Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 27 Issue 7
Jul.  2023
Turn off MathJax
Article Contents
ZHANG Le, ZHANG Mingxuan, WANG Jiahao, WU Caihong, PEI Ruixin, YAN Jiaxin, LYU Yuanjing, SONG Li, CUI Meng, DING Ling, HAO Min, WANG Jintao. Associations between polycyclic aromatic hydrocarbon exposure and human papillomavirus infection in women with abnormal cervical cytology[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(7): 814-820. doi: 10.16462/j.cnki.zhjbkz.2023.07.012
Citation: ZHANG Le, ZHANG Mingxuan, WANG Jiahao, WU Caihong, PEI Ruixin, YAN Jiaxin, LYU Yuanjing, SONG Li, CUI Meng, DING Ling, HAO Min, WANG Jintao. Associations between polycyclic aromatic hydrocarbon exposure and human papillomavirus infection in women with abnormal cervical cytology[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(7): 814-820. doi: 10.16462/j.cnki.zhjbkz.2023.07.012

Associations between polycyclic aromatic hydrocarbon exposure and human papillomavirus infection in women with abnormal cervical cytology

doi: 10.16462/j.cnki.zhjbkz.2023.07.012
Funds:

National Natural Science Foundation of China 81872705

National Natural Science Foundation of China 81473060

National Natural Science Foundation of China 81703313

Nonprofit Scientific Research Industry Special Fund of National Health and Family Planning Commission of China 201402010

