Clinical Laboratory Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
J Med Virol. 2014 Nov;86(11):1937-43. doi: 10.1002/jmv.24044. Epub 2014 Aug 13.
Human papillomavirus (HPV) is associated with several disorders of the genital tract, skin, and oropharynx. This study investigated the prevalence of infection by 37 HPV genotypes among women of the Beijing area in China. Cervical specimens from 1,082 patients and 165 healthy controls were tested for HPV genotypes using a chip hybridization assay. Based on the local pathology, patients were divided into cervicitis and cervical lesion groups. Overall HPV infection rates were 30.5% for the cervicitis group and 78.4% for the cervical lesion group; whereas infection rates for high-risk HPV types (i.e., those associated with cervical cancers) were 24.0% and 73.4%, respectively. The most common HPV genotypes were HPV 52, 16, 81, 58, and 18 in healthy controls, HPV 52, 61, 55, 16, and 53 in those with cervicitis, HPV 52, 16, 33, 39, and 58 in cervical intraepithelial neoplasia grade 1, HPV 16, 58, 31, 52, and 33 in cervical intraepithelial neoplasia grade 2 or grade 3, and HPV 16, 33, 18, 52, and 58 in cervical cancer. Established high-risk HPV showed two peaks, in patients aged 30-34 and 55-79 years. In Beijing, HPV 16, 52, 58, and 33 are the most prevalent HPV types in women with cervical lesions, which should affect development of a cervical cancer vaccination for local use.
人乳头瘤病毒(HPV)与生殖道、皮肤和口咽的几种疾病有关。本研究调查了中国北京地区女性中 37 种 HPV 基因型的感染流行率。使用芯片杂交试验检测了 1082 例患者和 165 例健康对照者的宫颈标本中的 HPV 基因型。根据局部病理,将患者分为宫颈炎和宫颈病变组。宫颈炎组 HPV 总感染率为 30.5%,宫颈病变组为 78.4%;高危 HPV 型(即与宫颈癌相关的 HPV 型)的感染率分别为 24.0%和 73.4%。在健康对照组中最常见的 HPV 基因型为 HPV 52、16、81、58 和 18,在宫颈炎组中为 HPV 52、61、55、16 和 53,在宫颈上皮内瘤变 1 级中为 HPV 52、16、33、39 和 58,在宫颈上皮内瘤变 2 级或 3 级中为 HPV 16、58、31、52 和 33,在宫颈癌中为 HPV 16、58、33、18、52 和 58。已确定的高危 HPV 有两个高峰,在 30-34 岁和 55-79 岁的患者中。在北京,HPV 16、52、58 和 33 是宫颈病变女性中最常见的 HPV 型,这应影响当地使用的宫颈癌疫苗的开发。