Human papillomavirus can be detected by amplification of viral DNA. A novel one-step PCR (PM-PCR) was evaluated for amplification of a 117-bp fragment from the E1 region. It permitted ultrasensitive detection of all 25 known human papillomavirus genotypes from the beta-papillomavirus genus. The intra-and intertypic sequence variations of the 77-bp interprimer region were studied. Genotype-specific probes as well as general probes were selected for the 25 established beta-papillomavirus types, and a reverse hybridization assay (RHA) was developed (PM-PCR RHA method). The analytical sensitivity of the PM-PCR RHA method was 10 to 100 viral genomes. The one-step PM-PCR turned out to be more sensitive than the previously described nested MaHa-PCR for beta-papillomavirus detection. The PM-PCR RHA method was able to detect and identify beta-papillomavirus types in frozen patient material as well as in poorly amplifiable material such as formalinfixed, paraffin-embedded skin biopsy specimens. Inter-and intralaboratory variability experiments showed that the reproducibility of the assay was very high. In conclusion, the one-step PM-PCR together with the RHA allows extremely sensitive, specific, and reproducible detection of beta-papillomavirus DNA as well as reliable identification of beta-papillomavirus genotypes in both fresh and paraffin-embedded patient material.Papillomaviruses (PV) constitute a group of viruses associated with benign and malignant lesions of cutaneous and mucosal epithelia. So far, more than 100 different PV genotypes have been identified, of which approximately 48 types have been detected in human cutaneous lesions (12). These include the beta-papillomavirus (beta-PV) genus comprising the human papillomavirus (HPV) types 5,8,9,12,14,15,17,19,20,21,22,23,24,25, 36, 37, 38, 47, 49, 75, 76, 80, and 93 and candidate types 92 (cand92) and cand96. Based on partial sequences, however, probably more than 35 new types have to be added to the 25 known beta-PV types (19). Originally, types of the beta genus have been found in skin lesions from patients with the rare hereditary disease epidermodysplasia verruciformis. These patients develop flat cutaneous warts and macular lesions. They arise early in life and have a high chance to progress into squamous cell carcinoma (SCC) on sun-exposed sites. In these SCCs, mostly HPV types 5 and 8 have been detected, suggesting that these types are high-risk HPV types (19).DNA from beta-PV types was identified mainly by nested PCR in 30 to 50% of SCCs in immunocompetent patients and in up to 90% of the SCCs in immunosuppressed patients, e.g., renal transplant recipients (19). The high prevalence of beta-PV types in these SCCs and their precursor lesions (solar keratoses) suggests an involvement in the carcinogenesis. Recent epidemiological case control studies have further corroborated this hypothesis by showing that the presence of beta-PV DNA in eyebrow hairs was associated with a history of cutaneous solar keratoses (7) and cutaneous SCC (23).Little is known about the...