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Cancer Epidemiology Biomarkers & Prevention Vol. 8, 935-940, October 1999
© 1999 American Association for Cancer Research

Serum Antibodies to Human Papillomavirus 16 Proteins in Women from Brazil with Invasive Cervical Carcinoma1

Yeping Sun, José Eluf-Neto, F. Xavier Bosch, Nubia Muñoz, Jan M. M. Walboomers, Chris J. L. M. Meijer, Keerti V. Shah, Barbara Clayman and Raphael P. Viscidi2

Department of Pediatrics, Stanley Division of Developmental Neurovirology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287 [Y. S., B. C., R. P. V.]; Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, 455 Sao Paulo-SP, CEP 01246, Brazil [J. E-N.]; Institut Catala d‘Oncologia, 08907, Barcelona Spain [F. X. B.]; Unit of Field and Intervention Studies, International Agency for Research on Cancer, Lyon 69372, France [N. M.]; Department of Pathology, Free University Hospital, Amsterdam 1081 HV, the Netherlands [J. M. M. W., C. J. L. M. M.]; and Department of Molecular Medicine and Immunology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland 21205 [K. V. S.]

Serum samples from 194 cases and 217 controls participating in a case-control study of invasive cervical cancer in Brazil were examined for antibodies to human papillomavirus (HPV) 16 virus-like particles (VLPs) by ELISA. The prevalence of antibody in cases and controls was 47.4 versus 24.4% (P < 0.001). The prevalence was higher in women who had HPV-16 DNA in the genital tract (54.2%) than in those with other HPVs (36.8%) or no HPVs (44.8%), but the differences were not statistically significant. Among cases and controls, HPV-16 VLP antibodies were associated with a greater number of lifetime sexual partners ({chi}2 for trend, P < 0.001). Among controls, age was inversely associated with HPV-16 VLP seroreactivity ({chi}2 for trend, P = 0.019). The sera were previously tested for antibodies to HPV-16 E6 and E7 oncoproteins; there was no correlation between antibody titers to HPV-16 E6 or E7 and VLPs. The HPV-16 serological assays were compared as screening tests for invasive cervical cancer. The sensitivity and specificity estimates were 47.4 and 75.6% for HPV-16 VLP serology, 63.4 and 89.9% for either HPV-16 E6 or E7 serology, and 53.6 and 93.6% for high titers of either HPV-16 E6 or E7 or VLP antibodies. The utility of HPV-16 VLP ELISA as a screening test for invasive cervical cancer is limited by a high seroprevalence in women with probable prior exposure to HVP 16 but without disease.




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HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
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Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Cell Growth & Differentiation
Copyright © 1999 by the American Association for Cancer Research.