A study conducted by Swedish researchers indicates that certain strains of HPV, or the human papillomavirus, may increase your likelihood of developing nonmelanoma skin cancers.
Specifically, the researchers found that individuals with certain types of HPV in their skin cells were at a 30% greater risk of developing squamous cell carcinoma over the course of 30 years than individuals unaffected by these types of HPV. Risk factors for skin cancer commensurate with the ongoing length of the HPV infection.
HPV is the most common type of sexually transmitted disease (STD) in the U.S. HPV is a virus from the papillomavirus family and affects the skin and the moist membranes that line the body, including the mouth, throat, fingers, nails, feet, anus and cervix.
HPV Antibodies Predict Risk Factors for Skin Cancer
During the risk factors for skin cancer study conducted by Sweden’s Karolinska Institutet, infectious disease epidemiology professor Dr. Joakim Dillner led a team of researchers in examining the health records of over 850,000 residents of both Norway and Sweden. Since 1973, all of these participants had donated blood, giving the researchers plenty of data to analyze.
The researchers found that 2,623 of the participants donated blood prior to receiving a diagnosis for basal cell carcinoma or squamous cell carcinoma, both examples of nonmelanoma skin cancer. The blood samples from these individuals were then examined to determine whether they contained antibodies known to fight against the various strains of HPV. If HPV antibodies were found in the samples, it would indicate that the person had an HPV infection in the past, but not necessarily the present. The samples were also compared to the blood samples of 2,623 cancer-free blood donors.
The 100+ different types of HPV are identified numerically. The researchers discovered that individuals with antibodies against HPV 9, HPV 15, HPV 17, HPV 23 and HPV 28 were increasingly at risk for squamous cell carcinoma over the course of the 30-year study period. Individuals whose infections had been present for 18 years or more were over 80% more likely to be diagnosed with squamous cell carcinoma than individuals who had carried their infections for less than 18 years.
Interestingly, the findings remained constant even when the researchers accounted for factors such as lifetime sun exposure, a typical indicator of skin cancer risk. However, lifetime sun exposure was only estimated based on local UV ray data. The sun and tanning habits of the participants were not assessed on a case-by-case basis.
Why do Certain HPV Strains Boost Skin Cancer Risk?
When left untreated, squamous cell carcinoma tends to spread to other areas of the body and can lead to dangerous complications. Fortunately, it’s often curable with early treatment. Squamous cell carcinoma is most commonly caused by UV radiation, which can come from a tanning bed or the sun.
Prior to the Swedish HPV skin cancer study being performed, previously conducted studies had already suggested that squamous cell carcinoma and certain types of HPV could be interlinked. However, experts were unclear as to whether an HPV infection made the host more likely to develop skin cancer, or if skin cancer increased the individual’s risk for HPV.
Dr. Dillner and his team of researchers believe that their study proves that HPV increases the risk of cancer, and not the other way around.
HPV is typically thought of as a sexually transmitted disease. While that distinction is true of many HPV types, other strains can be acquired simply by touching surfaces, and most commonly affect the skin. In fact, all warts are caused by viruses contained with the HPV family. Sexually transmitted versions of HPV, on the other hand, can lead to cervical cancer, anal cancer and genital warts.
A vaccine already exists for many sexually transmitted strains of HPV, leading Dillner to suggest that developing a vaccine to protect against skin-related HPV strains would be relatively simple. However, future research is needed to confirm the link, and only then will the medical community turn its attention toward a vaccine.
HPV Infection: Bottom Line
Researchers at the Karolinska Institutet in Sweden have discovered that individuals with HPV are more likely to develop certain types of skin cancer. The longer the HPV infection persists, the greater the risk factors for skin cancer. The researchers believe that a vaccine will be developed for skin-related HPV infections pending the completion of future research to confirm the link.
The full text of the Swedish HPV skin cancer study can be found in the American Journal of Epidemiology.
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