The growing awareness of the role of human papillomavirus (HPV) in cervical carcinoma has triggered a search for uncomplicated detection methods. To derme a serologic response to HPV, we synthesized peptides based on sequences deduced from the genome of HPV type 16, the most common malignancy-associated type of HPV. One of these peptides reacted with IgA antibodies present in sera from 24 of 33 patients with cervical intraepithelial neoplasia or cervical carcinoma, whereas this peptide reacted with only 6 of 27 sera from individuals without cervical intraepithelial neoplasia.Immunoaffnity-purified human antipeptide IgA antibodies detected HPV-specific .58-and 48-kDa proteins in cervical carcinoma cell extracts and also detected a nuclear antigen in HPV-carrying cervical cancer cell lines and cervical intraepithelial neoplasia biopsied tissue. These antigens were also detected with mouse monoclonal and rabbit polyclonal antibodies to the same peptide. The results indicate that screening for infection with malignancy-associated types of HPV may be possible by simple synthetic peptide-based serology.The human papillomavirus (HPV) exists as at least 56 different types (1). Diseases associated with particular types differe.g., HPV types 1 and 2 cause plantar and common warts, types 6 and 11 cause benign genital warts (condylomas), whereas types 16, 18, 31, 33, and 35 are found in HPV-carrying cervical intraepithelial neoplasia (CIN) (1, 2) as well as in most cervical carcinomas, suggesting an etiologic relationship of these types of HPV to cervical cancer (1,3,4).DNA sequencing of several of the HPVs has defined open reading frames (ORFs), numbered LI, L2, and El-E7, on one strand of the viral DNA (1). LI, L2, and E4 encode late proteins present in virus-producing tissue (5-7). E6 and E7 proteins can be immunoprecipitated from certain cervical cancer cell lines (8, 9). The E2 gene encodes a transactivating factor (10), and an E2 protein has been detected on immunoblots of condylomas (11). Two of 72 condyloma patients had IgG antibodies against an E2-derived fusion protein (12).The HPV capsid antigen is regularly immunogenic (5, 13) for both IgA and IgG antibodies (14) and is present in the outer layer of the infected epithelium (1, 13). In contrast, in the basal-cell layer HPV genomes can be demonstrated (1), but no viral antigen has been found (1,13
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