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HPV 检测、液基细胞学检查和 mRNA 实时荧光定量 PCR 检测在宫颈癌筛查中的应用比较

HPV , , and mRNA RT-qPCR Assay for Detecting High-Grade Cervical Lesion with Microscope Slides.

机构信息

Department of Biomedical Laboratory Science, College of Health Sciences, Yonsei University, Wonju, Gangwon Province, Republic of Korea.

Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Gangwon Province, Republic of Korea.

出版信息

Anal Cell Pathol (Amst). 2019 Jan 14;2019:9365654. doi: 10.1155/2019/9365654. eCollection 2019.

DOI:10.1155/2019/9365654
PMID:30775237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6350568/
Abstract

After breast and colon cancer, cervical cancer is the third most common cancer of women worldwide. Since human papillomavirus (HPV) infection is known to be the predominant cause of cervical cancer, molecular HPV screening is currently used along with cytological and histological examination methods for precancer diagnosis. Nevertheless, the sensitivity of the current HPV test is less than 80%; thus, many cervical cancer cases are not able to be diagnosed by HPV screening alone, and likewise, patients with cervical cancer are often determined to be HPV-negative by the current screening methods. Therefore, human telomerase reverse transcriptase () and previously identified as cancer markers were attempted. And cervical exfoliated cells of high-grade squamous intraepithelial lesion (HSIL), the most severe precancerous lesion of cancer, were used in the study. However, it takes a long time to collect enough specimens to conduct statistical analysis. Therefore, in the present study, microscope slides, cervical exfoliated cells on glass slides, were attempted. The results of the analysis demonstrated that and expression levels were useful in distinguishing between cancerous and normal specimens, exhibiting a higher sensitivity and specificity than conventional HPV testing. And the study suggests clinical slide cell samples could be effectively used in the context of retrospective studies to identify novel biomarkers.

摘要

在乳腺癌和结肠癌之后,宫颈癌是全世界女性中第三常见的癌症。由于人乳头瘤病毒 (HPV) 感染被认为是宫颈癌的主要病因,目前分子 HPV 筛查与细胞学和组织学检查方法一起用于癌前诊断。然而,目前 HPV 检测的灵敏度低于 80%;因此,许多宫颈癌病例不能仅通过 HPV 筛查来诊断,同样,当前的筛查方法也常常导致宫颈癌患者被检测为 HPV 阴性。因此,人类端粒酶逆转录酶 () 和先前被确定为癌症标志物的被尝试用于检测。并且研究使用了高级别鳞状上皮内病变 (HSIL) 的宫颈脱落细胞,这是癌症最严重的癌前病变。然而,收集足够的标本进行统计分析需要很长时间。因此,在本研究中,尝试使用显微镜载玻片和载玻片上的宫颈脱落细胞。分析结果表明,和的表达水平可用于区分癌性和正常标本,其灵敏度和特异性均高于传统的 HPV 检测。该研究表明,临床载玻片细胞样本可有效地用于回顾性研究以确定新的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/59f7a81490da/ACP2019-9365654.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/f58215e7e28f/ACP2019-9365654.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/70d63eb849b9/ACP2019-9365654.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/59f7a81490da/ACP2019-9365654.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/f58215e7e28f/ACP2019-9365654.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/70d63eb849b9/ACP2019-9365654.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/6350568/59f7a81490da/ACP2019-9365654.003.jpg

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