title: Association between human leukocyte antigen polymorphism and human papillomavirus 16-positive vulval intraepithelial neoplasia in British women.
abstract: Polymorphisms in human leukocyte antigen (HLA) genes have been implicated in the risk for developing human papillomavirus (HPV)-associated cervical neoplasia. By comparison with local cadaver controls typed for HLA class I (n = 946) and II (n = 144) antigens, HPV-16-positive high grade vulval intraepithelial neoplasia patients (n = 42) showed significantly different frequencies of HLA-A2 [odds ratio (OR), 2.1; confidence interval (CI), 1.4-3.9], HLA-B7 (OR, 2.6; CI, 1.4-4.7), HLA-DRB1*01(01/02/04) (OR, 0.1; CI, 0.03-0.5), HLA-DRB1*11 (OR, 3.3; CI, 1.4-7.1), HLA-DRB1*13 (OR, 0), HLA-DQB1*05 (OR, 0.2; CI, 0.05-0.6), and HLA-DQB1*03032 (OR, 4.6; CI, 1.5-14.0). With the exception of HLA-B7 and HLA-DRB1*11, these significant differences were also seen comparative to local HPV-16-positive cervical carcinoma patients (n = 114), suggesting a specific immunogenetic contribution that is independent of HPV-16 infection in high-grade vulval intraepithelial neoplasia. Such factors are important to the development of HPV vaccines for treatment of cervical and vulval neoplasia.
authors.affiliation: Immunology Group, Paterson Institute for Cancer Research, Christie Hospital NHS Trust, Manchester M20 4BX, United Kingdom.
authors.forename: Emma J
authors.initials: EJ
authors.lastname: Davidson
authors.forename: Judith A
authors.initials: JA
authors.lastname: Davidson
authors.forename: Jane C
authors.initials: JC
authors.lastname: Sterling
authors.forename: Peter J W
authors.initials: PJ
authors.lastname: Baldwin
authors.forename: Henry C
authors.initials: HC
authors.lastname: Kitchener
authors.forename: Peter L
authors.initials: PL
authors.lastname: Stern
mesh_terms: D001706:Biopsy; D005260:Female; D015234:HLA-A Antigens / Q000235:genetics*; D006684:HLA-DR Antigens / Q000235:genetics*; D006801:Humans; D027383:Papillomaviridae / Q000145:classification*; D030361:Papillomavirus Infections / Q000235:genetics / Q000276:immunology* / Q000473:pathology; D011110:Polymorphism, Genetic; D014412:Tumor Virus Infections / Q000235:genetics / Q000276:immunology* / Q000473:pathology; D014846:Vulvar Neoplasms / Q000235:genetics / Q000276:immunology* / Q000473:pathology / Q000821:virology*
chemical_list: D015234:HLA-A Antigens; D006684:HLA-DR Antigens