Evidence map›Paper›PMID 27429850›Full record

ArticleAmerican journal of cancer research2016

Association of human papillomavirus, Neisseria gonorrhoeae and Chlamydia trachomatis co-infections on the risk of high-grade squamous intraepithelial cervical lesion.

André Lp de Abreu, Natália Malaguti, Raquel P Souza, Nelson S Uchimura, Érika C Ferreira, Monalisa W Pereira, Maria Db Carvalho, Sandra M Pelloso, Marcelo G Bonini, Fabrícia Gimenes and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of cancer research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% 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

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  7. Head-to-head comparison of the MyGene human papillomavirus-sexually transmitted infection assay versus the Cobas 4800 human papillomavirus test for detecting high-grade cervical intraepithelial neoplasia.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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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

11 authors at 2 institutions in 2 countries.

André Lp de AbreuClinical Cytology Laboratory, State University of Maringá (UEM)Maringá, Paraná, Brazil; Department of Pharmacology, University of Illinois at ChicagoIllinois, USA.
Natália MalagutiClinical Cytology Laboratory, State University of Maringá (UEM) Maringá, Paraná, Brazil.
Raquel P SouzaClinical Cytology Laboratory, State University of Maringá (UEM) Maringá, Paraná, Brazil.
Nelson S UchimuraDepartment of Medicine, State University of Maringá Paraná, Brazil.
Érika C FerreiraDepartment of Statistics, State University of Maringá Paraná, Brazil.
Monalisa W PereiraClinical Cytology Laboratory, State University of Maringá (UEM) Maringá, Paraná, Brazil.
Maria Db CarvalhoDepartment of Medicine, State University of Maringá Paraná, Brazil.
Sandra M PellosoDepartment of Nursing, State University of Maringá Paraná, Brazil.
Marcelo G BoniniDepartment of Pharmacology, University of Illinois at Chicago Illinois, USA.
Fabrícia GimenesClinical Cytology Laboratory, State University of Maringá (UEM) Maringá, Paraná, Brazil.
Marcia El ConsolaroClinical Cytology Laboratory, State University of Maringá (UEM) Maringá, Paraná, Brazil.
Universidade Estadual de Maringá · BRUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The link between high-risk human Papillomavirus (HR-HPV) and other sexually transmitted diseases (STDs) in the risk of developing cervical cancer still unclear. Thus, in this report we investigated the rates of co-infections between HPV and other important non-HPV STDs in different cervical findings using a multiplex polymerase chain reaction (M-PCR) to simultaneously detect Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis, HSV-1 and -2, and Treponema pallidum. A total of 838 women aged 18 to 68 years were screened using Papanicolaou smears for cervical abnormalities, HPV and non-HPV STDs using PCR and M-PCR methods. A total of 614 (73.3%) of the women had normal cytology (NILM) and 224 (26.7%) women exhibited abnormal cytology (≥ ASC-US). HPV-DNA prevalence was 33.9%, and HPV-16 was the most prevalent genotype in women with NILM and ≥ ASC-US cytology. Non-HPV STDs were detected in 30.4% women and T. vaginalis was the most prevalent one (11.6%). A higher increased risk of ≥ ASC-US and HSIL occurred in co-infections of HR-HPV with C. trachomatis and N. gonorrhoeae. Co-infections of HPV-DNA and HR-HPV with HSV-2 exhibited a similar increased risk but only with ≥ ASC-US. Co-infections of HPV-DNA and HR-HPV with T. vaginalis demonstrated a similar increased risk of ≥ ASC-US and HSIL. We found that C. trachomatis and N. gonorrhoeae were the primary pathogens associated with HR-HPV for the increased risk for all grades of cervical abnormalities but mainly for HSIL, suggesting a possible synergistic action in cervical lesions progression. Our results reinforce the hypothesis that some non-HPV STDs might play a role as co-factors in HPV-mediated cervical carcinogenesis. These data improve our understanding of the etiology of SCC and may also be useful for disease prevention.

Indexed as

Cervical cancerco-factorsHPVHSILprogression risksexually transmitted diseases

Identifiers

PMID27429850
PMCPMC4937739
OpenAlexW2494529697

What OpenQuestion holds

Textmetadata
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.