Human Papillomavirus Infection in Relation to Vaginal Microflora and Immune Factors

  • Xiaoge Li The First Affiliated Hospital of Chongqing Medical University
  • Yutong Wu The First Affiliated Hospital of Chongqing Medical University
  • Sijing Li The First Affiliated Hospital of Chongqing Medical University
  • Xiaoling Huang The First Affiliated Hospital of Chongqing Medical University
  • Ying Jia The First Affiliated Hospital of Chongqing Medical University
Keywords:  HPV, Vaginal Microflora, Immune Factors, Cervical Cancer

Abstract

Objective: Clarify the vaginal microflora and immune factors in women with human papilloma virus (HPV) infection, and explore its association with HPV infection. Methods: This study collected vaginal secretions and blood from 160 women initially diagnosed as HPV positive in our hospital from June 2020 to December 2020 and 80 healthy women with HPV negative physical examination in the same period. The vaginal microflora of the patients were detected by 16S rDNA sequencing and the expression of immune factors was measured by a high-performance liquid phase chip. Results: The different types of HPV were HPV mix (64,40%), HPV52 (39,24.375%), HPV16 (30,18.750%), HPV58 (18,11.250%), HPV18 (6,3.750%), HPV53 (1,0.625%), HPV55 (1,0.625%), and HPV68 (1,0.625%).α diversity analysis showed that there was no significant difference in vaginal microflora between different HPV types (P=0.733). The genus level abundance of vaginal microflora in each group was mainly Lactobacillus, followed by Gardnerella and Prevotella. LEfSe Analysis showed that the mix group was Gardnerella and the type HPV16 group was Streptococcus. The immune comparison showed that MIP-1β was significantly upregulated in the HPV-positive group, but EGF in the HPV-negative group. Conclusion: This study revealed that HPV infection can change the proportion of vaginal microbial bacteria and the expression of immune factors, which provides a basis for local vaginal treatment and prevention of HPV infection after HPV infection.

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Published
2023-06-01
Section
Original Research Article