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  5. Predictive And Prognostic Markers
  6. Vaginal Ph Value Can Affect The Susceptibility To Human Papillomavirus Infection

Vaginal pH value can affect the susceptibility to human papillomavirus infection

Yinxia Liu1,2, Zhengyu Li3,4

  • 1Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, No. 20 Section 3, Renmin South Road, Chengdu, Sichuan, 610041, People's Republic of China.

BMC Infectious Diseases
|February 8, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Elevated vaginal pH increases susceptibility to human papillomavirus (HPV) infection by affecting viral adherence to cells. This finding highlights pH as a factor in HPV infection risk.

Area of Science:

  • Gynecology
  • Virology
  • Oncology

Background:

  • Cervical cancer, a leading cancer in women, is primarily caused by persistent high-risk human papillomavirus (HPV) infections.
  • Vaginal pH, normally maintained between 3.8-4.5 in pre-menopausal women, can be influenced by various factors.
  • Previous research suggests a link between vaginal pH and HPV infection susceptibility.

Purpose of the Study:

  • To investigate the relationship between vaginal pH and susceptibility to human papillomavirus (HPV) infection.
  • To explore the impact of pH on HPV pseudovirus (PsVs) infection in vitro and in vivo.

Main Methods:

  • Retrospective analysis of medical data from 3115 women undergoing leukorrhea examination.
  • Exclusion criteria included infectious diseases, cancer, pregnancy, recent delivery, and lack of recent HPV test results.
Keywords:
HPVHPV pseudoviruspH value

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  • In vitro and in vivo experiments using HPV pseudoviruses (PsVs) to assess pH effects on infection and viral adherence.
  • Main Results:

    • Higher percentages of HPV and high-risk HPV infections were observed in women with vaginal pH ≥5.0 compared to those with pH <5.0.
    • In vitro studies showed increased HPV PsVs infection rates in higher pH media, primarily due to enhanced viral adherence to cells.
    • In vivo experiments demonstrated greater HPV PsVs adherence to mouse vaginal epithelial cells as pH increased.

    Conclusions:

    • Vaginal pH is associated with HPV infection susceptibility.
    • pH influences HPV PsVs infection by affecting viral adherence to cells, both in vitro and in vivo.
    • Cell surface receptors Syndecan-1 and Integrin α6 do not appear to be pH-affected, suggesting other mechanisms require further investigation.