title: Genomic diversity of human papillomaviruses (HPV) and clinical implications: an overview in adulthood and childhood.
abstract: During the last years, several researchers have highlighted the importance of characterizing more than one genomic region in order to detect recombination and classify variants of human papillomaviruses (HPVs) properly. HPVs variants differ in their biological, molecular and chemical properties. Therefore, this genomic diversity can present differences in the natural history and pathogenicity of HPVs. Different 'high-risk' HPVs variants of the genotypes HPV 16 and 18 can confer varied risks of viral persistence in the human cervix and influence HPVs progression to cervical cancer. Moreover, different 'low-risk' HPVs variants of the genotypes HPV 6 and 11 can play a unique role in the development of anogenital and cutaneous warts, recurrent respiratory papillomatosis (RRP) and ophthalmic pterygium. In future, the precise impact of genomic HPVs diversity to the clinical course of HPVs-associated diseases as well as to the efficacy of the current HPVs vaccines remains to be elucidated.
authors.affiliation: Department of Clinical Virology, University of Crete, Medical School, Heraklion, Crete, Greece.
authors.forename: Ioannis N
authors.initials: IN
authors.lastname: Mammas
authors.affiliation: Department of Clinical Virology, University of Crete, Medical School, Heraklion, Crete, Greece.
authors.forename: Demetrios A
authors.initials: DA
authors.lastname: Spandidos
authors.affiliation: Department of Clinical Virology, University of Crete, Medical School, Heraklion, Crete, Greece. Electronic address: sourvino@med.uoc.gr.
authors.forename: George
authors.initials: G
authors.lastname: Sourvinos
mesh_terms: D000328:Adult; D002648:Child; D019143:Evolution, Molecular; D014644:Genetic Variation; D016679:Genome, Viral; D006801:Humans; D027383:Papillomaviridae / Q000145:classification* / Q000187:drug effects / Q000235:genetics*; D030361:Papillomavirus Infections / Q000473:pathology* / Q000517:prevention & control / Q000821:virology*; D053918:Papillomavirus Vaccines / Q000494:pharmacology; D037521:Virulence Factors / Q000235:genetics
chemical_list: D053918:Papillomavirus Vaccines; D037521:Virulence Factors
keywords: Adults; Children; Genomic diversity; HPVs; Human papilloma viruses