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Potential impact of a nine-valent vaccine in human papillomavirus related cervical disease
Information on human papillomavirus (HPV) type distribution is necessary to evaluate the potential impact of current and future HPV vaccines. We estimated the relative contribution (RC) to invasive cervical cancer (ICC) and precancerous cervical lesions of the nine HPV types (HPV 6/11/16/18/31/33/45...
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Published in: | Infectious agents and cancer 2012-12, Vol.7 (1), p.38-38, Article 38 |
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description | Information on human papillomavirus (HPV) type distribution is necessary to evaluate the potential impact of current and future HPV vaccines. We estimated the relative contribution (RC) to invasive cervical cancer (ICC) and precancerous cervical lesions of the nine HPV types (HPV 6/11/16/18/31/33/45/52/58) included in an HPV vaccine currently under development.
Estimations on ICC were based on an international study of 8,977 HPV positive cases and estimations on precancerous cervical lesions were extracted from a published meta-analysis including 115,789 HPV positive women. Globocan 2008 and 2010 World Population Prospects were used to estimate current and future projections of new ICC cases.
RC of the 9 HPV types in ICC was 89.4%, with 18.5% of cases positive for HPV 31/33/45/52/58. Regional variations were observed. RCs varied by histology, ranging between 89.1% in squamous cell carcinomas (SCC) and 95.5% in adenocarcinomas (ADC). HPV 16/18/45 were detected in 94.2% of ADC. RC of the 9 types altogether decreased with age (trend test p |
doi_str_mv | 10.1186/1750-9378-7-38 |
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Estimations on ICC were based on an international study of 8,977 HPV positive cases and estimations on precancerous cervical lesions were extracted from a published meta-analysis including 115,789 HPV positive women. Globocan 2008 and 2010 World Population Prospects were used to estimate current and future projections of new ICC cases.
RC of the 9 HPV types in ICC was 89.4%, with 18.5% of cases positive for HPV 31/33/45/52/58. Regional variations were observed. RCs varied by histology, ranging between 89.1% in squamous cell carcinomas (SCC) and 95.5% in adenocarcinomas (ADC). HPV 16/18/45 were detected in 94.2% of ADC. RC of the 9 types altogether decreased with age (trend test p < 0.0001), driven by the decrease in older ages of HPV 16/18/45. In contrast, the RC of HPV 31/33/52/58 increased with age. Due to population growth alone, projected estimates of ICC cases attributable to the 9 types are expected to rise from 493,770 new cases in 2012 to 560,887 new cases in 2025.The RCs of individual high risk HPV types varied by cytological and histological grades of HPV-positive precancerous cervical lesions, and there was an under representation of HPV 18 and 45 compared to ICC.
The addition of HPV 31/33/45/52/58 to HPV types included in current vaccines could prevent almost 90% of ICC cases worldwide. If the nine-valent vaccine achieves the same degree of efficacy than previous vaccines, world incidence rates could be substantially reduced.</description><identifier>ISSN: 1750-9378</identifier><identifier>EISSN: 1750-9378</identifier><identifier>DOI: 10.1186/1750-9378-7-38</identifier><identifier>PMID: 23273245</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adenocarcinoma ; Age ; Analysis ; Cervical cancer ; Cervix ; Development and progression ; Epidemiology ; Genotype ; Geriatrics ; Human papillomavirus ; Human papillomavirus vaccines ; Invasiveness ; Medical research ; Medicine, Experimental ; Papillomavirus infections ; Papillomaviruses ; Population growth ; Reviews ; Risk factors ; Squamous cell carcinoma ; Vaccines</subject><ispartof>Infectious agents and cancer, 2012-12, Vol.7 (1), p.38-38, Article 38</ispartof><rights>COPYRIGHT 2012 BioMed Central Ltd.</rights><rights>2012 Serrano et al.; licensee BioMed Central Ltd. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright ©2012 Serrano et al.; licensee BioMed Central Ltd. 2012 Serrano et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b708t-f4bec2b3bfce9da222ffbc326c8cc6c05815a15848e70b853bec7f31b3cb6d413</citedby><cites>FETCH-LOGICAL-b708t-f4bec2b3bfce9da222ffbc326c8cc6c05815a15848e70b853bec7f31b3cb6d413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554470/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1272279269?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23273245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Serrano, Beatriz</creatorcontrib><creatorcontrib>Alemany, Laia</creatorcontrib><creatorcontrib>Tous, Sara</creatorcontrib><creatorcontrib>Bruni, Laia</creatorcontrib><creatorcontrib>Clifford, Gary M</creatorcontrib><creatorcontrib>Weiss, Thomas</creatorcontrib><creatorcontrib>Bosch, Francesc Xavier</creatorcontrib><creatorcontrib>de Sanjosé, Silvia</creatorcontrib><title>Potential impact of a nine-valent vaccine in human papillomavirus related cervical disease</title><title>Infectious agents and cancer</title><addtitle>Infect Agent Cancer</addtitle><description>Information on human papillomavirus (HPV) type distribution is necessary to evaluate the potential impact of current and future HPV vaccines. We estimated the relative contribution (RC) to invasive cervical cancer (ICC) and precancerous cervical lesions of the nine HPV types (HPV 6/11/16/18/31/33/45/52/58) included in an HPV vaccine currently under development.
Estimations on ICC were based on an international study of 8,977 HPV positive cases and estimations on precancerous cervical lesions were extracted from a published meta-analysis including 115,789 HPV positive women. Globocan 2008 and 2010 World Population Prospects were used to estimate current and future projections of new ICC cases.
