Human papillomaviruses are one of the principal infectious agents known to cause cancers in humans;it is estimated that approximately 5% of cancers worldwide are attributable to HPV infection. While it is well established that HPV is a necessary cause of cervical cancer, world experts agree that for HPV16, the most carcinogenic of the HPV genotypes, data show a causal role in cancers outside the cervix, including the vulva, vagina, penis, and anus, and some head and neck tumors in the oropharynx. Other cancers hypothesized to be related to HPV infection, but for which a causal association has yet to be shown, include cancers of the oral cavity, larynx, conjunctiva, and, for cutaneous HPV types, skin. To that end, considerable research within the IIB focuses on the role of HPV infection in cancer at extra-cervical sites. We have many on-going studies whose aims are to:1) evaluate the natural history of HPV infections at non-cervical sites 2) determine the prevalence and biologic activity of HPV infection in tumors from these sites3) assess the prospective association between HPV infection and risk of extra-cervical prevalent, incident, and recurrent cancers 4) evaluate the efficacy of the HPV16/18 prophylactic vaccine against extra-cervical infections

National Institute of Health (NIH)
National Cancer Institute (NCI)
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Cancer Epidemiology and Genetics
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Kreimer, Aimée R; Brennan, Paul; Lang Kuhs, Krystle A et al. (2015) Human papillomavirus antibodies and future risk of anogenital cancer: a nested case-control study in the European prospective investigation into cancer and nutrition study. J Clin Oncol 33:877-84
Lang Kuhs, Krystle A; Anantharaman, Devasena; Waterboer, Tim et al. (2015) Human Papillomavirus 16 E6 Antibodies in Individuals without Diagnosed Cancer: A Pooled Analysis. Cancer Epidemiol Biomarkers Prev 24:683-9
Shiels, Meredith S; Kreimer, Aimée R; Coghill, Anna E et al. (2015) Anal Cancer Incidence in the United States, 1977-2011: Distinct Patterns by Histology and Behavior. Cancer Epidemiol Biomarkers Prev 24:1548-56
Pierce Campbell, Christine M; Kreimer, Aimée R; Lin, Hui-Yi et al. (2015) Long-term persistence of oral human papillomavirus type 16: the HPV Infection in Men (HIM) study. Cancer Prev Res (Phila) 8:190-6
Kreimer, Aimée R; Struyf, Frank; Del Rosario-Raymundo, Maria Rowena et al. (2015) Efficacy of fewer than three doses of an HPV-16/18 AS04-adjuvanted vaccine: combined analysis of data from the Costa Rica Vaccine and PATRICIA Trials. Lancet Oncol 16:775-86
Kreimer, Aimée R; Schiffman, Mark; Herrero, Rolando et al. (2012) Long-term risk of recurrent cervical human papillomavirus infection and precancer and cancer following excisional treatment. Int J Cancer 131:211-8
Kreimer, Aimee R; Rodriguez, Ana Cecilia; Hildesheim, Allan et al. (2011) Proof-of-principle evaluation of the efficacy of fewer than three doses of a bivalent HPV16/18 vaccine. J Natl Cancer Inst 103:1444-51