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人乳头瘤病毒疫苗接种与新发心脑血管疾病之间的关联:基于一项回顾性研究。

The association between HPV vaccination and new-onset cardiovascular and cerebrovascular diseases: based on a retrospective study.

作者信息

Yang Chiao-Yu, Shih Yu-Hsiang, Lung Chia-Chi

机构信息

Department of Occupational Health Nursing Center, Chung Shan Medical University Hospital, Taichung City, Taiwan.

Department of Public Health, Institute of Public Health, Chung Shan Medical University, No. 110, Sec. 1 Jianguo N. Rd., Taichung City, 40201, Taiwan.

出版信息

J Health Popul Nutr. 2025 May 19;44(1):162. doi: 10.1186/s41043-025-00918-y.


DOI:10.1186/s41043-025-00918-y
PMID:40390149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12090540/
Abstract

INTRODUCTION: Human papillomavirus (HPV), a widespread sexually transmitted infection, is well-known for its association with cancers like cervical, anal, and oropharyngeal. While extensively studied for its oncogenic properties, HPV's influence on these non-cancerous conditions remains under investigation. This study examines the impact of HPV vaccination on the incidence of cardiovascular and cerebrovascular diseases, exploring its protective potential. METHODS: Utilizing the global TriNetX database, this retrospective cohort study analyzed data from adults aged 20 to 40 who were either vaccinated or not vaccinated against HPV between January 1, 2019, and December 31, 2021. The study employed propensity score matching to ensure balanced comparison groups and utilized ICD-10 codes to identify new-onset cardiovascular and cerebrovascular diseases. RESULTS: The study included 59,423 vaccinated and an equal number of unvaccinated individuals, balanced for various demographic and health characteristics. The vaccinated group demonstrated a lower incidence of cardiovascular diseases (hazard ratio [HR] = 0.9, 95% CI 0.847-0.957), cerebrovascular diseases (HR = 0.605, 95% CI 0.484-0.754), and heart dysfunction (HR = 0.833, 95% CI 0.708-0.98) compared to the unvaccinated group. Subgroup analyses further supported the protective effect of HPV vaccination across different demographics. CONCLUSION: HPV vaccination is linked to a lower risk of new-onset cardiovascular and cerebrovascular diseases in adults, suggesting broader health benefits beyond cancer prevention. These results advocate for incorporating cardiovascular health into public health strategies promoting HPV vaccination. Further research is necessary to understand the mechanisms and validate these protective effects across diverse populations and extended follow-up periods.

摘要

引言:人乳头瘤病毒(HPV)是一种广泛传播的性传播感染,因其与宫颈癌、肛门癌和口咽癌等癌症的关联而广为人知。虽然对其致癌特性进行了广泛研究,但HPV对这些非癌性疾病的影响仍在调查中。本研究探讨HPV疫苗接种对心血管和脑血管疾病发病率的影响,探索其保护潜力。 方法:利用全球TriNetX数据库,这项回顾性队列研究分析了2019年1月1日至2021年12月31日期间20至40岁接种或未接种HPV疫苗的成年人的数据。该研究采用倾向评分匹配以确保比较组平衡,并使用国际疾病分类第十版(ICD - 10)编码来识别新发心血管和脑血管疾病。 结果:该研究纳入了59423名接种疫苗者和数量相等的未接种疫苗者,两组在各种人口统计学和健康特征方面保持平衡。与未接种疫苗组相比,接种疫苗组的心血管疾病(风险比[HR] = 0.9,95%置信区间0.847 - 0.957)、脑血管疾病(HR = 0.605,95%置信区间0.484 - 0.754)和心脏功能障碍(HR = 0.833,95%置信区间0.708 - 0.98)的发病率较低。亚组分析进一步支持了HPV疫苗接种在不同人口统计学中的保护作用。 结论:HPV疫苗接种与成年人新发心血管和脑血管疾病风险较低相关,这表明其益处超出了癌症预防范围。这些结果主张将心血管健康纳入促进HPV疫苗接种的公共卫生策略。有必要进行进一步研究以了解其机制,并在不同人群和更长随访期内验证这些保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e5/12090540/1649117ee4c8/41043_2025_918_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e5/12090540/b4c242124140/41043_2025_918_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e5/12090540/1649117ee4c8/41043_2025_918_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e5/12090540/b4c242124140/41043_2025_918_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e5/12090540/1649117ee4c8/41043_2025_918_Fig2_HTML.jpg

相似文献

[1]
The association between HPV vaccination and new-onset cardiovascular and cerebrovascular diseases: based on a retrospective study.

J Health Popul Nutr. 2025-5-19

[2]
The clinical effectiveness and cost-effectiveness of primary human papillomavirus cervical screening in England: extended follow-up of the ARTISTIC randomised trial cohort through three screening rounds.

Health Technol Assess. 2014-4

[3]
The Effects of Human Papillomavirus Infection and Vaccination on Cardiovascular Diseases, NHANES 2003-2016.

Am J Med. 2023-3

[4]
Comparison of the long-term impact and clinical outcomes of fewer doses and standard doses of human papillomavirus vaccine in the United States: A database study.

Cancer. 2020-2-10

[5]
The impact of Germany's human papillomavirus immunization program on HPV-related anogenital diseases: a retrospective analysis of claims data from statutory health insurances.

Arch Gynecol Obstet. 2024-11

[6]
The Participation of HPV-Vaccinated Women in a National Cervical Screening Program: Population-Based Cohort Study.

PLoS One. 2015-7-28

[7]
Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults.

JAMA Otolaryngol Head Neck Surg. 2023-10-1

[8]
Precancerous cervical lesions caused by non-vaccine-preventable HPV types after vaccination with the bivalent AS04-adjuvanted HPV vaccine: an analysis of the long-term follow-up study from the randomised Costa Rica HPV Vaccine Trial.

Lancet Oncol. 2022-7

[9]
A cost-effectiveness analysis of adult human papillomavirus vaccination strategies in Italy.

Hum Vaccin Immunother. 2025-12

[10]
Human papillomavirus incidence and transmission by vaccination status among heterosexual couples.

J Clin Virol. 2025-4

本文引用的文献

[1]
Unveiling circRNA-mediated ceRNA networks in ischemic stroke by integrative analysis of multi-source gene expression profiling.

Heliyon. 2024-8-27

[2]
Unveiling HPV's hidden link: Cardiovascular diseases and the viral intrigue.

Indian Heart J. 2024

[3]
Human papilloma virus and atherosclerotic cardiovascular disease.

Eur Heart J. 2024-3-27

[4]
Human papillomavirus infection and cardiovascular mortality: a cohort study.

Eur Heart J. 2024-3-27

[5]
Multiomics analysis of metabolic heterogeneity in cervical cancer cell lines with or without HPV.

Front Oncol. 2023-11-23

[6]
The Effects of Human Papillomavirus Infection and Vaccination on Cardiovascular Diseases, NHANES 2003-2016.

Am J Med. 2023-3

[7]
p53-driven lipidome influences non-cell-autonomous lysophospholipids in pancreatic cancer.

Biol Direct. 2022-3-8

[8]
Biological and clinical aspects of HPV-related cancers.

Cancer Biol Med. 2020-11-15

[9]
COVID-19 and Hypercoagulability: A Review.

Clin Appl Thromb Hemost. 2020

[10]
COVID-19: A collision of complement, coagulation and inflammatory pathways.

J Thromb Haemost. 2020-9

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