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The spermicide nonoxynol-9 does not inactivate papillomavirus
P L Hermonat1, R W Daniel, K V Shah
1Department of Immunology and Infectious Diseases, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland 21205.
Sexually Transmitted Diseases
|July 1, 1992
Summary
Vaginal spermicides containing nonoxynol-9 effectively inactivate enveloped viruses like CMV but do not impact nonenveloped papillomaviruses. This suggests spermicides do not protect against cervical cancer by directly inactivating human papillomaviruses.
Area of Science:
- Virology
- Microbiology
- Public Health
Background:
- Vaginal spermicides offer contraception and can inactivate some sexually transmitted pathogens.
- Nonoxynol-9 is a common spermicide ingredient with a known detergent effect on pathogen membranes and envelopes.
- Papillomaviruses are linked to cervical cancer, and spermicides are anecdotally linked to protection.
Purpose of the Study:
- To investigate the efficacy of nonoxynol-9 against specific viruses relevant to sexually transmitted infections and cervical cancer.
- To determine if nonoxynol-9 inactivates bovine papillomavirus type 1 (BPV-1), BK virus (BKV), and cytomegalovirus (CMV).
Main Methods:
- Testing a 5% nonoxynol-9 concentration.
- Assessing the reduction in transforming activity of BPV-1 (a nonenveloped virus).
- Evaluating the infectivity of BKV (a nonenveloped virus) and CMV (an enveloped virus).
Main Results:
- Nonoxynol-9 significantly reduced the infectivity of cytomegalovirus (CMV), an enveloped virus.
- Nonoxynol-9 did not significantly affect the transforming activity of bovine papillomavirus type 1 (BPV-1) or the infectivity of BK virus (BKV), both nonenveloped viruses.
- The findings indicate a differential effect of nonoxynol-9 based on viral structure.
Conclusions:
- Vaginal spermicides, specifically nonoxynol-9, do not appear to inactivate nonenveloped papillomaviruses.
- The protective effect of spermicides against cervical cancer is unlikely to be due to direct inactivation of human papillomaviruses.
- Further research is needed to understand the mechanisms behind any observed protective effects of spermicides against cervical cancer.
Keywords:
BiologyCancerCervical Cancer--etiologyContraceptionContraceptive AgentsCytologic EffectsDiseasesExaminations And DiagnosesFamily PlanningInfectionsLaboratory Examinations And DiagnosesNeoplasmsNonoxynol-9PhysiologyReproductive Tract InfectionsSexually Transmitted DiseasesSpermicidal Contraceptive Agents