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Uncommon and Rare Human Papillomavirus Genotypes Relating to Cervical Carcinomas

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±è³ª·¡ ( Kim Na-Rae ) 
Gachon University Gil Hospital Department of Pathology

°­¸íÈñ ( Kang Myung-Hee ) 
Gachon University School of Medicine Department of Pathology
À̼øÇ¥ ( Lee Soon-Pyo ) 
Gachon University Gil Medical Center Department of Obstetrics and Gynecology
±èÇöö ( Kim Hyun-Chul ) 
Gachon University Gil Medical Center Department of Pathology
¾ÈÁؼ® ( An Jung-Suk ) 
Gachon University Gil Medical Center Department of Pathology
Á¤µ¿ÇØ ( Chung Dong-Hae ) 
Gachon University Gil Medical Center Department of Pathology
ÇϽ¿¬ ( Ha Seung-Yeon ) 
Gachon University Gil Medical Center Department of Pathology
Á¶ÇöÀÌ ( Cho Hyun-Yee ) 
Gachon University Gil Medical Center Department of Pathology

Abstract


Background: Human papillomavirus (HPV) is an oncogenic virus in cervical cancer and most invasive carcinomas (ICs) are caused by HPV16 and 18. However, the roles and contributions of other uncommon and rare genotypes remain uncertain.

Methods: HPV genotypes were retrospectively assessed using an HPV DNA chip that can specify up to 32 HPV genotypes. We arbitrarily regarded genotypes accounting for less than 6% of the total as uncommon and rare genotypes.

Results: A total of 3,164 HPV-positive cases were enrolled. In groups 2A, 2B, 3, and unclassified HPV genotypes, 2.4% of cases with uncommon HPV genotypes (68, 26, 34, 53, 66, 69, 70, 73, 40, 42, 43, 44, 54, 55, 61, 62, 6, and 11) showed high grade squamous intraepithelial lesions and ICs. There were no HPV32- and 57-infected cases.

Conclusions: We found that the uncommon and rare HPV genotypes may provide incremental etiologic contributions in cervical carcinogenesis, especially HPV68, 70, and 53. Further studies on these uncommon and rare HPV genotypes will be of importance in establishing the significance of genotypes in different regions, especially in planning a strategy for further vaccine development as well as follow-up on the effectiveness of the currently used vaccines.

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Human papillomavirus; Cervix uteri; Carcinogenesis; Genotype

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