Human papillomavirus (HPV)
infection is a major risk factor for
cervical cancer. However, only some high risk human papillomavirus (HR-HPV)-infected women progress to
cervical cancer, host immunogenetic factors
human leukocyte antigen (HLA) may account for
viral antigens presenting individually or together in the progression to
cervical cancer. This study examined the association between the development of invasive
cervical cancer (ICC) and the determinant factors including
HLA-DRB1*1501 and DQB1*0602, HR-
HPV infection among Chinese Uighur and Han populations. Blood samples, cervical swabs and biopsies were obtained from 287 patients with ICC (192 Uighurs and 95 Hans) and 312 healthy controls (218 Uighurs and 94 Hans). HPV
DNA was detected by PCR and
HLA-DRB1*1501 and DQB1*0602 alleles were performed using PCR-SSP method. HPV16
infection rates was significantly higher among Uighur and Han with ICC as compared to healthy controls (OR = 58.317; 95% CI: 39.663-85.744; OR = 33.778; 95% CI: 12.581-90.691; P < 0.05 for all).
HLA-DRB1*1501 (OR = 0.305; 95% CI: 0.115-0.813; P < 0.05) and
HLA-DRB1*1501-DQB1*0602 haplotype frequencies (OR = 0.274; 95% CI: 0.086-0.874; P < 0.05) were significantly reduced in Han ICC. The
HLA-DQB1*0602 frequency significantly decreased among Uighur women with ICC (OR = 0.482; 95% CI: 0.325-0.716; P < 0.05). Similar tendencies were observed for DQB1*0602 with HPV16-positive ICC (OR = 0.550; 95% CI: 0.362-0.837; P < 0.05). This study suggests that
HLA-DRB1*1501 and DQB1*0602 alleles may influence the immune response to HPV16
infection and decrease the risk of ICC among Uighurs and Hans in Xinjiang, China.