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Author Spotlight: Dermatopathology and the Treatment of Sexually Transmitted Diseases
Published on: November 8, 2024
Human papillomavirus type 2 associated with pyogenic granuloma in patients without clinical evidence of warts
Osvaldo T Vázquez-Martínez1, Anajulia González-Betancourt2, María Carmen Barboza-Cerda3,4
1Servicio de Dermatología, Hospital Universitario "Dr. José E. González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
Background:
Pyogenic granuloma is a non-neoplastic lesion that frequently occurs in the skin and mucous membranes of children and pregnant women. The anatomical sites of pyogenic granulomas overlap with those of wart infections caused by the human papillomavirus (HPV).
Objective:
This study assessed the presence of HPV DNA in pyogenic granuloma samples by polymerase chain reaction.
Methods:
Eighteen pyogenic granuloma biopsies from patients without a clinical history or evidence of verruca in the studied area were tested for the presence of the HPV genome. The presence of HPV DNA was screened by three independent polymerase chain reaction reactions using standard consensus primer sets targeted to the L1 or E1 consensus regions of HPV genome. The HPV DNA-positive samples were genotyped using methodologies enabling the identification of up to 30 HPVs, including oncogenic, nononcogenic, and cutaneous viral types.
Results:
The HPV DNA was detected in 44.4% (eight of 18) of the samples, with HPV-2 being the only type in the eight HPV DNA-positive samples. Contamination with HPV-2 sequences throughout the entire process was reliably eliminated.
Conclusion:
This report is the first to suggest an association between HPV-2 and pyogenic granuloma. This relationship is similar to that observed between HPV-2 and nongenital warts.
Insights
Human papillomavirus (HPV) DNA was detected in nearly half of pyogenic granuloma samples. This study suggests a potential association between HPV-2 and pyogenic granuloma, similar to its link with nongenital warts.
Area of Science:
- Dermatology
- Virology
- Molecular Biology
Background:
- Pyogenic granuloma is a common non-neoplastic lesion affecting skin and mucous membranes, particularly in children and pregnant women.
- The locations of pyogenic granulomas overlap with sites of human papillomavirus (HPV) infections.
Purpose of the Study:
- To investigate the presence of HPV DNA in pyogenic granuloma lesions using polymerase chain reaction (PCR).
Main Methods:
- Eighteen pyogenic granuloma biopsies were analyzed for HPV DNA using three independent PCR reactions.
- Consensus primer sets targeting L1 or E1 regions of the HPV genome were employed.
- HPV DNA-positive samples were genotyped to identify specific HPV types.
Main Results:
- HPV DNA was identified in 44.4% (8 out of 18) of the pyogenic granuloma samples.
- HPV-2 was the sole HPV type detected in all positive samples.
- Rigorous methods were used to rule out contamination with HPV-2 sequences.
Conclusions:
- This study provides the first evidence suggesting a link between HPV-2 and pyogenic granuloma.
- The observed association parallels the known relationship between HPV-2 and nongenital warts.
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