More Information
  • Corresponding author: WANG Jintao, E-mail: wangjt59@163.com
  • Received Date: 2022-07-12
  • Rev Recd Date: 2022-10-02
  • Available Online: 2023-08-08
  • Publish Date: 2023-07-10
  •   Objective  This study aimed to explore the association between polycyclic aromatic hydrocarbons (PAHs) exposure and human papillomavirus (HPV) infection in women with abnormal cervical cytology.  Methods  A cross-sectional study was conducted on a cohort of 2 285 women with abnormal cervical cytology.The cohort was previously established by our research group.The study analyzed the association between PAHs and HPV infection, using HPV infection status in cervical exfoliated cells and 1-hydroxypyrene (1-OHP) exposure levels in urine detected at the same time.  Results  In women with abnormal cervical cytology, the HPV infection rate was 32.3%, with single and multiple infection rates of 22.8% and 9.4%, respectively.The infection rate of high-risk HPV (HR-HPV) was 31.6%, and the top five infection types were HPV16, HPV58, HPV52, HPV53, and HPV51.The exposure levels of PAHs in women infected with HPV and its single or multiple, HR-HPV, HPV16, HPV58, HPV52, HPV53, and HPV51 were all higher than those without infection (all P < 0.001).High exposure to PAHs could increase the risk of infection of the above types of HPV, showing a dose-response relationship between PAHs exposure levels and the risk of HPV infection (all P < 0.05).Further stratified analysis showed that among women aged 35- < 45 years, with junior high school education level or below, passive smoking, premenopausal women and parities ≥3 times, the risk of HPV infection and high-risk HPV16 infection was greater in those with high PAHs exposure.  Conclusions  High exposure to PAHs could increase the risk of HPV or high-risk HPV infection in women with cervical cell abnormalities, especially in women aged 35- < 45 years, with low education level, passive smoking, multiple parturition, and premenopausal women.
  • loading
  • [1]
    Ifegwu OC, Anyakora C. Polycyclic aromatic hydrocarbons: part Ⅱ, urine markers[J]. Adv Clin Chem, 2016, 75: 159-183. DOI: 10.1016/bs.acc.2016.03.001.
    [2]
    Wentzensen N, Clarke MA. Cervical cancer screening-past, present, and future[J]. Cancer Epidemiol Biomarkers Prev, 2021, 30(3): 432-434. DOI: 10.1158/1055-9965.EPI-20-1628.
    [3]
    Alam S, Conway MJ, Chen HS, et al. The cigarette smoke carcinogen benzo[a]pyrene enhances human papillomavirus synthesis[J]. J Virol, 2008, 82(2): 1053-1058. DOI: 10.1128/JVI.01813-07.
    [4]
    Maher DM, Bell MC, O'Donnell EA, et al. Curcumin suppresses human papillomavirus oncoproteins, restores p53, Rb, and PTPN13 proteins and inhibits benzo[a]pyrene-induced upregulation of HPV E7[J]. Mol Carcinog, 2011, 50(1): 47-57. DOI: 10.1002/mc.20695.
    [5]
    Alam S, Bowser BS, Conway MJ, et al. Downregulation of Cdc2/CDK1 kinase activity induces the synthesis of noninfectious human papillomavirus type 31b virions in organotypic tissues exposed to benzo[a]pyrene[J]. J Virol, 2010, 84(9): 4630-4645. DOI: 10.1128/JVI.02431-09.
    [6]
    Cheng YW, Lin FC, Chen CY, et al. Environmental exposure and HPV infection may act synergistically to induce lung tumorigenesis in nonsmokers[J]. Oncotarget, 2016, 7(15): 19850-19862. DOI: 10.18632/oncotarget.7628.
    [7]
    Li X, Ding L, Song L, et al. Effects of exposure to polycyclic aromatic hydrocarbons combined with high-risk human papillomavirus infection on cervical intraepithelial neoplasia: a population study in Shanxi Province, China[J]. Int J Cancer, 2020, 146(9): 2406-2412. DOI: 10.1002/ijc.32562.
    [8]
    Yu YQ, Jiang MY, Dang L, et al. Changes in high-risk HPV infection prevalence and associated factors in selected rural areas of China: a multicenter population-based study[J]. Front Med (Lausanne), 2022, 9: 911367. DOI: 10.3389/fmed.2022.911367.
    [9]
    Song L, Lyu Y, Ding L, et al. Prevalence and genotype distribution of high-risk human papillomavirus infection in women with abnormal cervical cytology: a population-based study in Shanxi Province, China[J]. Cancer Manag Res, 2020, 12: 12583-12591. DOI: 10.2147/CMAR.S269050.
    [10]
    Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660.
    [11]
    Ji F, Wuerkenbieke D, He Y, et al. Long noncoding RNA HOTAIR: an oncogene in human cervical cancer interacting with microRNA-17-5p[J]. Oncol Res, 2018, 26(3): 353-361. DOI: 10.3727/096504017X15002869385155.
    [12]
    Bao YP, Li N, Smith JS, et al. Human papillomavirus type-distribution in the cervix of Chinese women: a meta-analysis[J]. Int J STD AIDS, 2008, 19(2): 106-111. DOI: 10.1258/ijsa.2007.007113.
    [13]
    de Sanjosé S, Diaz M, Castellsagué X, et al. Worldwide prevalence and genotype distribution of cervical human papillomavirus DNA in women with normal cytology: a meta-analysis[J]. Lancet Infect Dis, 2007, 7(7): 453-459. DOI: 10.1016/S1473-3099(07)70158-5.
    [14]
    Zhao FH, Lewkowitz AK, Hu SY, et al. Prevalence of human papillomavirus and cervical intraepithelial neoplasia in China: a pooled analysis of 17 population-based studies[J]. Int J Cancer, 2012, 131(12): 2929-2938. DOI: 10.1002/ijc.27571.
    [15]
    Guan P, Howell-Jones R, Li N, et al. Human papillomavirus types in 115, 789 HPV-positive women: a meta-analysis from cervical infection to cancer[J]. Int J Cancer, 2012, 131(10): 2349-2359. DOI: 10.1002/ijc.27485.
    [16]
    de Sanjosé S, Serrano B, Castellsagué X, et al. Human papillomavirus (HPV) and related cancers in the Global Alliance for Vaccines and Immunization (GAVI) countries. A WHO/ICO HPV information centre report[J]. Vaccine, 2012, 30(Suppl 4): D1-83, ⅵ. DOI: 10.1016/S0264-410X(12)01435-1.
    [17]
    Boström CE, Gerde P, Hamberg A, et al. Cancer risk assessment, indicators, and guidelines for polycyclic aromatic hydrocarbons in the ambient air[J]. Environ Health Perspect, 2002, 110(Suppl 3): 451-488. DOI: 10.1289/ehp.110-1241197.
    [18]
    Bowser BS, Alam S, Meyers C. Treatment of a human papillomavirus type 31b-positive cell line with benzo[a]pyrene increases viral titer through activation of the Erk1/2 signaling pathway[J]. J Virol, 2011, 85(10): 4982-4992. DOI: 10.1128/JVI.00133-11.
    [19]
    Mehta H, Nazzal K, Sadikot RT. Cigarette smoking and innate immunity[J]. Inflamm Res, 2008, 57(11): 497-503. DOI: 10.1007/s00011-008-8078-6.
    [20]
    Schabath MB, Villa L, Lin HY, et al. A prospective analysis of smoking and human papillomavirus infection among men in the HPV in men study[J]. Int J Cancer, 2014, 134(10): 2448-2457. DOI: 10.1002/ijc.28567.
    [21]
    Kelsey KT, Nelson HH, Kim S, et al. Human papillomavirus serology and tobacco smoking in a community control group[J]. BMC Infect Dis, 2015, 15: 8. DOI: 10.1186/s12879-014-0737-3.
    [22]
    Hirose T, Morito K, Kizu R, et al. Estrogenic/antiestrogenic activities of benzo[a]pyrene monohydroxy derivatives[J]. J Health Sci, 2001, 47(6): 532-558. DOI: 10.1248/jhs.47.552.
    [23]
    Attanasio R, Gust DA, Wilson ME, et al. Immunomodulatory effects of estrogen and progesterone replacement in a nonhuman primate model[J]. J Clin Immunol, 2002, 22(5): 263-269. DOI: 10.1023/A:1019997821064.
    [24]
    Enomoto LM, Kloberdanz KJ, Mack DG, et al. Ex vivo effect of estrogen and progesterone compared with dexamethasone on cell-mediated immunity of HIV-infected and uninfected subjects[J]. J Acquir Immune Defic Syndr, 2007, 45(2): 137-143. DOI: 10.1097/QAI.0b013e3180471bae.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(4)  / Tables(1)

    Article Metrics

    Article views (114) PDF downloads(10) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return