“…The resulting virus-like particles (VLPs), which appear similar to empty virions, can be used in serological studies to test for type specific immunological responses to viral capsid proteins, although there is evidence that a particular assay may cross react with related HPV subtypes (Combita et al, 2002b). Presence of anti-VLP antibodies is an indicator of past and current infection (Kirnbauer et al, 1994;Le Cann et al, 1995;Wideroff et al, 1995;Dillner et al, 1996). The utility of such assays has been demonstrated in previous studies of anti-HPV-16 antibodies in relation to the risk of cancer of the uterine cervix (Lehtinen et al, 1996;Dillner et al, 1997;Shah et al, 1997;Vonka et al, 1999;Hisada et al, 2001).…”