Human papillomaviruses (HPV) contribute to most cervical cancers and are considered to be
sexually transmitted. However, papillomaviruses are often found in cancers of internal
organs, including the stomach, raising the question as to how the viruses gain access to
these sites. A possible connection between blood transfusion and HPV-associated disease
has not received much attention. Here we show, in rabbit and mouse models, that blood
infected with papillomavirus yields infections at permissive sites with detectable viral
DNA, RNA transcripts, and protein products. The rabbit skin tumours induced via blood
infection displayed decreased expression of SLN, TAC1, MYH8, PGAM2, and APOBEC2 and
increased expression of SDRC7, KRT16, S100A9, IL36G, and FABP9, as seen in tumours induced
by local infections. Furthermore, we demonstrate that blood from infected mice can
transmit the infection to uninfected animals. Finally, we demonstrate the presence of
papillomavirus infections and virus-induced hyperplasia in the stomach tissues of animals
infected via the blood. These results indicate that blood transmission could be another
route for papillomavirus infection, implying that the human blood supply, which is not
screened for papillomaviruses, could be a potential source of HPV infection as well as
subsequent cancers in tissues not normally associated with the viruses.