Evidence map›Paper›PMID 39912394›Full record

ArticleJournal of medical virology2025

Viral Load of Human Papillomavirus (HPV) During Pregnancy and Its Association With HPV Vertical Transmission.

Eméra Alice Bénard, Ana Maria Carceller, Marie-Hélène Mayrand, Jacques Lacroix, Joseph Niyibizi, Louise Laporte, Emilie Comète, François Coutlée, Helen Trottier, HERITAGE study group

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

10 authors.

Eméra Alice BénardDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada.
Ana Maria CarcellerCentre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, Canada.
Marie-Hélène MayrandCentre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Canada.
Jacques LacroixDepartment of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, Canada.
Joseph NiyibiziDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada.
Louise LaporteCentre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, Canada.
Emilie ComèteCentre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Canada.
François CoutléeDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada.ORCID 0000-0002-2025-8928
Helen TrottierDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada.ORCID 0000-0003-3293-7837
HERITAGE study group

Funding

This work was supported by Réseau FRQS SIDA-MI; Canadian Institutes of Health Research; and Fonds de la Recherche du Québec en Santé.
6 · The paper itself

Abstract

Little is known on the dynamics of human papillomavirus (HPV) viral load during pregnancy and on the impact of viral load on HPV vertical transmission. We described viral loads for several genotypes during pregnancy and analyse its association with vertical transmission. Data were analysed from the HERITAGE study, a cohort of pregnant women recruited between 2010 and 2016 in three centres in Canada. Vaginal samples were collected at the first and third trimesters of pregnancy, placental samples were collected at birth, and conjunctival, oral, pharyngeal, and genital samples were collected in children at birth and 3 months were tested for HPV DNA and viral load by Linear Array essay. The association between viral load and vertical transmission was measured using logistic regression. Odd ratios (ORs) and their 95% Confidence intervals (CI) were adjusted for age of the mother. We included women in the cohort infected with the 13 most common genotypes during pregnancy (n = 287). A decrease in HPV viral load was observed during pregnancy (median difference between the third and first trimester of pregnancy = -0.005 copies/cell [p < 0.05]). Women with more than 2 HPV copies/cell (compared to those with ≤ 2 copies) at first trimester had a statistically significant higher risk of vertical transmission (adjusted OR = 6.41; 95% CI: 1.10-37.34 for any genotypes and OR = 17.17; 95% CI: 1.18-250.28 for HPV-16). Viral load values analysed continuously or categorized with different cut-offs showed comparable results. HPV viral load varied during pregnancy and was strongly associated with HPV vertical transmission. The results provide a better understanding of risk factors associated with vertical transmission.

Indexed as

Infectious Disease Transmission, VerticalPapillomaviridaePapillomavirus InfectionsPregnancy Complications, InfectiousViral LoadAdultCanadaCohort StudiesDNA, ViralFemaleGenotypeHuman Papillomavirus VirusesHumansInfant, NewbornPlacentaPregnancyDNA, Viralhuman papillomavirus (HPV)pregnancyvertical transmissionviral load

Identifiers

PMID39912394
PMCPMC11800320

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Registered trials

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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.