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人乳头瘤病毒高危基因型的流行情况:厄瓜多尔南部经巴氏涂片检查诊断为癌前病变和恶性病变的女性

Prevalence of High-Risk Genotypes of Human Papillomavirus: Women Diagnosed with Premalignant and Malignant Pap Smear Tests in Southern Ecuador.

作者信息

Dalgo Aguilar Paola, Loján González Cisne, Córdova Rodríguez Ana, Acurio Páez Katherine, Arévalo Ana Paulina, Bobokova Jana

机构信息

Departamento de Ciencias de la Salud, Sección Genética Humana, Microbiología y Bioquímica Clínica, Universidad Técnica Particular de Loja, Loja, Ecuador.

Sociedad de Lucha Contra el Cáncer, Hospital SOLCA Núcleo de Loja, Loja, Ecuador.

出版信息

Infect Dis Obstet Gynecol. 2017;2017:8572065. doi: 10.1155/2017/8572065. Epub 2017 Jun 22.

DOI:10.1155/2017/8572065
PMID:28717342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5498899/
Abstract

Human papillomavirus (HPV) is the primary infectious agent for the development of cervical cancer, although the presence of the virus alone is insufficient for viral development and proliferation; this can be attributed to the increase in potential oncogenic risk, along with other risk factors. In the present investigation, the prevalence of high-risk HPV was determined from samples of premalignant or malignant cervical cytology in women from the southern region of Ecuador. The kit we used was able to detect genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, and 59. In addition, 64.5% of the analyzed samples were positive for HPV, with genotypes 16 and 18 being the most prevalent (16 was detected in 148 samples and 18 in 108). Genotypes 58 and 51 were the third most frequent simple and multiple infections, respectively. The data are very similar to those obtained worldwide, suggesting that the strategy of sex education, and the use of vaccines as primary prevention agents, could significantly decrease the incidence and mortality rate of cervical cancer in the southern region of Ecuador.

摘要

人乳头瘤病毒(HPV)是宫颈癌发生的主要感染源,尽管仅病毒的存在不足以导致病毒发展和增殖;这可归因于潜在致癌风险的增加以及其他风险因素。在本调查中,从厄瓜多尔南部地区女性的癌前或恶性宫颈细胞学样本中确定了高危HPV的流行情况。我们使用的试剂盒能够检测16、18、31、33、35、39、45、51、52、56、58和59型。此外,64.5%的分析样本HPV呈阳性,其中16型和18型最为常见(148个样本检测到16型,108个样本检测到18型)。58型和51型分别是第三常见的单一感染和多重感染类型。这些数据与全球范围内获得的数据非常相似,表明性教育策略以及使用疫苗作为主要预防手段可显著降低厄瓜多尔南部地区宫颈癌的发病率和死亡率。

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本文引用的文献

1
Genotypes distribution of human papillomavirus in cervical samples of Ecuadorian women.厄瓜多尔女性宫颈样本中人乳头瘤病毒的基因型分布
Rev Bras Epidemiol. 2016 Mar;19(1):160-6. doi: 10.1590/1980-5497201600010014.
2
Prevalence of human papillomavirus types in cervical cancerous and precancerous lesions of Ecuadorian women.厄瓜多尔妇女子宫颈癌及癌前病变中人乳头瘤病毒型别的流行情况。
J Med Virol. 2016 Jan;88(1):144-52. doi: 10.1002/jmv.24310. Epub 2015 Jul 16.
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HPV knowledge and factors associated with intention to use condoms for reducing HPV infection risk among adolescent women in Taiwan.台湾青少年女性中与使用避孕套降低HPV感染风险意愿相关的HPV知识及因素
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Viral DNA load of high-risk human papilloma virus is closely associated with the grade of cervical lesions.高危型人乳头瘤病毒的病毒DNA载量与宫颈病变的分级密切相关。
Int J Clin Exp Med. 2014 Dec 15;7(12):5826-31. eCollection 2014.
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Human papillomavirus genotypes among females in Mexico: a study from the Mexican institute for social security.墨西哥女性中的人乳头瘤病毒基因型:来自墨西哥社会保障局的一项研究
Asian Pac J Cancer Prev. 2014;15(23):10061-6. doi: 10.7314/apjcp.2014.15.23.10061.
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Efficacy of the human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine against cervical intraepithelial neoplasia and cervical infection in young Japanese women.人乳头瘤病毒(HPV)-16/18 AS04佐剂疫苗对年轻日本女性宫颈上皮内瘤变和宫颈感染的疗效。
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Resequencing microarray technology for genotyping human papillomavirus in cervical smears.用于宫颈涂片中人乳头瘤病毒基因分型的重测序微阵列技术
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