• Mar. Giu 3rd, 2025
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“Il nesso tra HPV, sessualità orale e rischio di neoplasie orofaringee: uno studio approfondito svela nuovi fattori di rischio”. “Recenti ricerche continuano a gettare luce sulla complessa interazione tra il Papillomavirus umano (HPV), i comportamenti sessuali e l’insorgenza di neoplasie nel distretto orofaringeo. Tradizionalmente associato a infezioni genitali, l’HPV si dimostra sempre più un agente eziologico significativo anche per i tumori che colpiscono la bocca e la gola. Un particolare focus di attenzione è rivolto alla trasmissione attraverso rapporti sessuali orali, un percorso di contagio che, sebbene noto, rivela sfumature e fattori di rischio finora solo parzialmente compresi.

Uno studio pionieristico, pubblicato sulla prestigiosa rivista *Cancer* a cura dell’American Cancer Society e condotto da un team di esperti della Johns Hopkins University, ha analizzato in profondità questa correlazione, portando alla luce dati di notevole rilevanza clinica ed epidemiologica. La ricerca ha esplorato il legame tra la frequenza e l’intensità delle pratiche di sesso orale e il successivo sviluppo di carcinomi orofaringei correlati all’HPV. I risultati sono chiari e meritevoli di attenzione: un’anamnesi che includa un numero elevato di partner con cui si sono avuti rapporti sessuali orali – nello specifico, lo studio ha indicato un numero superiore a dieci – sembra drasticamente aumentare la probabilità di sviluppare questo tipo di neoplasia. Gli investigatori hanno quantificato questo rischio, evidenziando un incremento di 4,3 volte nella probabilità di diagnosi rispetto a individui con un numero inferiore di partner oralmente attivi.

Questi risultati non si limitano a confermare il rischio associato ai rapporti orali, ma lo quantificano in modo preciso, fornendo una base scientifica più solida per le strategie di prevenzione e informazione sanitaria. La dottoressa Virginia Drake della Johns Hopkins University, una delle autrici principali dello studio, ha sottolineato l’importanza di considerare non solo il numero di partner, ma anche il contesto temporale e l’intensità delle pratiche. Specificamente, la dottoressa Drake ha affermato che «praticare rapporti orali in giovane età e con un’elevata intensità, intesa come un’elevata frequenza con diversi partner in brevi periodi di tempo, potrebbe essere associato a un rischio maggiore di neoplasie del cavo orofaringeo». Questa osservazione apre nuove prospettive sulla dinamica del contagio e sulla reattività del sistema immunitario in età precoce, evidenziando un periodo di particolare vulnerabilità.

La metodologia dello studio ha previsto un’indagine retrospettiva su un campione di 508 partecipanti, un approccio che ha consentito di raccogliere dati dettagliati sulle abitudini sessuali pregresse. Di questi partecipanti, 163 erano affetti da cancro del cavo orale o della gola correlato all’HPV, un dato che ha permesso un confronto significativo tra il gruppo dei casi e quello di controllo. Le domande poste ai partecipanti spaziavano dall’intensità alla tempistica e alla frequenza dei rapporti orali, cercando di delineare un quadro completo delle loro esperienze passate. Questo approccio dettagliato ha permesso di identificare fattori di rischio che vanno oltre la semplice quantificazione del numero di partner.

Infatti, i risultati hanno rivelato l’influenza di ulteriori variabili, precedentemente meno esplorate nelle ricerche sull’HPV orofaringeo. L’analisi ha evidenziato che gli individui che avevano avuto partner sessuali significativamente più anziani durante la loro giovane età e coloro che avevano avuto rapporti extraconiugali presentavano una maggiore probabilità di sviluppare un cancro orofaringeo correlato all’HPV. Questi dati suggeriscono che la discordanza di età tra i partner e la natura dei rapporti (all’interno o all’esterno di una relazione monogama consolidata) possano giocare un ruolo non trascurabile nella trasmissione e nell’instaurarsi del virus e, di conseguenza, nello sviluppo della patologia. Come riportato dall’esperta, «dai risultati emerge che gli individui che avevano avuto partner più anziani da giovani e quelli che avevano avuto rapporti extraconiugali avevano maggiori probabilità di sviluppare un cancro orofaringeo correlato all’HPV». Questa scoperta è cruciale perché dimostra che il rischio non è unidimensionale, ma è influenzato da un insieme complesso di fattori comportamentali e demografici. «Il nostro studio si basa su ricerche precedenti per dimostrare che il solo numero di partner non è sufficiente a determinare l’incidenza di neoplasie, ma che esiste una serie di fattori precedentemente poco considerati che influenzano queste eventualità», ha aggiunto la dottoressa Drake, sottolineando la novità e l’importanza dei risultati ottenuti.

In un contesto globale in cui l’incidenza del cancro orofaringeo correlato all’HPV è in costante aumento, in particolare negli Stati Uniti, studi come quello condotto dalla Johns Hopkins University assumono un’importanza fondamentale. Essi forniscono una valutazione aggiornata e dettagliata dei fattori di rischio, permettendo di affinare le strategie di prevenzione e di identificare le popolazioni più vulnerabili. Come concluso dalla dottoressa Drake, «dato che l’incidenza del cancro orofaringeo correlato all’HPV continua ad aumentare negli Stati Uniti, il nostro studio offre una valutazione contemporanea dei fattori di rischio per questa malattia. Abbiamo scoperto ulteriori sfumature di come e perché alcune persone possono sviluppare questa problematica, il che può aiutare a identificare i soggetti potenzialmente più vulnerabili». La comprensione approfondita delle complesse interazioni tra il virus, i comportamenti umani e i fattori individuali è essenziale per sviluppare interventi di salute pubblica mirati ed efficaci. Questi risultati rinforzano l’importanza delle campagne di sensibilizzazione sull’HPV, sulla prevenzione delle infezioni trasmesse per via sessuale e sull’importanza della vaccinazione, non solo per la prevenzione delle patologie genitali ma anche per la riduzione del rischio di neoplasie orofaringee. La ricerca futura dovrà continuare a esplorare queste sfumature, indagando ulteriormente i meccanismi biologici attraverso cui specifici pattern di esposizione all’HPV a livello orofaringeo si traducono in un aumentato rischio oncogeno, aprendo la strada a nuove strategie diagnostiche e terapeutiche.

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3 commenti su “Il sesso orale provoca il cancro?”
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