2015
DOI: 10.1128/jvi.01747-15
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Human Papillomavirus 18 Genetic Variation and Cervical Cancer Risk Worldwide

Abstract: Human papillomavirus 18 (HPV18) is the second most carcinogenic HPV type, after HPV16, and it accounts for approximately 12% of squamous cell carcinoma (SCC) as well as 37% of adenocarcinoma (ADC) of the cervix worldwide. We aimed to evaluate the worldwide diversity and carcinogenicity of HPV18 genetic variants by sequencing the entire long control region ( In region-stratified analyses, there were no significant differences in the distribution of HPV18 variant lineages between cervical cancer cases and contro… Show more

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Cited by 86 publications
(92 citation statements)
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“…To date, there is very little information regarding how HPV 18 E6 variants may affect disease progression, outcome, and/or E6 function. In the few studies that have examined HPV 18 E6 variants in cervical disease, there were no significant associations with disease risk or disease progression . However, certain HPV 18 E6 intratypic variants have been reported to differentially affect gene expression and cellular pathways involved in driving cervical carcinogenesis .…”
Section: Discussionmentioning
confidence: 98%
“…To date, there is very little information regarding how HPV 18 E6 variants may affect disease progression, outcome, and/or E6 function. In the few studies that have examined HPV 18 E6 variants in cervical disease, there were no significant associations with disease risk or disease progression . However, certain HPV 18 E6 intratypic variants have been reported to differentially affect gene expression and cellular pathways involved in driving cervical carcinogenesis .…”
Section: Discussionmentioning
confidence: 98%
“…Apparently, HPV-18 has various variants, which are classified by the region (geographical and ethnic groups). However, the authors have not been able to explain whether HPV-18 tends to be positive in adenocarcinoma or SCC 21 .…”
Section: Discussionmentioning
confidence: 91%
“…Regarding staging and tumor size, both HPV 18 lineage A and B tumor samples was primarily staging 2 and 3 with tumor size up to 7 cm. (8,11,14). Speci c variations of HPV 18 may present high oncogenic potential and in uence the variation of distribution of cervical cancer in different regions (20).…”
Section: Discussionmentioning
confidence: 99%
“…In addition to classi cation in variants (up to 10% divergence), there is the classi cation into sublineages, when a divergence of 0.5 to 1% occurs between the same variant. For HPV 18, the sublineages are classi ed into: variant A (A1, A2, A3, A4 and A5), variant B (B1, B2 and B3), and variant C (has no sublineages) (11).…”
Section: Introductionmentioning
confidence: 99%