2023
DOI: 10.1016/j.tvr.2023.200268
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The human Papillomavirus twilight zone – Latency, immune control and subclinical infection

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Cited by 15 publications
(5 citation statements)
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“…Risk factors for the onset of RRP continue to be poorly understood 57 . Chronic HPV infection and disease development can be conceptualized as an imbalance between viral gene expression levels and host immune surveillance and control 58 . Recent reviews of immunology in RRP have posited that the chronic laryngeal HPV infections that lead to RRP are due to local immune suppression by the virus, rather than systemic host‐level factors 59,60 .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Risk factors for the onset of RRP continue to be poorly understood 57 . Chronic HPV infection and disease development can be conceptualized as an imbalance between viral gene expression levels and host immune surveillance and control 58 . Recent reviews of immunology in RRP have posited that the chronic laryngeal HPV infections that lead to RRP are due to local immune suppression by the virus, rather than systemic host‐level factors 59,60 .…”
Section: Discussionmentioning
confidence: 99%
“…57 Chronic HPV infection and disease development can be conceptualized as an imbalance between viral gene expression levels and host immune surveillance and control. 58 Recent reviews of immunology in RRP have posited that the chronic laryngeal HPV infections that lead to RRP are due to local immune suppression by the virus, rather than systemic host-level factors. 59,60 Supportive of this hypothesis, RRP patients are not at increased risk of other infections, including infection with high-risk HPV.…”
Section: Discussionmentioning
confidence: 99%
“…However, the viral genome remains intact and can reactivate without reinfection, persisting indefinitely within the host. This latent stage is typical of all herpes viruses and many oncoviruses, including HIV, HPV, HBV, and Hepatitis C virus (HCV) [ 150 , 151 , 152 , 153 ]. The latency allows viruses to evade not only the immune system’s antiviral effects but also the protective mechanisms against cellular and tissue stress in infected tissues.…”
Section: Low-grade Inflammation In Long Covid and Other Viral Infectionsmentioning
confidence: 99%
“…15,54 Studies aimed at identifying the factors that contribute to the establishment of longterm, persistent HPV infections have only recently been initiated. [54][55][56][57] The immune status of the host plays an important role, as evidenced by the increased incidence of high-risk HPV-associated cervical and anal cancers in HIV-positive individuals 58 and the emergence of beta HPV-associated cSCCs in immunosuppressed organ transplant patients. 59 The E2, E5, E6, and E7 proteins have each been implicated in blinding the host's innate and/or adaptive immune system.…”
Section: Persistent Infections-a Question Of Target Cells Cell Compet...mentioning
confidence: 99%
“…There are currently 12 mucosal alpha HPVs (types 16,18,31,33,35,39,45,51,52,56,58,59) that have been designated "carcinogenic to humans" by the World Health Organization/International Agency for Research on Cancer (WHO/IARC) as of 2012 with several other HPVs listed as "probably" or "possibly" carcinogenic. 112 Seven of the 12 carcinogenic HPVs (types 16, 18, 31, 33, 45, 52, and 58) are included in the current 9-valent prophylactic HPV vaccine.…”
Section: Are There Additional High-risk Hpvs?mentioning
confidence: 99%