Evidence map›Paper›PMID 22723879›Full record

ArticlePloS one2012

HPV genotype distribution in cervical intraepithelial neoplasia among HIV-infected women in Pune, India.

Arati Mane, Amit Nirmalkar, Arun R Risbud, Sten H Vermund, Sanjay M Mehendale, Vikrant V Sahasrabuddhe

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02247999 (Improving Cervical Cancer Prevention Among HIV-Infected Women Using Novel HPV Based Biomarker Assays), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 12% 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.

NCT02247999 completednot on this map

Improving Cervical Cancer Prevention Among HIV-Infected Women Using Novel HPV Based Biomarker Assays

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2012 to 2020Enrolled1,000ConditionsCervical Cancer, HIV/AIDS, HPV, Cervical Intraepithelial Neoplasia
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. HPVMD-C: a disease-based mutation database of human papillomavirus in China.Database : the journal of biological databases and curation · 2022
    Article
  8. Review
  9. Human Papillomavirus (HPV) Prevalence and Type Distribution in Urban Areas of Malaysia.Asian Pacific journal of cancer prevention : APJCP · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Rates and determinants of incidence and clearance of cervical HPV genotypes among HIV-seropositive women in Pune, India.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
    Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. PCR and Genotyping for HPV in Cervical Cancer Patients.Journal of global infectious diseases
    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

6 authors at 4 institutions in 2 countries.

Arati ManeNational AIDS Research Institute, Pune, India.
Amit Nirmalkar
Arun R Risbud
Sten H Vermund
Sanjay M Mehendale
Vikrant V Sahasrabuddhe
National AIDS Research Institute · INNational Institute of Epidemiology · INVanderbilt Health · USVanderbilt University · US

Funding

Vanderbilt University-CIDRZ AIDS International Training and Research ProgramD43TW001035 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 1998 to 2014
$10.9M
Cervical Cancer Screening in HIV-infected women in IndiaR21CA113465 · NCI · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2005 to 2006
$360k
FIC NIH HHS D43 TW001035FIC NIH HHS D43TW001035NCI NIH HHS R21 CA113465NCI NIH HHS R21CA113465
6 · The paper itself

Abstract

backgroundThe distribution of HPV genotypes, their association with rigorously confirmed cervical precancer endpoints, and factors associated with HPV infection have not been previously documented among HIV-infected women in India. We conducted an observational study to expand this evidence base in this population at high risk of cervical cancer.

methodsHIV-infected women (N = 278) in Pune, India underwent HPV genotyping by Linear Array assay. Cervical intraepithelial neoplasia (CIN) disease ascertainment was maximized by detailed assessment using cytology, colposcopy, and histopathology and a composite endpoint.

resultsCIN2+ was detected in 11.2% while CIN3 was present in 4.7% participants. HPV genotypes were present in 52.5% (146/278) and 'carcinogenic' HPV genotypes were present in 35.3% (98/278) HIV-infected women. 'Possibly carcinogenic' and 'non/unknown carcinogenic' HPV genotypes were present in 14.7% and 29.5% participants respectively. Multiple (≥ 2) HPV genotypes were present in half (50.7%) of women with HPV, while multiple 'carcinogenic' HPV genotypes were present in just over a quarter (27.8%) of women with 'carcinogenic' HPV. HPV16 was the commonest genotype, present in 12% overall, as well as in 47% and 50% in CIN2+ and CIN3 lesions with a single carcinogenic HPV infection, respectively. The carcinogenic HPV genotypes in declining order of prevalence overall included HPV 16, 56, 18, 39, 35, 51, 31, 59, 33, 58, 68, 45 and 52. Factors independently associated with 'carcinogenic' HPV type detection were reporting ≥ 2 lifetime sexual partners and having lower CD4+ count. HPV16 detection was associated with lower CD4+ cell counts and currently receiving combination antiretroviral therapy.

conclusionHPV16 was the most common HPV genotype, although a wide diversity and high multiplicity of HPV genotypes was observed. Type-specific attribution of carcinogenic HPV genotypes in CIN3 lesions in HIV-infected women, and etiologic significance of concurrently present non/unknown carcinogenic HPV genotypes await larger studies.

Indexed as

GenotypeAdultCD4 Lymphocyte CountCoinfectionCross-Sectional StudiesFemaleHIV InfectionsHumansIndiaPapillomaviridaePapillomavirus InfectionsPrevalenceRisk FactorsUterine Cervical Dysplasia

Identifiers

PMID22723879
PMCPMC3378535
OpenAlexW2004326850

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Registered trials

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.