Evidence map›Paper›PMID 28120845›Full record

ArticleMucosal immunology2017

Association of HPV infection and clearance with cervicovaginal immunology and the vaginal microbiota.

B Shannon, T J Yi, S Perusini, P Gajer, B Ma, M S Humphrys, J Thomas-Pavanel, L Chieza, P Janakiram, M Saunders and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Mucosal immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 3 pooled it
11.8field-weighted citation impact, top 1% 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

125 citing papers in PubMed, 3 syntheses or guidelines pooled it, 226 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Cervicovaginal microbiome alterations across HPV infection.Frontiers in cellular and infection microbiology · 2026
    Article
  11. Review
  12. Evaluating theFrontiers in immunology · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

65 more citing papers are in PubMed but not listed here.

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

16 authors at 4 institutions in 2 countries.

B ShannonDepartments of Medicine, University of Toronto, Toronto, Ontario, Canada.
T J YiDepartments of Medicine, University of Toronto, Toronto, Ontario, Canada.
S PerusiniPublic Health Ontario-Toronto Public Health Laboratory, Toronto, Ontario, Canada.
P GajerInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
B MaInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
M S HumphrysInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
J Thomas-PavanelWomen's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada.
L ChiezaWomen's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada.
P JanakiramWomen's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada.
M SaundersWomen's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada.
W TharaoWomen's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada.
S HuibnerDepartments of Medicine, University of Toronto, Toronto, Ontario, Canada.
K ShahabiDepartments of Medicine, University of Toronto, Toronto, Ontario, Canada.
J RavelInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
A RebbapragadaPublic Health Ontario-Toronto Public Health Laboratory, Toronto, Ontario, Canada.
R KaulDepartments of Medicine, University of Toronto, Toronto, Ontario, Canada.
University of Toronto · CAWomen's Health In Women's Hands · CAUniversity of Maryland, Baltimore · USToronto Public Health · CA

Funding

Serologic Biomarkers of Human Sexually Transmitted Infection and DiseaseU19AI084044 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI BAVOIL, PATRIK M, RAVEL, JACQUES · 2009 to 2018
$22.8M
Longitudinal Study of the Vaginal Microbiome Prior To Incident STIR01AI116799 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI BROTMAN, REBECCA M. · 2015 to 2019
$3.5M
CIHR OCH-131579CIHR TMI-138656NIAID NIH HHS R01 AI116799NIAID NIH HHS U19 AI084044
6 · The paper itself

Abstract

Cervical human papillomavirus (HPV) infection may increase HIV risk. Since other genital infections enhance HIV susceptibility by inducing inflammation, we assessed the impact of HPV infection and clearance on genital immunology and the cervico-vaginal microbiome. Genital samples were collected from 65 women for HPV testing, immune studies and microbiota assessment; repeat HPV testing was performed after 6 months. All participants were HIV-uninfected and free of bacterial STIs. Cytobrush-derived T cell and dendritic cell subsets were assessed by multiparameter flow cytometry. Undiluted cervico-vaginal secretions were used to determine cytokine levels by multiplex ELISA, and to assess bacterial community composition and structure by 16S rRNA gene sequence analysis. Neither HPV infection nor clearance were associated with broad differences in cervical T cell subsets or cytokines, although HPV clearance was associated with increased Langerhans cells and HPV infection with elevated IP-10 and MIG. Individuals with HPV more frequently had a high diversity cervico-vaginal microbiome (community state type IV) and were less likely to have an L. gasseri predominant microbiome. In summary, HPV infection and/or subsequent clearance was not associated with inflammation or altered cervical T cell subsets, but associations with increased Langerhans cells and the composition of the vaginal microbiome warrant further exploration.

Indexed as

AdultChemokine CXCL10Chemokine CXCL9CytokinesFemaleHerpes GenitalisHerpesvirus 2, HumanHumansLangerhans CellsMicrobiotaMiddle AgedRNA, Ribosomal, 16ST-Lymphocyte SubsetsVaginaViral LoadChemokine CXCL10Chemokine CXCL9CXCL10 protein, humanCXCL9 protein, humanCytokinesRNA, Ribosomal, 16S

Identifiers

PMID28120845
PMCPMC5526752
OpenAlexW2582447685

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.