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墨西哥城未接种疫苗儿童中 HPV 血清型 6、11、16 和 18 的血清流行率。

Seroprevalence of HPV serotypes 6, 11, 16 and 18 in unvaccinated children from Mexico City.

机构信息

The National Autonomous University of Mexico, Faculty of Medicine, Research Center on Population and Health Policies, Mexico City, Mexico.

Department of Public Health, Loyola University Stritch School of Medicine, Mexico City, Mexico.

出版信息

Epidemiol Infect. 2019 Aug 30;147:e257. doi: 10.1017/S0950268819001341.

Abstract

Data regarding humoral immunity against HPV infection are scarce. Most analyses focus on the identification of viruses on mucous membranes and primarily refer to women of reproductive age. The aim of this work was to estimate the seroprevalence of antibodies against HPV serotypes 6, 11, 16 and 18 among unvaccinated boys living in Mexico City. A cross-sectional study of 257 male students from 48 public primary schools in Mexico City, whose ages fluctuated between 9 and 14 years, was carried out. Immunological status was assessed by applying the competitive Luminex Immunoassay of HPV (cLIA). Among the study population, we initially found that 38.52% (n = 99) of the children tested positive against one or more of the HPV 6, 11, 16 and/or 18 serotypes. The most commonly found serotype was isolated HPV 18 or in combination with other serotypes (22% and 31%, respectively), followed by HPV 6 with frequencies of 4.7% and 11%, respectively; however, lower frequencies were estimated for HPV 16 (2%; 6%) and isolated HPV 11, 4%. If a second set of cut-off points for seropositivity is applied, the overall prevalence for any serotype is reduced to 15.2%. As it appears that a significant sector of the study population has had basal contact with an HPV serotype, we recommend considering the possibility of vaccination against HPV at earlier ages.

摘要

有关 HPV 感染的体液免疫数据很少。大多数分析都集中在识别粘膜上的病毒上,主要针对育龄妇女。本工作的目的是评估居住在墨西哥城的未接种疫苗男孩对 HPV 血清型 6、11、16 和 18 的血清抗体的流行率。对来自墨西哥城 48 所公立小学的 257 名男学生进行了横断面研究,他们的年龄在 9 至 14 岁之间波动。通过应用 HPV(cLIA)竞争 Luminex 免疫测定法评估免疫状态。在研究人群中,我们最初发现 38.52%(n=99)的儿童对 HPV 6、11、16 和/或 18 型的一种或多种血清型呈阳性。最常见的分离血清型是 HPV 18 或与其他血清型联合(分别为 22%和 31%),其次是 HPV 6,分别为 4.7%和 11%;然而,HPV 16(2%;6%)和孤立的 HPV 11、4 的频率较低。如果应用第二套血清阳性截断值,任何血清型的总体流行率将降低至 15.2%。由于研究人群中有很大一部分人似乎已经与 HPV 血清型有了基础接触,因此我们建议考虑在更早的年龄接种 HPV 疫苗的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a9/6805765/9720993bb6c7/S0950268819001341_fig1.jpg

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