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新型 HPV-6 人乳头瘤病毒变体导致南部非洲复发性呼吸道乳头瘤病。

Novel HPV-6 variants of human papillomavirus causing recurrent respiratory papillomatosis in southern Africa.

机构信息

Department of Medical Microbiology and Virology, Faculty of Health Science, University of the Free State, Bloemfontein, South Africa.

出版信息

Epidemiol Infect. 2012 Jun;140(6):1095-101. doi: 10.1017/S0950268811001580. Epub 2011 Aug 30.

DOI:10.1017/S0950268811001580
PMID:21875449
Abstract

There is currently no information regarding the genetic diversity of HPV-6 variants circulating in South Africa. The aim of this study was to determine the HPV-6 variants affecting patients with recurrent respiratory papillomatosis, to determine whether mutations correlate with disease severity and identify molecular determinants of virulence with prognostic relevance. HPV-6 variants were identified based on genome changes within the 712-991 bp region encompassing the non-coding region (URR) of the genome, with variations in length resulting from insertions and duplications, and the 453-bp gene encoding the E6 protein. Based on manual comparison of sequence data from the URR, the isolates were identified as HPV-6a and HPV-6vc variants. Three novel HPV-6 variants were identified: one based on a mutation in the E6 region; two based on changes in the URR including a unique substitution detected in three isolates and an insertion and 170-bp duplication in the URR genome in one patient, who had clinical features of severe disease.

摘要

目前尚无关于南非 HPV-6 变异株遗传多样性的信息。本研究旨在确定影响复发性呼吸道乳头状瘤病患者的 HPV-6 变异株,确定突变是否与疾病严重程度相关,并确定具有预后相关性的毒力分子决定因素。HPV-6 变异株的鉴定基于基因组中 712-991bp 区域内的基因组非编码区 (URR) 的基因组变化,由于插入和重复导致长度发生变化,以及编码 E6 蛋白的 453bp 基因。基于 URR 序列数据的手动比较,分离株被鉴定为 HPV-6a 和 HPV-6vc 变异株。鉴定出三种新型 HPV-6 变异株:一种基于 E6 区域的突变;两种基于 URR 的变化,包括在三个分离株中检测到的独特取代和在一个患者的 URR 基因组中发现的插入和 170bp 重复,该患者具有严重疾病的临床特征。

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