Association between high-risk HPV types, HLA DRB1* and DQB1* alleles and cervical cancer in British women

被引:105
作者
Cuzick J. [1 ]
Terry G. [1 ]
Ho L. [1 ]
Monaghan J.
Lopes A.
Clarkson P.
Duncan I. [2 ]
机构
[1] Dept. of Math., Stat./Epidemiology, Imperial Cancer Research Fund, London WC2A 3PX
[2] Ninewells Hospital, Dundee
关键词
Cervical cancer; HLA; HPV;
D O I
10.1054/bjoc.1999.1103
中图分类号
学科分类号
摘要
Cervical scrapes from 116 British women referred with cervical cancer were tested for the presence of high oncogenic risk human papillomavirus (HPV) genotypes (HPV(hr)). Ninety-four per cent of the scrapes had one or more of these virus types and 66% were HPV16-positive. HPV18 was more frequent in adenocarcinoma. No evidence was found for an increased cancer risk associated with the HPV16 E6 350G variant. The HLA DRB1* and DQB1* alleles in these women and in 155 women with normal cytology and negative for HPV(hr) DNA were compared. DQB1*0301 alone (2P = 0.02) and in combination with DRB1*0401 (2P = 0.02) was found to be associated with cervical cancer. This was more marked in cancers positive for HPV types other than HPV16. In contrast, DRB1*1501 alone and in combination with DQB1*0602 was not significantly elevated in cancers overall, but did show some excess in HPV16-positive cancers (2P = 0.05), associated with HPV16-positive cervical cancers. Taking all cancers together, a marginally significant protective effect was found for DQB1*0501 (2P = 0.03) but no protective effect could be seen for DRB1*1301. (C) 2000 Cancer Research Campaign.
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页码:1348 / 1352
页数:4
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