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高危型和低危型人乳头瘤病毒基因型的相互作用增加了生殖器疣的发病风险:一项基于人群的队列研究。

The interaction of high and low-risk human papillomavirus genotypes increases the risk of developing genital warts: A population-based cohort study.

机构信息

Department of Gynecology Oncology, Woman Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Cell Biochem. 2019 Aug;120(8):12870-12874. doi: 10.1002/jcb.28557. Epub 2019 Mar 13.

Abstract

Cervical cancer is among the most common type of cancers in women and is associated with human papillomavirus (HPV) infection. Genital warts are also reported to be linked with HPV infection types 11 and 6. In turn, clinical characteristics and morphological features of warts may be useful in the prediction of prognosis and in making treatment decisions. Thus, we have investigated the association of high and low-risk HPVs genotype with genital wart risk, as well as pathological and cytological information in cases recruited from a population-based cohort study of 1380 patients. Patients infected with HPV genotype 6 or 11 had an increased risk of having warts, with OR of 2.34 (95% CI: 0.955-5.737, P = 0.06). Also, this association was enhanced in the presence of high plus low-risk HPV for having genital wart (OR: 2.814; 95%: 1.208-6.55, P = 0.017) and cases having high-risk HPV (OR: 2.329; 95% CI: 1.029-5.269, P = 0.042). Moreover, we observed patients with genital warts having CIN2/3, indicating the importance of informing the physician to the patient to prevent more severe lesions. Our data demonstrated that patients with both low/high-risk HPV types had an increased risk of developing genital warts and persistent infection with HPV was a necessary precursor for the increase in cervical lesions.

摘要

宫颈癌是女性最常见的癌症类型之一,与人类乳头瘤病毒(HPV)感染有关。生殖器疣也与 HPV 感染类型 11 和 6 有关。反过来,疣的临床特征和形态特征可能有助于预测预后和做出治疗决策。因此,我们研究了高危和低危 HPV 基因型与生殖器疣风险之间的关联,以及从 1380 名患者的基于人群的队列研究中招募的病例的病理和细胞学信息。感染 HPV 基因型 6 或 11 的患者患疣的风险增加,比值比(OR)为 2.34(95%置信区间:0.955-5.737,P=0.06)。此外,在存在高加低危 HPV 的情况下,这种关联增强了生殖器疣(OR:2.814;95%:1.208-6.55,P=0.017)和高危 HPV 病例(OR:2.329;95%CI:1.029-5.269,P=0.042)的发生。此外,我们观察到患有生殖器疣的患者患有 CIN2/3,这表明有必要告知医生,以防止更严重的病变。我们的数据表明,同时感染低危/高危 HPV 类型的患者患生殖器疣的风险增加,HPV 的持续感染是宫颈病变增加的必要前提。

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