High Oral Human Papillomavirus Type 16 Load Predicts Long-term Persistence in Individuals with or at Risk for HIV Infection

Daniel C. Beachler, Yingshi Guo, Wiehong Xiao, Robert D. Burk, Howard Minkoff, Howard D. Strickler, Ross D. Cranston, Dorothy J. Wiley, Lisa P. Jacobson, Kathleen M. Weber, Joseph B. Margolick, Elizabeth A. Sugar, Susheel Reddy, Maura L. Gillison, Gypsyamber D'Souza

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The association between oral human papillomavirus 16 (HPV16) DNA load and infection clearance was evaluated among 88 individuals with oral HPV16 infection who were identified within a prospective cohort of 1470 HIV-infected and uninfected individuals. Oral rinse specimens were collected semiannually for up to 5 years. The oral HPV16 load at the time of the first positive test result was significantly associated with the time to clearance of infection (continuous P trends < .01). Notably, clearance rates by 24 months were 41% and 94% in the highest and lowest HPV16 load tertiles (P = .03), respectively. High oral HPV16 load warrants consideration as a biomarker for infection persistence, the presumed precursor of HPV16-associated oropharyngeal cancer.

Original languageEnglish (US)
Pages (from-to)1588-1591
Number of pages4
JournalJournal of Infectious Diseases
Volume212
Issue number10
DOIs
StatePublished - Nov 15 2015

Keywords

  • HIV
  • Oral HPV
  • Oropharyngeal cancer
  • Persistence
  • Viral load

ASJC Scopus subject areas

  • General Medicine

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