Association between Human Papillomavirus 16 Viral Load in Pregnancy and Preterm Birth

Bibliographic Details
Title: Association between Human Papillomavirus 16 Viral Load in Pregnancy and Preterm Birth
Authors: Pranamika Khayargoli, Marie-Hélène Mayrand, Joseph Niyibizi, François Audibert, Louise Laporte, Julie Lacaille, Ana Maria Carceller, Jacques Lacroix, Émilie Comète, François Coutlée, Helen Trottier
Source: Viruses, Vol 16, Iss 2, p 298 (2024)
Publisher Information: MDPI AG, 2024.
Publication Year: 2024
Collection: LCC:Microbiology
Subject Terms: human papillomavirus (HPV), HPV16, viral load, pregnancy, preterm birth, Microbiology, QR1-502
More Details: Recent evidence shows increased preterm birth risk with human papillomavirus-16 (HPV16) infection during pregnancy. This study aimed to measure the association between HPV16 viral load during pregnancy and preterm birth. We used data from participants in the HERITAGE study. The Linear Array assay was used for HPV DNA testing on vaginal samples collected during the first and third trimesters of pregnancy. The HPV16 viral load was measured with a real-time polymerase chain reaction. We used logistic regression to measure the associations between HPV16 viral load during pregnancy and preterm birth (defined as birth before 37 weeks of gestation). The adjusted odd ratios (aORs) and the 95% confidence intervals [CIs] were estimated with inverse probability treatment weighting of the propensity score. This study included 48 participants who tested positive for HPV16 during the first trimester of pregnancy. The aOR for the association between first-trimester HPV16 viral load (higher viral load categorized with a cutoff of 0.5 copy/cell) was 13.04 [95% CI: 1.58–107.57]). Similar associations were found using different cutoffs for the categorization of viral load during the first and third trimesters. Our findings suggest a strong association between a high HPV16 viral load during pregnancy and preterm birth, demonstrating a biological gradient that reinforces the biological plausibility of a causal association.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1999-4915
Relation: https://www.mdpi.com/1999-4915/16/2/298; https://doaj.org/toc/1999-4915
DOI: 10.3390/v16020298
Access URL: https://doaj.org/article/6af5f75246da4bf79d09ca8a46b97c93
Accession Number: edsdoj.6af5f75246da4bf79d09ca8a46b97c93
Database: Directory of Open Access Journals
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More Details
ISSN:19994915
DOI:10.3390/v16020298
Published in:Viruses
Language:English