Type-specific human papillomavirus biological features: validated model-based estimates.

Infection with high-risk (hr) human papillomavirus (HPV) is considered the necessary cause of cervical cancer. Vaccination against HPV16 and 18 types, which are responsible of about 75% of cervical cancer worldwide, is expected to have a major global impact on cervical cancer occurrence. Valid estim...

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Autores principales: Iacopo Baussano, K Miriam Elfström, Fulvio Lazzarato, Anna Gillio-Tos, Laura De Marco, Francesca Carozzi, Annarosa Del Mistro, Joakim Dillner, Silvia Franceschi, Guglielmo Ronco
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:46ff739ba09b45d58b04208aebf1321c2021-11-18T08:44:04ZType-specific human papillomavirus biological features: validated model-based estimates.1932-620310.1371/journal.pone.0081171https://doaj.org/article/46ff739ba09b45d58b04208aebf1321c2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24400036/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Infection with high-risk (hr) human papillomavirus (HPV) is considered the necessary cause of cervical cancer. Vaccination against HPV16 and 18 types, which are responsible of about 75% of cervical cancer worldwide, is expected to have a major global impact on cervical cancer occurrence. Valid estimates of the parameters that regulate the natural history of hrHPV infections are crucial to draw reliable projections of the impact of vaccination. We devised a mathematical model to estimate the probability of infection transmission, the rate of clearance, and the patterns of immune response following the clearance of infection of 13 hrHPV types. To test the validity of our estimates, we fitted the same transmission model to two large independent datasets from Italy and Sweden and assessed finding consistency. The two populations, both unvaccinated, differed substantially by sexual behaviour, age distribution, and study setting (screening for cervical cancer or Chlamydia trachomatis infection). Estimated transmission probability of hrHPV types (80% for HPV16, 73%-82% for HPV18, and above 50% for most other types); clearance rates decreasing as a function of time since infection; and partial protection against re-infection with the same hrHPV type (approximately 20% for HPV16 and 50% for the other types) were similar in the two countries. The model could accurately predict the HPV16 prevalence observed in Italy among women who were not infected three years before. In conclusion, our models inform on biological parameters that cannot at the moment be measured directly from any empirical data but are essential to forecast the impact of HPV vaccination programmes.Iacopo BaussanoK Miriam ElfströmFulvio LazzaratoAnna Gillio-TosLaura De MarcoFrancesca CarozziFrancesca CarozziAnnarosa Del MistroJoakim DillnerSilvia FranceschiGuglielmo RoncoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e81171 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Iacopo Baussano
K Miriam Elfström
Fulvio Lazzarato
Anna Gillio-Tos
Laura De Marco
Francesca Carozzi
Francesca Carozzi
Annarosa Del Mistro
Joakim Dillner
Silvia Franceschi
Guglielmo Ronco
Type-specific human papillomavirus biological features: validated model-based estimates.
description Infection with high-risk (hr) human papillomavirus (HPV) is considered the necessary cause of cervical cancer. Vaccination against HPV16 and 18 types, which are responsible of about 75% of cervical cancer worldwide, is expected to have a major global impact on cervical cancer occurrence. Valid estimates of the parameters that regulate the natural history of hrHPV infections are crucial to draw reliable projections of the impact of vaccination. We devised a mathematical model to estimate the probability of infection transmission, the rate of clearance, and the patterns of immune response following the clearance of infection of 13 hrHPV types. To test the validity of our estimates, we fitted the same transmission model to two large independent datasets from Italy and Sweden and assessed finding consistency. The two populations, both unvaccinated, differed substantially by sexual behaviour, age distribution, and study setting (screening for cervical cancer or Chlamydia trachomatis infection). Estimated transmission probability of hrHPV types (80% for HPV16, 73%-82% for HPV18, and above 50% for most other types); clearance rates decreasing as a function of time since infection; and partial protection against re-infection with the same hrHPV type (approximately 20% for HPV16 and 50% for the other types) were similar in the two countries. The model could accurately predict the HPV16 prevalence observed in Italy among women who were not infected three years before. In conclusion, our models inform on biological parameters that cannot at the moment be measured directly from any empirical data but are essential to forecast the impact of HPV vaccination programmes.
format article
author Iacopo Baussano
K Miriam Elfström
Fulvio Lazzarato
Anna Gillio-Tos
Laura De Marco
Francesca Carozzi
Francesca Carozzi
Annarosa Del Mistro
Joakim Dillner
Silvia Franceschi
Guglielmo Ronco
author_facet Iacopo Baussano
K Miriam Elfström
Fulvio Lazzarato
Anna Gillio-Tos
Laura De Marco
Francesca Carozzi
Francesca Carozzi
Annarosa Del Mistro
Joakim Dillner
Silvia Franceschi
Guglielmo Ronco
author_sort Iacopo Baussano
title Type-specific human papillomavirus biological features: validated model-based estimates.
title_short Type-specific human papillomavirus biological features: validated model-based estimates.
title_full Type-specific human papillomavirus biological features: validated model-based estimates.
title_fullStr Type-specific human papillomavirus biological features: validated model-based estimates.
title_full_unstemmed Type-specific human papillomavirus biological features: validated model-based estimates.
title_sort type-specific human papillomavirus biological features: validated model-based estimates.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/46ff739ba09b45d58b04208aebf1321c
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