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伊朗宫颈癌中人乳头瘤病毒的流行情况

The Prevalence of Human Papillomavirus in Cervical Cancer in Iran.

作者信息

Mortazavi SH, Zali MR, Raoufi M, Nadji M, Kowsarian P, Nowroozi A

机构信息

P.O.Box 11365-3175, Tehran, Iran. mortazav@ams,.ac.

出版信息

Asian Pac J Cancer Prev. 2002;3(1):69-72.

Abstract

Background: The human papiloma virus (HPV), which is sexually transmitted, and most commonly causes genital warts, has been linked to cervical intraepithelial neoplasia and invasive carcinoma. Of ninety plus types of HPV, HPV-16 is the most prevalent in cervical cancer, followed by HPV-18, and HPV-33. As HPV's implication has not been assessed in the Middle East the main focus of this retrospective study was to determine the prevalence of HPV -16,18, and 33 in cases of cervical cancer from Iran. Material and Methods: This retrospective study covered 100 patients with uterine cervical carcinomas who were referred to two referral centers for cancer in Tehran-Iran. Pathological blocks were collected for these cases and initial review of the blocks showed poor specimens in 18 cases, which left 82 cases for the study. These samples were histologically examined to verify the presence and the type of carcinoma. The next step was in situ hybridzation for the detection of HPV common DNA. In Situ hybridization was preformed on all samples. Finally, Polymerase Chain Reaction (PCR) was preformed for the HPV types 16, 18, and 33. PCR amplification of exon 5 of the p53 gene was used as an internal control for the integrity of DNA. Takara PCR Human papilloma Detection method was used which includes primer for HPV 16, 18, and 33. Three primers were used alone, or in combination, in order to increase the sensitivity of the detection. Results: The majority of tumors were squamous cell carcinomas (87%). The rest were adenosquamous carcinoma and adenocarcinomas. None of the 82 different cervical carcinoma tissue samples were found to be positive by in situ hybridization. In the PCR samples, amplification of DNA was observed for 69 tumor specimens. In the remainning13 cases, the DNA in fixed tissue was degraded, as verified by the absence of an internal control band (p53). Out of the total 69 tumors (85.5%) with adequate DNA contained HPV band on PCR. The majority (73.9%) of HPV positive tumors contained HPV-16; the rest (11.6%) demonstrated type 18 and 33. There was no correlation between the histology of carcinoma and presence of types of HPV. Conclusion: The prevalence of HPV in carcinomas of uterine cervix in Iran is similar to those reported in other regions of the world. Similarly, it appears that HPV-16 is the most common type associated with cervical cancer in Iran. Further studies on larger samples of patients, particularly in those with pre-invasive forms of the disease, are needed to elucidate the carcinogenic role of HPV types in cervical cancer in Iranian women.

摘要

背景

人乳头瘤病毒(HPV)通过性传播,最常引起尖锐湿疣,与宫颈上皮内瘤变和浸润癌有关。在九十多种HPV类型中,HPV - 16在宫颈癌中最为常见,其次是HPV - 18和HPV - 33。由于中东地区尚未评估HPV的影响,这项回顾性研究的主要重点是确定伊朗宫颈癌病例中HPV - 16、18和33的患病率。

材料与方法

这项回顾性研究涵盖了100例子宫颈癌患者,这些患者被转诊至伊朗德黑兰的两个癌症转诊中心。收集了这些病例的病理切片,对切片的初步检查显示18例标本质量不佳,剩余82例用于研究。对这些样本进行组织学检查以确认癌症的存在和类型。下一步是进行原位杂交以检测HPV常见DNA。对所有样本进行原位杂交。最后,对HPV 16、18和33型进行聚合酶链反应(PCR)。p53基因外显子5的PCR扩增用作DNA完整性的内部对照。使用Takara PCR人乳头瘤检测方法,该方法包括HPV 16、18和33的引物。单独或组合使用三种引物以提高检测的灵敏度。

结果

大多数肿瘤为鳞状细胞癌(87%)。其余为腺鳞癌和腺癌。82个不同的子宫颈癌组织样本中,原位杂交均未发现阳性。在PCR样本中,69个肿瘤标本观察到DNA扩增。在其余13例中,固定组织中的DNA降解,这通过内部对照带(p53)的缺失得到证实。在总共69个DNA充足的肿瘤中(85.5%),PCR检测到HPV条带。大多数HPV阳性肿瘤(73.9%)含有HPV - 16;其余(11.6%)为18型和33型。癌的组织学与HPV类型的存在之间没有相关性。

结论

伊朗子宫颈癌中HPV的患病率与世界其他地区报道的相似。同样,HPV - 16似乎是伊朗与宫颈癌相关的最常见类型。需要对更大样本的患者进行进一步研究,特别是对疾病的癌前形式患者,以阐明HPV类型在伊朗女性宫颈癌中的致癌作用。

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