Neutrophil/lymphocyte and platelet/lymphocyte ratio in seropositive women for human immunodeficiency virus (HIV) and human papillomavirus (HPV) coinfection

Rev Inst Med Trop Sao Paulo. 2024 Dec 6:66:e67. doi: 10.1590/S1678-9946202466067. eCollection 2024.

Abstract

This study aims to investigate the possible association between neutrophil/lymphocyte and platelet/lymphocyte ratio in women with HIV, undergoing antiretroviral treatment, with HPV coinfection. This is a cross-sectional study with HIV positive women; their biological samples were collected for laboratory tests (complete blood count) and oncotic cytology for detection of HPV DNA, by PCR-Nested (PGMY and GP primers). Viral load and CD4 and CD8 T-cells counts were obtained from medical records. The data were analyzed, comparing the two groups: those with coinfection and those without it. From 82 HIV seropositive women, 50% exhibited HPV coinfection and 12.2% of coinfected patients had cervical cell alterations. Quantification of viral load, CD4 and CD8 T-cells count, CD4 / CD8 ratio and neutrophil/lymphocyte (NLR) and platelet/lymphocyte (PLR) ratio presented significant differences between groups (p<0.05). The predicting power of NLR and PLR in differentiating HIV/HPV coinfection which demonstrated differences between groups (AUC of 0.882 and 0.776 for NLR and PLR, respectively). There is a relation between the neutrophil/lymphocyte and platelet/lymphocyte ratio with HIV/HPV coinfection in women undergoing antiretroviral treatment, suggesting a state of greater and persistent systemic inflammation, reflecting as a biomarker for screening and monitoring these patients.

MeSH terms

  • Adult
  • Blood Platelets
  • CD4 Lymphocyte Count
  • CD4-CD8 Ratio
  • Coinfection*
  • Cross-Sectional Studies
  • Female
  • HIV Infections* / blood
  • HIV Infections* / complications
  • HIV Infections* / drug therapy
  • Human Papillomavirus Viruses
  • Humans
  • Lymphocyte Count
  • Middle Aged
  • Neutrophils*
  • Papillomavirus Infections* / blood
  • Papillomavirus Infections* / complications
  • Papillomavirus Infections* / diagnosis
  • Platelet Count
  • Viral Load*

Grants and funding

FUNDING: This study was financed in part by the Research and Scientific and Technological Development of Maranhao (FAPEMA - Fundacao de Amparo a Pesquisa e ao Desenvolvimento Cientifico e Tecnologico do Maranhao), UNIVERSAL 01017/2017, and Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior - Brasil (CAPES), Finance Code 001.