PMID- 23985908 OWN - NLM STAT- MEDLINE DCOM- 20140331 LR - 20211021 IS - 1098-660X (Electronic) IS - 0095-1137 (Print) IS - 0095-1137 (Linking) VI - 51 IP - 11 DP - 2013 Nov TI - Classical molecular tests using urine samples as a potential screening tool for human papillomavirus detection in human immunodeficiency virus-infected women. PG - 3688-93 LID - 10.1128/JCM.01302-13 [doi] AB - Human papillomavirus (HPV) is the main risk factor associated with the development of cervical cancer (CC); however, there are other factors, such as immunosuppression caused by the human immunodeficiency virus (HIV), that favor progression of the illness. This study was thus aimed at evaluating the functionality of classical PCR-based molecular tests for the generic identification of HPV DNA (GP5+/GP6+, MY09/MY11, and pU1M/2R primers, individually or in combination) using cervical and urine samples from 194 HIV-positive women. Infected samples were tested with type-specific primers for six high-risk types (HPV-16, -18, -31, -33, -45, and -58) and two low-risk types (HPV-6 and -11). HPV infection prevalence rates were 70.1% for the cervical samples and 63.9% for the urine samples. HPV-16 was the most prevalent viral type in the cervical and urine samples, with higher rates of multiple infections than single infections detected in such samples. HPV DNA detection by PCR (mainly with the pU1M/2R primer set) in urine samples was positively associated with abnormal cytological findings (atypical squamous cells of undetermined significance/squamous intraepithelial lesions [ASCUS/SIL]). It was determined that the operative characteristics for detection of cytological abnormalities were similar for cervical and urine samples. This suggested using PCR for the detection of HPV DNA in urine samples as a potential screening strategy for CC prevention in future prevention and control programs along with currently implemented strategies for reducing the impact of the disease, i.e., urine samples are economical, are easy to collect, have wide acceptability among women, and have operative characteristics similar to those of cervical samples. FAU - Munoz, Marina AU - Munoz M AD - Fundacion Instituto de Inmunologia de Colombia, Bogota, Colombia. FAU - Camargo, Milena AU - Camargo M FAU - Soto-De Leon, Sara C AU - Soto-De Leon SC FAU - Sanchez, Ricardo AU - Sanchez R FAU - Pineda-Pena, Andrea C AU - Pineda-Pena AC FAU - Perez-Prados, Antonio AU - Perez-Prados A FAU - Patarroyo, Manuel E AU - Patarroyo ME FAU - Patarroyo, Manuel A AU - Patarroyo MA LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130828 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (DNA Primers) RN - 0 (DNA, Viral) SB - IM MH - Adult MH - Cervix Uteri/virology MH - DNA Primers/genetics MH - DNA, Viral/genetics MH - Female MH - HIV Infections/*complications MH - Humans MH - Middle Aged MH - Molecular Diagnostic Techniques/*methods MH - Papillomaviridae/genetics/*isolation & purification MH - Papillomavirus Infections/*diagnosis MH - Polymerase Chain Reaction/*methods MH - Sensitivity and Specificity MH - Urine/*virology MH - Virology/*methods PMC - PMC3889752 EDAT- 2013/08/30 06:00 MHDA- 2014/04/01 06:00 PMCR- 2014/05/01 CRDT- 2013/08/30 06:00 PHST- 2013/08/30 06:00 [entrez] PHST- 2013/08/30 06:00 [pubmed] PHST- 2014/04/01 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - JCM.01302-13 [pii] AID - 01302-13 [pii] AID - 10.1128/JCM.01302-13 [doi] PST - ppublish SO - J Clin Microbiol. 2013 Nov;51(11):3688-93. doi: 10.1128/JCM.01302-13. Epub 2013 Aug 28.