“…The mean Raman spectra and LV1 loadings showed that the discrimination was mostly based around increased nucleic acids (727, 781, 826, 1485, and 1580 cm −1 ), decreased glycogen (482, 852, 937, 1082, 1123, 1334, and 1380 cm −1 ), and changes in protein features (1152, 1240, 1450, 1640, and 1670 cm −1 ), indicating increased proliferation and altered protein expression due to the overexpression of E6/E7 viral proteins in the samples with a transcriptionally active HPV infection. These discriminating spectral features are consistent with previous studies on exfoliated cells showing discrimination between samples with negative cytology and HSIL cytology [ 25 , 27 , 28 , 30 , 34 ] and between samples with negative cytology and HPV DNA-positive HSIL samples [ 29 ]. PLSDA classification with LOPOCV achieved a sensitivity of 88% and a specificity of 88% in distinguishing non-transcriptionally active HPV infection from transcriptionally active HPV infection.…”