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Global genomic diversity of human papillomavirus 6 based on 724 isolates and 190 complete genome sequences

MM. Jelen, Z. Chen, BJ. Kocjan, FJ. Burt, PK. Chan, D. Chouhy, CE. Combrinck, F. Coutlée, C. Estrade, A. Ferenczy, A. Fiander, EL. Franco, SM. Garland, AA. Giri, JV. González, A. Gröning, K. Heidrich, S. Hibbitts, L. Hošnjak, TN. Luk, K. Marinic,...

. 2014 ; 88 (13) : 7307-16.

Language English Country United States

Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't

E-resources Online Full text

NLK Free Medical Journals from 1967 to 6 months ago
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UNLABELLED: Human papillomavirus type 6 (HPV6) is the major etiological agent of anogenital warts and laryngeal papillomas and has been included in both the quadrivalent and nonavalent prophylactic HPV vaccines. This study investigated the global genomic diversity of HPV6, using 724 isolates and 190 complete genomes from six continents, and the association of HPV6 genomic variants with geographical location, anatomical site of infection/disease, and gender. Initially, a 2,800-bp E5a-E5b-L1-LCR fragment was sequenced from 492/530 (92.8%) HPV6-positive samples collected for this study. Among them, 130 exhibited at least one single nucleotide polymorphism (SNP), indel, or amino acid change in the E5a-E5b-L1-LCR fragment and were sequenced in full. A global alignment and maximum likelihood tree of 190 complete HPV6 genomes (130 fully sequenced in this study and 60 obtained from sequence repositories) revealed two variant lineages, A and B, and five B sublineages: B1, B2, B3, B4, and B5. HPV6 (sub)lineage-specific SNPs and a 960-bp representative region for whole-genome-based phylogenetic clustering within the L2 open reading frame were identified. Multivariate logistic regression analysis revealed that lineage B predominated globally. Sublineage B3 was more common in Africa and North and South America, and lineage A was more common in Asia. Sublineages B1 and B3 were associated with anogenital infections, indicating a potential lesion-specific predilection of some HPV6 sublineages. Females had higher odds for infection with sublineage B3 than males. In conclusion, a global HPV6 phylogenetic analysis revealed the existence of two variant lineages and five sublineages, showing some degree of ethnogeographic, gender, and/or disease predilection in their distribution. IMPORTANCE: This study established the largest database of globally circulating HPV6 genomic variants and contributed a total of 130 new, complete HPV6 genome sequences to available sequence repositories. Two HPV6 variant lineages and five sublineages were identified and showed some degree of association with geographical location, anatomical site of infection/disease, and/or gender. We additionally identified several HPV6 lineage- and sublineage-specific SNPs to facilitate the identification of HPV6 variants and determined a representative region within the L2 gene that is suitable for HPV6 whole-genome-based phylogenetic analysis. This study complements and significantly expands the current knowledge of HPV6 genetic diversity and forms a comprehensive basis for future epidemiological, evolutionary, functional, pathogenicity, vaccination, and molecular assay development studies.

Department of Experimental Virology National Reference Laboratory for Papillomaviruses Institute of Hematology and Blood Transfusion Prague Czech Republic

Department of Laboratory Medicine Lithuanian University of Health Sciences Medical Academy Kaunas Lithuania

Department of Medical Microbiology and Virology Faculty of Health Sciences University of the Free State Bloemfontein South Africa

Department of Microbiology and Infectious Diseases The Royal Women's Hospital Parkville Victoria Australia Department of Obstetrics and Gynaecology University of Melbourne Victoria Australia Murdoch Children's Research Institute Parkville Victoria Australia

Department of Microbiology Faculty of Medicine Chinese University of Hong Kong Prince of Wales Hospital Hong Kong Special Administrative Region China

Department of Molecular Diagnostics University Hospital for Infectious Diseases Dr Fran Mihaljević Zagreb Croatia

Department of Obstetrics and Gynaecology Cardiff University School of Medicine Institute of Cancer and Genetics Cardiff United Kingdom

Department of Oncology Division of Cancer Epidemiology McGill University Montréal Québec Canada

Department of Otolaryngology Lithuanian University of Health Sciences Medical Academy Kaunas Lithuania

Department of Otorhinolaryngology Faculty of Health Sciences University of the Free State Bloemfontein South Africa

Department of Pathology McGill University and Jewish General Hospital Montréal Québec Canada

Department of Pediatrics Albert Einstein College of Medicine New York New York USA

Departments of Microbiology and Immunology Epidemiology and Population Health Obstetrics and Gynecology and Women's Health Albert Einstein College of Medicine New York New York USA Department of Pediatrics Albert Einstein College of Medicine New York New York USA

Dermatology Research Centre The Chinese University of Hong Kong Prince of Wales Hospital Hong Kong Special Administrative Region China Department of Health Social Hygiene Service Centre for Health Protection Hong Kong Special Administrative Region China

DNA Laboratories Sdn Bhd UKM MTDC Technology Centre Universti Kebangsaan Malaysia Bangi Malaysia

Ganshintetsu Memorial Laboratory Department of Virology 2 National Institute of Health Tokyo Japan

Histocompatibility and Molecular Genetics Laboratory Dr Julio C Perrando Hospital Resistencia Chaco Argentina

Human Virology Group National Council of Scientific and Technical Research Institute of Molecular and Cell Biology of Rosario Rosario Argentina

Institute of Microbiology and Immunology Faculty of Medicine University of Ljubljana Ljubljana Slovenia

Laboratoire de Virologie Moléculaire Centre de Recherche Centre Hospitalier de L'Université de Montréal Hôpital Notre Dame Pavillon Deschamps Montréal Québec Canada

Lausanne University Hospital Institute of Microbiology Lausanne Switzerland

Medizinisches Versorgungszentrum wagnerstibbe für Laboratoriumsmedizin und Pathologie GmbH Hannover Germany

Oncogenic Viruses Service National Institute of Infectious Diseases ANLIS Dr Carlos G Malbrán Buenos Aires Argentina

Queen's Cancer Research Institute Queen's University Kingston Ontario Canada

Viral Exanthemata and STD Section National Microbiology Laboratory Public Health Agency of Canada Winnipeg Manitoba Canada

References provided by Crossref.org

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