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HLA-G Alleles Impact the Perinatal Father-Child HPV Transmission
Nelli T Suominen1,2, Michel Roger3,4, Marie-Claude Faucher3
1Department of Obstetrics and Gynecology, Turku University Hospital, University of Turku, 20520 Turku, Finland.
Insights
Human leukocyte antigen (HLA)-G allele concordance influences father-to-child human papillomavirus (HPV) transmission. Specific HLA-G alleles are linked to HPV transmission between fathers and newborns during the perinatal period.
Area of Science:
- Immunogenetics
- Virology
- Perinatal transmission
Background:
- Father-to-child human papillomavirus (HPV) transmission mechanisms are not fully understood.
- Host factors, particularly those related to immune response, may play a role in HPV transmission.
- Human leukocyte antigen (HLA)-G is a crucial immune tolerance molecule with potential implications in pathogen transmission.
Purpose of the Study:
- To investigate the association between human leukocyte antigen (HLA)-G alleles and father-to-child HPV transmission.
- To determine if HLA-G allele concordance influences HPV prevalence and concordance between fathers and their offspring during the perinatal period.
Main Methods:
- Analysis of 134 father-newborn pairs from the Finnish Family HPV Study.
- Collection of oral, semen, and urethral samples from fathers, and oral samples from offspring.
- HLA-G allele typing by direct sequencing and HPV DNA testing.
- Statistical analysis using unconditional logistic regression to assess associations.
Main Results:
- HLA-G allele G*01:01:03 concordance was significantly associated with father-child oral high-risk (HR)-HPV concordance at birth (OR 17.00).
- HLA-G allele G*01:04:01 concordance increased father's oral and child's postpartum oral any- and HR-HPV concordance (ORs 7.50 and 7.78).
- No association was found between HLA-G genotypes and HPV concordance.
Conclusions:
- HLA-G allele concordance, not specific genotypes, appears to be a significant factor influencing HPV transmission from fathers to offspring.
- These findings highlight the role of specific HLA-G alleles in the immune-mediated control of perinatal HPV transmission.
Abstract:
The host factors that influence father-to-child human papillomavirus (HPV) transmission remain unknown. This study evaluated whether human leukocyte antigen (HLA)-G alleles are important in father-to-child HPV transmission during the perinatal period. Altogether, 134 father-newborn pairs from the Finnish Family HPV Study were included. Oral, semen and urethral samples from the fathers were collected before the delivery, and oral samples were collected from their offspring at delivery and postpartum on day 3 and during 1-, 2- and 6-month follow-up visits. HLA-G alleles were tested by direct sequencing. Unconditional logistic regression was used to determine the association of the father-child HLA-G allele and genotype concordance with the father-child HPV prevalence and concordance at birth and during follow-up. HLA-G allele G*01:01:03 concordance was associated with the father's urethral and child's oral high-risk (HR)-HPV concordance at birth (OR 17.00, 95% CI: 1.24-232.22). HLA-G allele G*01:04:01 concordance increased the father's oral and child's postpartum oral any- and HR-HPV concordance with an OR value of 7.50 (95% CI: 1.47-38.16) and OR value of 7.78 (95% CI: 1.38-43.85), respectively. There was no association between different HLA-G genotypes and HPV concordance among the father-child pairs at birth or postpartum. To conclude, the HLA-G allele concordance appears to impact the HPV transmission between the father and his offspring.
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