甘肃地区164例宫颈癌人乳头瘤病毒基因分型检测的研究

Detection study of gene typing of human papillomavirus of 164 patients with cervical cancer in Gansu province

  • 摘要: 目的:检测甘肃地区女性人乳头瘤病毒(HPV)感染亚型,了解其分布情况,为本地区预防 HPV 感染和防治宫颈癌提供病毒学数据。方法采用导流杂交基因芯片技术,对164份宫颈癌和100份其他生殖道疾病样本进行 HPV DNA 分型检测。结果164例宫颈癌患者中14种 HPV 亚型被检出,HPV DNA 阳性率85.4%(140/164),其中10种高危型依次为 HPV-16(68.3%,112/164),-52(6.1%,10/164),-58、-18、-33(3.7%、each,6/164),-59(2.4%,4/164)和-31、-45(1.2%、each,2/164)型,4种低危型为 HPV-6(1.2%、2/164)、-11(4.9%,8/164)、-42(1.2%,2/164)和-CP8304(2.4%,4/164)型。100例其他生殖系统疾病患者中,9种 HPV 基因型被检测到,HPV DNA 阳性率28.0%(28/100),包括8种高危型 HPV-16(12%,12/100)、-52(6.0%,6/100)、-68(4.0%,4/100)、-31、-18、-39、-58、-59(2.0%、each,2/100)和1种低危型为 HPV-11(8.0%,8/100)。宫颈癌组多重感染17.1%(28/164),其他生殖道疾病组多重感染6.0%(6/100)。结论甘肃地区宫颈癌以高危型HPV 感染为主要因素,其中 HPV-16、-52是最常见亚型。其他女性生殖道疾病与 HPV 感染有一定相关性,该检测方法可用于女性生殖道疾病 HPV 的检查,以确定感染亚型,指导临床治疗和随访。

     

    Abstract: Objective To study the distribution and the subtypes of human papillomavirus (HPV)infection of female patients with cervical cancer and /or other genital diseases in Gansu province,attempting to provide virological data for the prevention of HPV infection and treatment of cervical cancer.Methods A total of 164 specimens with cervical cancer and 100patients with oth-er genital diseases were detected by flow-through hybridization and gene chip.Results 14 HPV subtypes were detected in the 164 patients with cervical cancer (positive HPV DNA rate:85.4%), in which the 10 HPV subtypes with high risk were HPV-16 (68.3%,112 /164),-52 (6.1%,10 /164),-58,-18,-33 (3.7% each 6 /164),-59 (2.4%,4 /164)and-31,-45 (1.2% each,2 /164) while 4 HPVsubtypesoflowriskwereHPV-6 (1 .2 % ,2 /1 6 4 ),-1 1 (4 .9 % ,8 /1 6 4 ),-4 2 (1.2%,2 /164)and-CP8304 (2.4%,4 /164).9 HPV subtypes were detected in 100 patients with other genital diseases (positive HPV DNA rate:28.0%),in which 8 HPV subtypes with high risk were HPV-16 (12%,12 /100),-52 (6.0%,6 /100),-68 (4.0%,4 /100),-31,-18,-39,-58, and-59 (2.0%each,2 /100)while 1 HPV subtype with low risk was HPV-11 (8.0%,8 /100). Multiple infection rate of cervical cancer was 17.1%(28 /164)and multiple infection rate of genital tractwas6 .0 % (6 /1 0 0 ).Conclusion High risk HPV subtypes infection is the dominant factor for cervical cancer in Gansu province ,in which HPV-1 6 and HPV-5 2 are the most common subtypes.There are certain correlation between HPV infection and other genital diseases.The flow-through hybridization and gene chip technique can be applied to detect HPV of female pa-tients with genital infection to confirm subtype genotypes of HPV and to guide clinic treatment and follow-up visits.

     

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