RC of the 9 HPV types in ICC was 89.4%, with 18.5% of cases positive for HPV 31/33/45/52/58. Regional variations were observed. RCs varied by histology, ranging between 89.1% in squamous cell carcinomas (SCC) and 95.5% in adenocarcinomas (ADC). HPV 16/18/45 were detected in 94.2% of ADC. RC of the 9 types altogether decreased with age (trend test p < 0.0001), driven by the decrease in older ages of HPV 16/18/45. In contrast, the RC of HPV 31/33/52/58 increased with age. Due to population growth alone, projected estimates of ICC cases attributable to the 9 types are expected to rise from 493,770 new cases in 2012 to 560,887 new cases in 2025.The RCs of individual high risk HPV types varied by cytological and histological grades of HPV-positive precancerous cervical lesions, and there was an under representation of HPV 18 and 45 compared to ICC.
The addition of HPV 31/33/45/52/58 to HPV types included in current vaccines could prevent almost 90% of ICC cases worldwide. If the nine-valent vaccine achieves the same degree of efficacy than previous vaccines, world incidence rates could be substantially reduced.</description><subject>Adenocarcinoma</subject><subject>Age</subject><subject>Analysis</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Development and progression</subject><subject>Epidemiology</subject><subject>Genotype</subject><subject>Geriatrics</subject><subject>Human papillomavirus</subject><subject>Human papillomavirus vaccines</subject><subject>Invasiveness</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Papillomavirus infections</subject><subject>Papillomaviruses</subject><subject>Population growth</subject><subject>Reviews</subject><subject>Risk factors</subject><subject>Squamous cell carcinoma</subject><subject>Vaccines</subject><issn>1750-9378</issn><issn>1750-9378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNks-L1DAUx4so7rp69SgFL1665meTXoRl8cfCgh704iW8vCazGdpmTNoB_3szO-uwoytIA23f-_RD-r6pqpeUnFOq27dUSdJ0XOlGNVw_qk4Phcf3nk-qZzmvCRGaaf20OmGcKc6EPK2-f4mzm-YAQx3GDeBcR19DPYXJNVsYSqveAmJ5rcNU3ywjTPUGNmEY4gjbkJZcJzfA7PoaXdoGLKI-ZAfZPa-eeBiye3F3P6u-fXj_9fJTc_3549XlxXVjFdFz44V1yCy3Hl3XA2PMe4uctagRWyRSUwlUaqGdIlZLXnDlObUcbdsLys-qq723j7A2mxRGSD9NhGBuCzGtDKQ54OCM7ZVwAp0njIuOePCS9Ao0ECirE8X1bu_aLHZ0PZb_TzAcSY87U7gxq7g1XEohFCmCi73AhvgPwXEH42h2OZldTkYZrovjzd0mUvyxuDybMWR0wwCTi0s2lFPZlono_0CZZiX1tuMFff0Huo5LmkoyhVKMqY4V7ECtSvgmTD6WXeJOai4kF7ys25GfP0CVq3djwDg5H0r9oQ8wxZyT84eJUGJ2B_nvGby6H8QB_31y-S_P9O6C</recordid><startdate>20121229</startdate><enddate>20121229</enddate><creator>Serrano, Beatriz</creator><creator>Alemany, Laia</creator><creator>Tous, Sara</creator><creator>Bruni, Laia</creator><creator>Clifford, Gary M</creator><creator>Weiss, Thomas</creator><creator>Bosch, Francesc Xavier</creator><creator>de Sanjosé, Silvia</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20121229</creationdate><title>Potential impact of a nine-valent vaccine in human papillomavirus related cervical disease</title><author>Serrano, Beatriz ; 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We estimated the relative contribution (RC) to invasive cervical cancer (ICC) and precancerous cervical lesions of the nine HPV types (HPV 6/11/16/18/31/33/45/52/58) included in an HPV vaccine currently under development.
Estimations on ICC were based on an international study of 8,977 HPV positive cases and estimations on precancerous cervical lesions were extracted from a published meta-analysis including 115,789 HPV positive women. Globocan 2008 and 2010 World Population Prospects were used to estimate current and future projections of new ICC cases.
RC of the 9 HPV types in ICC was 89.4%, with 18.5% of cases positive for HPV 31/33/45/52/58. Regional variations were observed. RCs varied by histology, ranging between 89.1% in squamous cell carcinomas (SCC) and 95.5% in adenocarcinomas (ADC). HPV 16/18/45 were detected in 94.2% of ADC. RC of the 9 types altogether decreased with age (trend test p < 0.0001), driven by the decrease in older ages of HPV 16/18/45. In contrast, the RC of HPV 31/33/52/58 increased with age. Due to population growth alone, projected estimates of ICC cases attributable to the 9 types are expected to rise from 493,770 new cases in 2012 to 560,887 new cases in 2025.The RCs of individual high risk HPV types varied by cytological and histological grades of HPV-positive precancerous cervical lesions, and there was an under representation of HPV 18 and 45 compared to ICC.
The addition of HPV 31/33/45/52/58 to HPV types included in current vaccines could prevent almost 90% of ICC cases worldwide. If the nine-valent vaccine achieves the same degree of efficacy than previous vaccines, world incidence rates could be substantially reduced.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23273245</pmid><doi>10.1186/1750-9378-7-38</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adenocarcinoma Age Analysis Cervical cancer Cervix Development and progression Epidemiology Genotype Geriatrics Human papillomavirus Human papillomavirus vaccines Invasiveness Medical research Medicine, Experimental Papillomavirus infections Papillomaviruses Population growth Reviews Risk factors Squamous cell carcinoma Vaccines |
title | Potential impact of a nine-valent vaccine in human papillomavirus related cervical disease |
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