2025 · JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION

Human papillomavirus genotype distribution among high-grade cervical lesions in French women born between 1972 and 1993

Lenoir, Philomene, Guillet, Julie, Desmarets, Maxime, Baraquin, Alice, Ramanah, Rajeev, Rousse, Justine, Mougin, Christiane, Lepiller, Quentin, Pretet, Jean-Luc, HPV Impact Study Grp

Journal
JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION
Année
2025
Volume
54
Numéro
5
Article
102945
Mois
MAY
DOI
10.1016/j.jogoh.2025.102945

Abstract

Background: Implementation of HPV vaccination programmes may induce significant changes in the distribution of HPV genotypes detected in cervical (pre-)cancers. Methods: In a multicentre study in France, we investigated the distribution of HPV genotypes using a sensitive molecular technique in 611 histological specimens diagnosed with high-grade lesions (CIN2/3) in a large cohort of women born between 1972 and 1993. Women born after 1983 were potentially vaccinated because of their young age. Results: High-risk HPV genotypes were detected in 93.4 % of women and 24.4 % had a multiple infections. HPV16/18 genotypes were more frequently associated with CIN3 than with CIN2 lesions (66 % vs. 57 %, p = 0.045). The prevalence of HPV16 and HV18 genotypes did not change according to the year of birth. Conclusion: Contrary to previous descriptions in countries with a high HPV vaccination coverage, we did not observe difference in the prevalence of HPV16 and HPV18 genotypes in CIN2/3 lesions after the introduction of HPV vaccination in France, in a context of low national vaccination coverage. ClinicalTrials.gov ID: NCT04167501

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