Takehara Kazuhiro, Toda Tamaki, Nishimura Toshinao, Sakane Junichi, Kawakami Yosuke, Mizunoe Tomoya, Nishiwaki Morie, Taniyama Kiyomi
Department of Obstetrics and Gynecology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure 737-0023, Japan.
Patholog Res Int. 2011;2011:246936. doi: 10.4061/2011/246936. Epub 2011 May 26.
Objective. To estimate the prevalence and genotypes of high-risk human papillomavirus (HPV) focusing HPV 16, 18, 52, and 58 in Japan. Methods. Liquid-base cytology specimens were collected from Japanese women (n = 11022), aged 14-98. After classifying cytodiagnosis, specimens were analyzed for HPV DNA by the multiplex polymerase chain reaction method, where 1195 specimens were positive for cervical smear, except adenomatous lesions. Result. HPV genotypes were detected in 9.5% of NILM and 72.2% of ASC-US or more cervical lesions. In positive cervical smears, HPV genotypes were HPV 52 at 26.6%, HPV 16 at 25.2%, HPV 58 at 21.8%, and HPV 18 at 7.1%. Most patients infected with HPV 16 were between 20-29 years old, decreasing with age thereafter. As for HPV 52 and 58, although the detection rate was high in 30- to 39-year-olds, it also was significant in the 50s and 60s age groups. Conclusion. In Japan, as a cause of abnormal cervical cytology, HPV52 and 58 are detected frequently in addition to HPV 16. In older age groups, HPV 52 and 58 detection rates were higher than that observed for HPV 16. After widespread current HPV vaccination, we still must be aware of HPV 52 and 58 infections.
目的。评估日本高危型人乳头瘤病毒(HPV)的流行率及基因型,重点关注HPV 16、18、52和58型。方法。收集14至98岁日本女性(n = 11022)的液基细胞学标本。在对细胞诊断进行分类后,采用多重聚合酶链反应法对标本进行HPV DNA分析,其中1195份标本宫颈涂片呈阳性,但不包括腺瘤性病变。结果。在正常上皮细胞未见病变(NILM)的标本中,HPV基因型检出率为9.5%,在非典型鳞状细胞不能明确意义(ASC-US)及更高级别宫颈病变标本中为72.2%。在宫颈涂片阳性标本中,HPV基因型为HPV 52型的占26.6%,HPV 16型占25.2%,HPV 58型占21.8%,HPV 18型占7.1%。大多数感染HPV 16型的患者年龄在20至29岁之间,此后随年龄增长而下降。至于HPV 52和58型,虽然在30至39岁人群中检出率较高,但在50多岁和60多岁年龄组中也很显著。结论。在日本,作为宫颈细胞学异常的一个原因,除HPV 16型外,HPV52和58型也经常被检测到。在老年人群中,HPV 52和58型的检出率高于HPV 16型。在当前HPV疫苗广泛接种后,我们仍必须警惕HPV 52和58型感染。