TY - JOUR
T1 - No evidence for a protective effect of naturally induced HPV antibodies on subsequent anogenital HPV infection in HIV-negative and HIV-infected MSM
AU - Mooij, Sofie H
AU - Landén, Olivia
AU - van der Klis, Fiona R M
AU - van der Sande, Marianne A B
AU - de Melker, Hester E
AU - Coutinho, Roel A
AU - van Eeden, Arne
AU - van Rooijen, Martijn S
AU - Meijer, Chris J L M
AU - Schim van der Loeff, Maarten F
N1 - NPP; Copyright © 2014 The British Infection Association. Published by Elsevier Ltd. All rights reserved.
PY - 2014
Y1 - 2014
N2 - OBJECTIVES: To assess whether HPV serum antibodies detected after natural infection protect against subsequent anal or penile infection with the same HPV type in HIV-negative and HIV-infected men who have sex with men (MSM).METHODS: MSM aged ≥18 years were recruited in Amsterdam, the Netherlands (2010-2011), and followed-up semi-annually. Antibodies against 7 high-risk HPV types in baseline serum samples were tested using a multiplex immunoassay; baseline, 6-, and 12-month anal and penile samples were tested for HPV DNA and genotyped using the SPF10-PCR DEIA/LiPA25 system (version 1). Statistical analyses were performed using the Wei-Lin-Weissfeld method.RESULTS: 719 MSM (median age 40 years; IQR 35-48) with baseline and follow-up data were included in these analyses; 287 (40%) were HIV-infected. HPV seropositivity at baseline was not significantly associated with subsequent type-specific HPV infection at 6 or 12 months in multivariable analyses (for anal infection adjusted hazard ratio (aHR) 1.2; 95% CI 0.9-1.6; for penile infection aHR 0.8; 95% CI 0.6-1.2). High antibody concentrations showed no protective effect against subsequent infection either.CONCLUSIONS: In a population of highly sexually active, adult MSM, naturally induced HPV antibodies may not protect MSM against subsequent anal or penile HPV infection within one year.
AB - OBJECTIVES: To assess whether HPV serum antibodies detected after natural infection protect against subsequent anal or penile infection with the same HPV type in HIV-negative and HIV-infected men who have sex with men (MSM).METHODS: MSM aged ≥18 years were recruited in Amsterdam, the Netherlands (2010-2011), and followed-up semi-annually. Antibodies against 7 high-risk HPV types in baseline serum samples were tested using a multiplex immunoassay; baseline, 6-, and 12-month anal and penile samples were tested for HPV DNA and genotyped using the SPF10-PCR DEIA/LiPA25 system (version 1). Statistical analyses were performed using the Wei-Lin-Weissfeld method.RESULTS: 719 MSM (median age 40 years; IQR 35-48) with baseline and follow-up data were included in these analyses; 287 (40%) were HIV-infected. HPV seropositivity at baseline was not significantly associated with subsequent type-specific HPV infection at 6 or 12 months in multivariable analyses (for anal infection adjusted hazard ratio (aHR) 1.2; 95% CI 0.9-1.6; for penile infection aHR 0.8; 95% CI 0.6-1.2). High antibody concentrations showed no protective effect against subsequent infection either.CONCLUSIONS: In a population of highly sexually active, adult MSM, naturally induced HPV antibodies may not protect MSM against subsequent anal or penile HPV infection within one year.
KW - Adult
KW - Antibodies, Viral/blood
KW - Anus Diseases/epidemiology
KW - HIV Infections/epidemiology
KW - Homosexuality, Male
KW - Humans
KW - Male
KW - Middle Aged
KW - Netherlands/epidemiology
KW - Papillomaviridae/immunology
KW - Papillomavirus Infections/epidemiology
KW - Penile Diseases/epidemiology
U2 - 10.1016/j.jinf.2014.06.003
DO - 10.1016/j.jinf.2014.06.003
M3 - A1: Web of Science-article
C2 - 24931579
SN - 0163-4453
VL - 69
SP - 375
EP - 386
JO - Journal of Infection
JF - Journal of Infection
IS - 4
ER -