Evidence map›Paper›PMID 19235870›Full record

ArticleJournal of medical virology2009

Quantitative human papillomavirus 16 and 18 levels in incident infections and cervical lesion development.

Rachel L Winer, Tiffany G Harris, Long Fu Xi, Kathrin U Jansen, James P Hughes, Qinghua Feng, Carolee Welebob, Jesse Ho, Shu-Kuang Lee, Joseph J Carter and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of medical virology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. First Report ofViruses · 2021
    Article
  2. Article
  3. Article
  4. Article
  5. Human papillomavirus DNA is rarely detected in colorectal carcinomas and not associated with microsatellite instability: the Seattle colon cancer family registry.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2013
    Article
  6. Article
  7. Article
  8. Early natural history of incident, type-specific human papillomavirus infections in newly sexually active young women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011
    Article
  9. Is human papillomavirus viral load a clinically useful predictive marker? A longitudinal study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2010
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Rachel L WinerDepartment of Epidemiology, University of Washington, Seattle, Washington, USA. rlw@u.washington.edu
Tiffany G Harris
Long Fu Xi
Kathrin U Jansen
James P Hughes
Qinghua Feng
Carolee Welebob
Jesse Ho
Shu-Kuang Lee
Joseph J Carter
Denise A Galloway
Nancy B Kiviat
Laura A Koutsky
University of Washington · USFred Hutch Cancer Center · US

Funding

VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
ACQUISITION &NATURAL HISTORY OF GENITAL HPV INFECTIONSR01AI038383 · NIAID · UNIVERSITY OF WASHINGTON · PI KOUTSKY, LAURA A · 1995 to 2009
$6.0M
HPV CAPSID ANTIBODIESR01AI038382 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GALLOWAY, DENISE A. · 1995 to 2020
$4.4M
RNA Analysis of HPV Viral LoadsR03CA108373 · NCI · UNIVERSITY OF WASHINGTON · PI KOUTSKY, LAURA A · 2004 to 2005
$124k
NCI NIH HHS R03 CA108373NCI NIH HHS R03-CA108373NIAID NIH HHS R01 AI038382NIAID NIH HHS R01 AI038383NIAID NIH HHS T32 AI007140PHS HHS R01-A138383PHS HHS T32-A1007140-24
6 · The paper itself

Abstract

Human papillomavirus (HPV) RNA levels may be a more sensitive early indicator of predisposition to carcinogenesis than DNA levels. We evaluated whether levels of HPV-16 and HPV-18 DNA and messenger RNA (mRNA) in newly detected infections are associated with cervical lesion development. Female university students were recruited from 1990 to 2004. Cervical samples for HPV DNA, HPV mRNA, and Papanicolaou testing were collected tri-annually, and women were referred for colposcopically directed biopsy when indicated. Quantitative real-time polymerase chain reaction of L1 and E7 DNA and E7 mRNA was performed on samples from women with HPV-16 and HPV-18 infections that were incidently detected by consensus PCR. Adjusting for other HPV types, increasing E7 cervical HPV-16 mRNA levels at the time of incident HPV-16 DNA detection were associated with an increased risk of cervical intraepithelial neoplasia grade 2-3 (HR per 1 log(10) increase in mRNA = 6.36, 95% CI = 2.00-20.23). Increasing HPV-16 mRNA levels were also associated with an increased risk of cervical squamous intraepithelial lesions; the risk was highest at the incident positive visit and decreased over time. Neither HPV-16 E7 DNA levels nor HPV-18 E7 DNA nor mRNA levels were significantly associated with cervical lesion development. Report of >1 new partner in the past 8 months (relative to no new partners) was associated with increased HPV mRNA (viral level ratio [VLR] = 10.05, 95% CI = 1.09-92.56) and increased HPV DNA (VLR = 16.80, 95% CI = 1.46-193.01). In newly detected HPV-16 infections, increasing levels of E7 mRNA appear to be associated with an increased risk of developing cervical pre-cancer.

Indexed as

Human papillomavirus 16Human papillomavirus 18Precancerous ConditionsUterine Cervical DysplasiaAdolescentAdultCervix UteriDNA, ViralFemaleHumansOncogene Proteins, ViralPapanicolaou TestPapillomavirus E7 ProteinsPapillomavirus InfectionsPolymerase Chain ReactionRisk FactorsDNA, Viraloncogene protein E7, Human papillomavirus type 16Oncogene Proteins, ViralPapillomavirus E7 ProteinsRNA, Messenger

Identifiers

PMID19235870
PMCPMC3984467
OpenAlexW2138916769

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.