Antioxidants Associated with Oncogenic Human Papillomavirus Infection in Women

Hui Yi Lin, Qiufan Fu, Yu Hsiang Kao, Tung Sung Tseng, Krzysztof Reiss, Jennifer E. Cameron, Martin J. Ronis, Joseph Su, Navya Nair, Hsiao Man Chang, Michael E. Hagensee

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Background: Human papillomavirus (HPV) infection is a major cause of cervical cancer. Studies showed the onset of HPV carcinogenesis may be induced by oxidative stress affecting the host immune system. The association between antioxidants and oncogenic HPV remains unclear. In this study, we aim to identify antioxidants associated with vaginal HPV infection in women. Methods: The associations between the 15 antioxidants and vaginal HPV infection status (no, low-risk [LR], and high-risk [HR] HPV) were evaluated using 11 070 women who participated in the 2003-2016 National Health and Nutrition Examination Survey (NHANES). Results: We identified serum albumin and 4 dietary antioxidants (vitamin A, B2, E, and folate) inversely associated with HR-HPV infection. Women with a low level of albumin (≤39 g/L) have a significantly higher risk of HR-HPV (odds ratio [OR] = 1.4, P = .009 vs >44 g/L). A Nutritional Antioxidant Score (NAS) was developed based on these 4 dietary antioxidants. The women with the lowest quartile NAS had a higher chance of HR-HPV (OR = 1.3, P = .030) and LR-HPV (OR = 1.4, P = .002) compared with the women with the highest quartile NAS. Conclusions: We identified 5 antioxidants negatively associated with vaginal HR-HPV infection in women. Our findings provide valuable insights into understanding antioxidants' impact on HPV carcinogenesis.

Original languageEnglish (US)
Pages (from-to)1520-1528
Number of pages9
JournalJournal of Infectious Diseases
Issue number9
StatePublished - Nov 1 2021
Externally publishedYes


  • HPV
  • antioxidant
  • oxidative stress

ASJC Scopus subject areas

  • Immunology and Allergy
  • Infectious Diseases


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