Genetic variants of HPV-16 and their geographical and anatomical distribution in men: A systematic review with meta-analysis

Virology. 2021 Jun:558:134-144. doi: 10.1016/j.virol.2021.03.007. Epub 2021 Mar 18.

Abstract

Background: The prevalence of Human Papillomavirus type 16 (HPV-16) variants in men and the association with tumor development has not been fully investigated. We estimated the prevalence of genital, anal, and oral HPV-16 infections in men through a systematic review and meta-analysis.

Methods: Seven databases were searched and included studies that identified HPV-16 positive males, HPV-16 variants (lineages/sublineages), and indicated the sample's anatomical origin. This protocol is registered in PROSPERO (CRD42020178013).

Results: The database searches yielded 14 studies including 445 HPV-16 positive samples classified as lineage A (n = 390), lineage D (n = 43), lineage B (n = 10), and lineage C (n = 2) variants. Lineage A variants predominated among the anatomical sites and the diverse geographical regions.

Conclusions: HPV-16 lineages vary according to anatomical and geographical region. According to this preliminary evaluation of the current literature, we hypothesize that, similar to women, specific HPV-16 variants may also be associated to increased cancer risk in men.

Keywords: Genetic variations; HPV-16; Lineage; Men; Meta-analysis; Prevalence.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Anal Canal / virology
  • Genetic Variation*
  • Genital Diseases, Male / virology
  • Geography
  • Human papillomavirus 16 / classification
  • Human papillomavirus 16 / genetics*
  • Human papillomavirus 16 / pathogenicity
  • Humans
  • Male
  • Mouth / virology
  • Papillomavirus Infections / complications
  • Papillomavirus Infections / virology*