Department of Laboratory Medicine, Green Cross Reference Laboratory, Yongin, Korea.
J Korean Med Sci. 2012 Sep;27(9):1091-7. doi: 10.3346/jkms.2012.27.9.1091. Epub 2012 Aug 22.
The development of a prophylactic vaccine that targets human papillomaviruses (HPV) 6, 11, 16, and 18 to prevent cervical cancer has increased interest in the ethnic and geographical distributions of HPV genotypes. We investigated HPV prevalence and type distribution by restriction fragment mass polymorphism (RFMP) testing a total of 60,775 specimens (aged 18-79 yr, median 44) taken from liquid-based cytology. Overall HPV positive rate of total patients was 34.2%. Among the positive patients, 87.7% was single type infections, and 12.3% was multiple HPV types. HPV-16 was the most prevalent genotype observed in 2,307 (26.0%), followed by type 52 in 2,269 (25.5%), type 58 in 1,090 (12.3%), type 18 in 633 (7.1%), type 56 in 436 (4.9%). The pattern of high risk-HPV positive rate according to age showed U-shape with a peak in HPV prevalence among women less than 30 yr of age, and a second peak among the older females aged 70 to 79 yr. The leading four high-risk HPV genotypes were HPV-16, HPV-52, HPV-58, and HPV-18 in descending order. In conclusion, this study provides the most representative prevalence and type-specific distribution of HPV among Korean women, and demonstrates that the epidemiology of HPV infection is different from that of other regions of the world.
针对人乳头瘤病毒(HPV)6、11、16 和 18 开发的预防性疫苗,以预防宫颈癌,增加了对 HPV 基因型的种族和地理分布的兴趣。我们通过限制性片段质量多态性(RFMP)检测对总共 60775 份液基细胞学标本(年龄 18-79 岁,中位数 44 岁)进行了 HPV 流行率和型别分布研究。总患者的 HPV 阳性率为 34.2%。在阳性患者中,87.7%为单一型感染,12.3%为多种 HPV 型别。HPV-16 是最常见的基因型,在 2307 例(26.0%)中观察到,其次是 52 型(25.5%)、58 型(12.3%)、18 型(7.1%)、56 型(4.9%)。根据年龄的高危型 HPV 阳性率模式呈 U 形,30 岁以下女性 HPV 流行率达到高峰,其次是 70-79 岁的老年女性。前四种高危 HPV 基因型依次为 HPV-16、HPV-52、HPV-58 和 HPV-18。总之,本研究提供了韩国女性 HPV 最具代表性的流行率和特定型别分布,并表明 HPV 感染的流行病学与世界其他地区不同。