Yamada Hiromi, Tabe Yoko, Ishii Kiyoshi, Terao Yasuhisa, Yamashita Yohei, Horii Takashi, Takeda Satoru, Ohsaka Akimichi
Clin Lab. 2015;61(7):851-5. doi: 10.7754/clin.lab.2015.141015.
Persistent infection with high-risk human papillomavirus (HPV) is closely associated with cervical cancer development. In this study, the performance of the Clinichip HPV genotyping assay as a screening laboratory test for high-risk HPV infection was evaluated.
The genotypes of 74 cervical scrape specimens were tested using the Clinichip HPV assay and a conventionally employed HPV polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay. PCR sequencing was performed in cases with discrepant results between the Clinichip HPV test and PCR-RFLP.
Genotyping using the Clinichip HPV assay and PCR-RFLP method resulted in 27% disagreement. PCR sequence results exhibited 79% and 21% consistency with the Clinichip HPV assay and PCR-RFLP method, respectively. Multiple infections were detected in 24.3% and 12.2% of the tested cases using the Clinichip HPV assay and PCR-RFLP method, respectively.
The genotyping performance of the Clinichip HPV showed strong concordance with PCR sequencing, although this rate was partially diminished in cases with multiple HPV infections. The Clinichip HPV represents a suitable laboratory test for the clinical screening of high-risk HPV infections.
高危型人乳头瘤病毒(HPV)持续感染与宫颈癌的发生密切相关。在本研究中,评估了Clinichip HPV基因分型检测作为高危型HPV感染筛查实验室检测方法的性能。
采用Clinichip HPV检测方法和传统的HPV聚合酶链反应-限制性片段长度多态性(PCR-RFLP)检测方法对74例宫颈刮片标本进行基因分型检测。对Clinichip HPV检测与PCR-RFLP结果不一致的病例进行PCR测序。
Clinichip HPV检测方法和PCR-RFLP方法基因分型结果的不一致率为27%。PCR测序结果与Clinichip HPV检测方法和PCR-RFLP方法的一致性分别为79%和21%。使用Clinichip HPV检测方法和PCR-RFLP方法分别在24.3%和12.2%的检测病例中检测到多重感染。
Clinichip HPV的基因分型性能与PCR测序结果高度一致,尽管在多重HPV感染病例中这一比例有所降低。Clinichip HPV是一种适用于高危型HPV感染临床筛查的实验室检测方法。