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在加蓬利伯维尔育龄妇女中,高危致癌性人乳头瘤病毒的高流行率呈现非典型分布。

High prevalence of high-risk oncogenic human papillomaviruses harboring atypical distribution in women of childbearing age living in Libreville, Gabon.

作者信息

Si-Mohamed Ali, Ndjoyi-Mbiguino Angélique, Cuschieri Kate, Onas Isabelle Ndombi, Colombet Isabelle, Ozouaki Francis, Goff Jérôme Le, Cubie Heather, Bélec Laurent

机构信息

Laboratoire de Virologie, Hôpital Européen Georges Pompidou, Paris, France.

出版信息

J Med Virol. 2005 Nov;77(3):430-8. doi: 10.1002/jmv.20472.

Abstract

The extent of human papillomavirus (HPV) genital shedding and type-specific diversity were evaluated in 354 consecutive women of childbearing age living in Libreville, Gabon. Detection of HPV DNA was performed by PCR using the MY09/MY11 primer set on DNA extracted from endocervical swabs. All PCR positive specimens were subjected to direct sequencing and HPV genotypes were identified on the basis of >95% sequence homology in the L1 region. Reverse line blot hybridization assay was used when a genotype could not be resolved by sequencing alone. HPV DNA was detected in 163 (46%) women, all clinically asymptomatic for HPV-related lesions. The highest prevalence of genital HPV detection (45%) was in the age group from 22 to 29 years. A total of 90 women (55%) harbored high-risk (HR) genotypes, with the most common being HPV-53 (19; 12%), HPV-58 (17; 11%), and HPV-16 (16; 10%). Low-risk genotypes were found in 36 (22%) women with HPV-54 and HPV-70 being the most frequently detected (17; 11% and 10; 6%, respectively). Finally 37 women (23%) tested positive for genotypes of unknown oncogenic risk, the most common in this category being HPV-83 (20; 12%). Multiple infections were detected in 35 (21%) women. By multivariate analysis, HPV genital shedding was significantly associated with young age (OR: 0.34; P < 0.007). The multivalent vaccine currently available against cervical carcinomas, is only active against HPV-16 and HPV-18, and will thus have a low impact in this setting.

摘要

在加蓬利伯维尔的354名连续育龄妇女中,评估了人乳头瘤病毒(HPV)生殖器脱落情况及型特异性多样性。使用MY09/MY11引物对从宫颈拭子提取的DNA进行PCR检测HPV DNA。所有PCR阳性标本均进行直接测序,并根据L1区域>95%的序列同源性鉴定HPV基因型。当仅通过测序无法确定基因型时,使用反向线印迹杂交分析。在163名(46%)妇女中检测到HPV DNA,所有妇女均无HPV相关病变的临床症状。生殖器HPV检测的最高患病率(45%)出现在22至29岁年龄组。共有90名妇女(55%)携带高危(HR)基因型,最常见的是HPV-53(19例;12%)、HPV-58(17例;11%)和HPV-16(16例;10%)。在36名(22%)妇女中发现低危基因型,其中HPV-54和HPV-70检测频率最高(分别为17例;11%和10例;6%)。最后,37名妇女(23%)的未知致癌风险基因型检测呈阳性,此类中最常见的是HPV-83(20例;12%)。在35名(21%)妇女中检测到多重感染。通过多变量分析,HPV生殖器脱落与年轻显著相关(比值比:0.34;P<0.007)。目前可用的针对宫颈癌的多价疫苗仅对HPV-16和HPV-18有活性,因此在这种情况下影响较小。

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