Seroreactivity to human papillomavirus (HPV) types 16, 18, or 31 and risk of subsequent HPV infection: results from a population-based study in Costa Rica

RP Viscidi, M Schiffman, A Hildesheim, R Herrero… - … Biomarkers & Prevention, 2004 - AACR
RP Viscidi, M Schiffman, A Hildesheim, R Herrero, PE Castle, MC Bratti, AC Rodriguez…
Cancer Epidemiology Biomarkers & Prevention, 2004AACR
Whether antibodies to human papillomavirus (HPV) capsids, elicited by natural infection, are
protective is unknown. This question was addressed in a population-based cohort of 7046
women in Costa Rica by examining the association between baseline seroreactivity to HPV-
16, HPV-18, or HPV-31 virus-like particles and the risk of subsequent HPV infection at a
follow-up visit 5–7 years after enrollment. Seropositivity to HPV-16, HPV-18, or HPV-31 was
not associated with a statistically significant decreased risk of infection with the homologous …
Abstract
Whether antibodies to human papillomavirus (HPV) capsids, elicited by natural infection, are protective is unknown. This question was addressed in a population-based cohort of 7046 women in Costa Rica by examining the association between baseline seroreactivity to HPV-16, HPV-18, or HPV-31 virus-like particles and the risk of subsequent HPV infection at a follow-up visit 5–7 years after enrollment. Seropositivity to HPV-16, HPV-18, or HPV-31 was not associated with a statistically significant decreased risk of infection with the homologous HPV type [relative risk (RR) and [95% confidence interval (CI)], 0.74 (0.45–1.2), 1.5 (0.83–2.7), and 0.94 (0.48–1.8), respectively]. Seropositivity to HPV-16 or HPV-31 was not associated with a decreased risk of infection with HPV-16 or its genetically related types [RR (95% CI), 0.82 (0.61–1.1) and 0.93 (0.68–1.2), respectively]. Seropositivity to HPV-18 was not associated with a decreased risk of infection with HPV-18 or its genetically related types (RR 1.3; 95% CI 1.0–1.8). Thus, we did not observe immunity, although a protective effect from natural infection cannot be excluded because of the limits of available assays and study designs.
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