Xiang Feiyan, Guan Qing, Liu Xinwen, Xiao Han, Xia Qian, Liu Xiuzhen, Sun Hong, Song Xiaojie, Zhong Yuanyuan, Yuan Chun-Hui, Xiang Yun
Department of Laboratory Medicine, Wuhan Medical and Health Center for Women and Children, Huazhong University of Science and Technology, Wuhan, China.
Department of Laboratory Medicine, Xiangyang Central Hospital, The Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China.
J Clin Lab Anal. 2018 Oct;32(8):e22581. doi: 10.1002/jcla.22581. Epub 2018 Jun 3.
Human papillomaviruses (HPVs) are strongly associated with the development of cervical carcinoma, and the distribution of HPV genotypes varies regionally.
To investigate the distribution characteristics of different genotypes of HPV infection in women in Wuhan, China, a total of 13 775 patients were enrolled over 2 years.
Of these, 2436 patients were infected with HPVs, and the total infection rate was 17.68%. The infection rate of high-risk HPV (HR-HPV) was significantly higher (13.96%) than that of single low-risk HPV (LR-HPV; 3.72%). Among the HR-HPV infections, the most common genotype was HPV 52 with an infection rate of 4.23%, followed by HPVs 16, 58, 39, and 51. The most common LR-HPV genotype was HPV 81, followed by HPVs 6, 11, and 44. Patients under the age of 25 years were found to have the highest HPV infection rate (P < .05). After the age range of 51-55 years, a downward trend in total HPVs and HR-HPVs was observed. The HPV infection rate for a single genotype was higher than that for multiple HPVs (P < .01), and the detection rates in summer and winter were significantly higher than those in spring and autumn.
The results demonstrate that the distribution characteristics of various HPV genotype infections are associated with region and age and may be related to season. These data could be the basis for further epidemiological analysis into the control and prevention of HPV infection in this region.
人乳头瘤病毒(HPV)与宫颈癌的发生密切相关,且HPV基因型的分布存在地区差异。
为调查中国武汉女性中不同基因型HPV感染的分布特征,在2年时间里共纳入了13775例患者。
其中,2436例患者感染了HPV,总感染率为17.68%。高危型HPV(HR-HPV)的感染率(13.96%)显著高于单一低危型HPV(LR-HPV;3.72%)。在HR-HPV感染中,最常见的基因型是HPV 52,感染率为4.23%,其次是HPV 16、58、39和51。最常见的LR-HPV基因型是HPV 81,其次是HPV 6、11和44。发现25岁以下的患者HPV感染率最高(P < 0.05)。在51 - 55岁年龄范围之后,观察到总HPV和HR-HPV呈下降趋势。单一基因型的HPV感染率高于多种HPV的感染率(P < 0.01),夏季和冬季的检出率显著高于春季和秋季。
结果表明,各种HPV基因型感染的分布特征与地区和年龄有关,可能也与季节有关。这些数据可为该地区HPV感染的控制和预防的进一步流行病学分析提供依据。