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子宫颈刮片中人乳头瘤病毒的基因分型 被引量:10

Genotyping of human papillomavirus genotyps in cervic al scrapes by line probe assay
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摘要 目的确定不同型人乳头瘤病毒(HPV)感染的自然历程以及其持续感染在子宫颈癌发展过程中的作用。方法应用聚合酶链反应检测荷兰155名妇女子宫刮颈片中的HPVDNA,应用线样探针分析法(LiPA)进行,包括HPV6,11,16,18,31,33,35,40,42,43,44,45,51,52,56和58的基因分型。结果155例妇女子宫颈刮片中HPVDNA检出率为60%,其中在宫颈细胞学检查正常或仅有炎症病变的妇女中HPVDNA阳性率为43%,而在宫颈细胞增生不良或宫颈细胞癌的妇女其阳性率为81.2%。93例HPV阳性的标本中,89例利用LiPA成功地作出了基因分型,其中单独一型HPV感染为49例,涉及11种不同基因型HPV,最常见的型别为HPV16,占单独感染的51%(25/49);另40例为不同型别HPV重叠感染,涉及所有16种HPV基因型别,二重感染占主导地位(n=25),同时也检测出其它多重感染。4例HPV阳性的标本应用LiPA未能作出基因分型,DNA序列分析显示这4例为HPV66感染,此型别不包括在LiPA所标记的探针内。12例随诊资料显示了LiPA的物异性及高度的重复性。结论线样探针分析法可以用于子宫颈? Objective To pursue the further development of a practical HPV genotyping system applicable for mass screening. Methods Cervical scrapes from 155 women were tested for the presence of HPV using a general primer based PCR. A reverse hybridization assayor, the line probe assay (LiPA) was used for genotyping 16 different HPV types(HPV 6, 11, 16, 18, 31, 33, 35, 40, 42, 43, 44, 45, 51, 52, 56, 58)simultaneously. Results 93(60%) out of 155 specimens tested were positive for HPV DNA by PCR. The HPV positivity amongst the group of women with no cervical abnormality was 43%, while that in women with cervical dysplasia and cervical cancer was 81.2% PCR products from 89 HPV positive cases were genotyped by LiPA, of which 49 cases were single HPV infected concerning 11 different HPV types and the commonest type was HPV 16, occurring in 25(51%) of all single HPV infected cases. The other 40 specimens contained multiple HPV types comprising 16 different HPV types. Although double infections( n =25) prevailed, triple( n =9),quadruple( n =3) and quintuple( n =3) infections were also found. PCR products of four HPV positive cases failed to be classified by LiPA. Sequencing analysis revealed that these 4 cases were HPV 66 which was not included in LiPA probes. Follow up data of 12 cases confirmed the HPV genotyping results. Conclusion The LiPA for HPV genotyping is easy to perform. It allows accurate and rapid identification of 16 different HPV types in cervical scrapes and will facilitate HPVdetection as well as genotyping in cervical cancer screening programs.
作者 王金花
出处 《中华实验和临床病毒学杂志》 CAS CSCD 1999年第1期9-12,共4页 Chinese Journal of Experimental and Clinical Virology
关键词 人乳头瘤病毒 聚合酶链反应 基因分型 Human papillomavirus Polymerase chain reaction Line probe assay Genotyping
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