Effect of HPV Vaccination on Virus Disappearance in Cervical Samples of a Cohort of HPV-Positive Polish Patients

Author:

Pruski Dominik12ORCID,Millert-Kalińska Sonja13ORCID,Łagiedo Małgorzata4ORCID,Sikora Jan4,Jach Robert5ORCID,Przybylski Marcin16

Affiliation:

1. Department of Obstetrics and Gynecology, District Public Hospital in Poznan, 60-479 Poznań, Poland

2. Dominik Pruski Gynecology Specialised Practise, 60-408 Poznań, Poland

3. Doctoral School, Poznan University of Medical Sciences, 61-701 Poznań, Poland

4. Department of Immunology, Pathomorphology and Clinical Immunology, Poznan University of Medical Sciences, 60-806 Poznań, Poland

5. Department of Gynecological Endocrinology, Jagiellonian University Medical College, 31-008 Cracow, Poland

6. Marcin Przybylski Gynecology Specialised Practise, 60-682 Poznań, Poland

Abstract

The introduction of human papillomavirus vaccines revolutionized cervical cancer prevention. Our research hypothesis is that HPV vaccination affects the remission of HPV in cervical swabs. We provide a prospective, ongoing, 24-month, non-randomized study in HPV-positive women. We enrolled 60 patients with positive HPV swabs from the cervix (fifty-one vaccinated with the nine-valent vaccine against HPV and nine unvaccinated). Using an enzyme-linked immunosorbent assay, we determined IgG class antibodies of HPV in the patients’ serums. Persistent HPV infection after vaccination was significantly less frequent in the nine-valent vaccinated group (23.5%) compared to the control group (88.9%; p < 0.001). Antibody level after vaccination was significantly higher in the vaccinated patients compared to the control group. The reactive antibody level was seen in the case of all patients in the vaccinated group and one-third of the unvaccinated group (33.3%, n = 3). The vaccination of HPV-positive patients may increase the chance of HPV remission in cervical swabs and may be a worthwhile element of secondary prevention in HPV-positive patients.

Publisher

MDPI AG

Subject

General Medicine

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