PAPILOCARE HCP BOOKLET 2025

HRHPV PERSISTENCE IS A NECESSARY CONDITION TO DEVELOP HIGH GRADE LESIONS 1

Viral persistence 2,3

1020% 21%

LSIL

HPV+

HSIL

48% 35%

Modiable factors associated with clearance and regression of HPV-dependent lesions

Balance of the vaginal microbiota 6

Local immune response 7

Lifestyle 8

Reepithelialisation of the cervical transformation zone 4,5

1. Koshiol, Jill et al. “Persistent human papillomavirus infection and cervical neoplasia: a systematic review and meta-analysis.” American journal of epidemiology vol. 168,2 (2008): 123-37. doi:10.1093/aje/kwn036 2. Stanley, Margaret.“Pathology and epidemiology of HPV infection in females.”Gynecologic oncology vol. 117,2 Suppl (2010): S5-10. doi:10.1016/j.ygyno.2010.01.024 3.Melnikow, J et al. “Natural history of cervical squamous intraepithelial lesions: a meta-analysis.” Obstetrics and gynecology vol. 92,4 Pt 2 (1998): 727-35. doi:10.1016/s0029-7844(98)00245-2 4. Chow, Louise T et al. “The natural history of human papillomavirus infections of the mucosal epithelia.” APMIS: acta pathologica, microbiologica, et immunologica Scandinavica vol. 118,6-7 (2010): 422-49. doi:10.1111/j.1600-0463.2010.02625.x 5. Mirkovic, Jelena et al. “Carcinogenic HPV infection in the cervical squamo-columnar junction.” The Journal of pathology vol. 236,3 (2015): 265-71. doi:10.1002/path.4533 6. Mitra, A et al. “Cervical intraepithelial neoplasia disease progression is associated with increased vaginal microbiome diversity.” Scientic reports vol. 5 16865. 17 Nov. 2015, doi:10.1038/srep16865 7. Stensen, Signe et al. “Factors associated with type-specic persistence of high-risk human papillomavirus infection: A population-based study.”International journal of cancer vol. 138,2 (2016): 361-8. doi:10.1002/ijc.29719 8. Giuliano, Anna R et al. “Clearance of oncogenic human papillomavirus (HPV) infection: eect of smoking (United States).”Cancer causes & control : CCC vol. 13,9 (2002): 839-46. doi:10.1023/a:1020668232219

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