T, Maehama T, Nagai Y, Kanazawa K, Uezato H, Kariya K (2004) A large case–control study of cervical cancer risk associated with human papillomavirus infection in Japan, by nucleotide sequencing-based genotyping. J Infect Dis 189:1829–1832. doi:10.​1086/​382896 PubMedCrossRef
11.
go back to reference Young TK, McNicol P, Beauvais J (1997) Factors associated with human papillomavirus infection detected by polymerase chain reaction among urban Canadian aboriginal and non-aboriginal women. Sex Transm Dis 24:293–298. doi:10.1097/00007435-199705000-00011 PubMed Young TK, McNicol P, Beauvais J (1997) Factors associated with human papillomavirus infection detected by polymerase chain reaction among urban Canadian aboriginal and non-aboriginal women. Sex Transm Dis 24:293–298. doi:10.​1097/​00007435-199705000-00011 PubMed
12.
go back to reference CCSP (2004) British Columbia Cervical Cancer Screening Program 2004 annual report: BC Cancer Agency CCSP (2004) British Columbia Cervical Cancer Screening Program 2004 annual report: BC Cancer Agency
15.
go back to reference Sellors JW, Lorincz AT, Mahony JB et al (2000) Comparison of self-collected vaginal, vulvar and urine samples with physician-collected cervical samples for human papillomavirus testing to detect high-grade squamous intraepithelial lesions. Cmaj 163:513–518PubMed Sellors JW, Lorincz AT, Mahony JB et al (2000) Comparison of self-collected vaginal, vulvar and urine samples with physician-collected cervical samples for human papillomavirus testing to detect high-grade squamous intraepithelial lesions. Cmaj 163:513–518PubMed
16.
go back to reference Ogilvie GS, Patrick DM, Schulzer M et al (2005) Diagnostic accuracy of self collected vaginal specimens for human papillomavirus compared to clinician collected human papillomavirus specimens: a meta-analysis. Sex Transm Infect 81:207–212. doi:10.1136/sti.2004.011858 PubMedCrossRef Ogilvie GS, Patrick DM, Schulzer M et al (2005) Diagnostic accuracy of self collected vaginal specimens for human papillomavirus compared to clinician collected human papillomavirus specimens: a meta-analysis. Sex Transm Infect 81:207–212. doi:10.​1136/​sti.​2004.​011858 PubMedCrossRef
19.
go back to reference Sellors JW, Mahony JB, Kaczorowski J et al (2000) Prevalence and predictors of human papillomavirus infection in women in Ontario, Canada. Survey of HPV in Ontario Women (SHOW) group. Cmaj 163:503–508PubMed Sellors JW, Mahony JB, Kaczorowski J et al (2000) Prevalence and predictors of human papillomavirus infection in women in Ontario, Canada. Survey of HPV in Ontario Women (SHOW) group. Cmaj 163:503–508PubMed
20.
go back to reference Coupé VM, Berkhof J, Bulkmans NW, Snijders PJ, Meijer CJ (2008) Age-dependent prevalence of 14 high-risk HPV types in The Netherlands: implications for prophylactic vaccination and screening. Br J Cancer 98(3):646–651. doi:10.1038/sj.bjc.6604162 PubMedCrossRef Coupé VM, Berkhof J, Bulkmans NW, Snijders PJ, Meijer CJ (2008) Age-dependent prevalence of 14 high-risk HPV types in The Netherlands: implications for prophylactic vaccination and screening. Br J Cancer 98(3):646–651. doi:10.​1038/​sj.​bjc.​6604162 PubMedCrossRef
21.
go back to reference Bao YP, Li N, Smith JS, Qiao YL, ACCPAB members (2008) Human papillomavirus type distribution in women from Asia: a meta-analysis. Int J Gynecol Cancer 18(1):71–79PubMedCrossRef Bao YP, Li N, Smith JS, Qiao YL, ACCPAB members (2008) Human papillomavirus type distribution in women from Asia: a meta-analysis. Int J Gynecol Cancer 18(1):71–79PubMedCrossRef
22.
28.
go back to reference Clifford GM, Gallus S, Herrero R et al (2005) Worldwide distribution of human papillomavirus types in cytologically normal women in the International Agency for Research on Cancer HPV prevalence surveys: a pooled analysis. Lancet 366:991–998. doi:10.1016/S0140-6736(05)67069-9 PubMedCrossRef Clifford GM, Gallus S, Herrero R et al (2005) Worldwide distribution of human papillomavirus types in cytologically normal women in the International Agency for Research on Cancer HPV prevalence surveys: a pooled analysis. Lancet 366:991–998. doi:10.​1016/​S0140-6736(05)67069-9 PubMedCrossRef
29.
go back to reference Vernon SD, Unger ER, Williams D (2000) Comparison of human papillomavirus detection and typing by cycle sequencing, line blotting, and hybrid capture. J Clin Microbiol 38:651–655PubMed Vernon SD, Unger ER, Williams D (2000) Comparison of human papillomavirus detection and typing by cycle sequencing, line blotting, and hybrid capture. J Clin Microbiol 38:651–655PubMed
31.
go back to reference Sellors JW, Karwalajtys TL, Kaczorowski JA et al (2002) Prevalence of infection with carcinogenic human papillomavirus among older women. Cmaj 167:871–873PubMed Sellors JW, Karwalajtys TL, Kaczorowski JA et al (2002) Prevalence of infection with carcinogenic human papillomavirus among older women. Cmaj 167:871–873PubMed
33.
go back to reference Richardson H, Kelsall G, Tellier P et al (2003) The natural history of type-specific human papillomavirus infections in female university students. Cancer Epidemiol Biomarkers Prev 12:485–490PubMed Richardson H, Kelsall G, Tellier P et al (2003) The natural history of type-specific human papillomavirus infections in female university students. Cancer Epidemiol Biomarkers Prev 12:485–490PubMed
34.
Metadata
Title
Prevalence and type distribution of human papillomavirus in 5,000 British Columbia women—implications for vaccination
Authors
Richard A. Moore
Gina Ogilvie
Daniel Fornika
Veronika Moravan
Marc Brisson
Mahsa Amirabbasi-Beik
Anita Kollar
Thomas Burgess
Ray Hsu
Laura Towers
Jane Lo
Jasenka Matisic
Angela Brooks-Wilson
Publication date
01-10-2009
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 8/2009
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-009-9365-4

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