Human papillomavirus virus (HPV) genotype- and age-specific analyses of external genital lesions among men in the HPV Infection in Men (HIM) Study.

نویسندگان

  • Donna J Ingles
  • Christine M Pierce Campbell
  • Jane A Messina
  • Mark H Stoler
  • Hui-Yi Lin
  • William J Fulp
  • Martha Abrahamsen
  • Bradley A Sirak
  • Michael T O'Keefe
  • Mary Papenfuss
  • Christine Gage
  • Roberto Carvalho da Silva
  • Rossana Gonzalez Sosa
  • Oscar Rojas Juarez
  • Luisa L Villa
  • Eduardo Lazcano Ponce
  • Anna R Giuliano
چکیده

BACKGROUND Human papillomavirus (HPV) causes external genital lesions (EGLs) in men, including condyloma and penile intraepithelial neoplasia (PeIN). We sought to determine the incidence of pathologically confirmed EGLs, by lesion type, among men in different age groups and to evaluate the HPV types that were associated with EGL development. METHODS HPV Infection in Men (HIM) study participants who contributed ≥2 visits from 2009-2013 were included in the biopsy cohort. Genotyping by an HPV line-probe assay was performed on all pathologically confirmed EGLs. Age-specific analyses were conducted for incident EGLs, with Kaplan-Meier estimation of cumulative incidence. RESULTS This biopsy cohort included 2754 men (median follow-up duration, 12.4 months [interquartile range, 6.9-19.2 months]). EGLs (n = 377) were pathologically confirmed in 228 men, 198 of whom had incident EGLs. The cumulative incidence of any EGL was highest among men <45 years old and, for condyloma, decreased significantly over time with age. The genotype-specific incidence of EGL varied by pathological diagnoses, with high- and low-risk genotypes found in 15.6% and 73.2% of EGLs, respectively. Condyloma primarily contained HPV 6 or 11. While PeIN lesions primarily contained HPV 16, 1 PeIN III lesion was positive for HPV 6 only. CONCLUSION Low- and high-risk HPV genotypes contribute to the EGL burden. Men remain susceptible to HPV-related EGLs throughout the life span, making it necessary to ensure the longevity of immune protection against the most common causative HPV genotypes.

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An analysis of HPV infection incidence and clearance by genotype and age in men: The HPV Infection in Men (HIM) Study

OBJECTIVES Genital HPV infection in men causes benign and cancerous lesions, the incidence of which differs by age. The goal of this work was to comprehensively evaluate incidence and clearance of individual HPV genotypes among men by age group. METHODS HIV-negative men ages 18-70 with no history of anogenital cancer were recruited for the HPV Infection in Men (HIM) Study. Participants comple...

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عنوان ژورنال:
  • The Journal of infectious diseases

دوره 211 7  شماره 

صفحات  -

تاریخ انتشار 2015