Yıldırım Hatice, Göker Aslı, Demirci Hülya, Güvenal Tevfik, Korkmaz Mehmet
Department of Medical Biology, School of Medicine, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey.
Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey.
J Cytol. 2019 Apr-Jun;36(2):75-78. doi: 10.4103/JOC.JOC_185_17.
Cervical cancer is one of the most frequent malignancies in women. Micronucleus (MN) testing has gained popularity as a biomarker in early diagnosis of many types of cancer.
This study aims to investigate the role of MN testing on early detection of cervical cancer and the effect of boron exposure on cervical cells.
The study population comprised women who were diagnosed to be human papillomavirus (HPV)-positive and had atypical squamous cells of undetermined significance (ASCUS) as cervical cytology in a cervical screening project. A total of 15 HPV-positive and 36 ASCUS patients were identified. Randomly selected 20 women were selected from boron-rich region ( = 10) and nonboron region ( = 10).
Cervical swab specimens were dyed using Papanicolaou (PAP) and May-Grünwalds-Giemsa (MGG) techniques, and MN count in 1000 cells was performed. The results were statistically evaluated.
Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 13. Quantitative data were presented as mean ± standard deviation. MN test scoring was compared using Mann-Whitney -test.
Boron content of urine was measured to be 3.02 ± 1.45 and 0.98 ± 0.42 mg/day in boron-rich and nonboron regions, respectively. When MN counts were compared according to PAP and MGG staining in HPV- and ASCUS-positive women, there was statistically no significant difference ( > 0.05). Disregarding regions, HPV/control and HPV/ASCUS cases stained with PAP and MGG had statistically significant difference in MN count ( < 0.05).
These findings suggest that MGG and PAP staining gives similar results with regard to MN count. On the other hand, it has been shown again that HPV induces MN and causes genomic instability.
宫颈癌是女性中最常见的恶性肿瘤之一。微核(MN)检测作为多种癌症早期诊断的生物标志物已受到广泛关注。
本研究旨在探讨MN检测在宫颈癌早期检测中的作用以及硼暴露对宫颈细胞的影响。
研究人群包括在宫颈筛查项目中被诊断为人乳头瘤病毒(HPV)阳性且宫颈细胞学检查显示意义不明确的非典型鳞状细胞(ASCUS)的女性。共确定了15例HPV阳性和36例ASCUS患者。从富硼地区(n = 10)和非硼地区(n = 10)随机选取20名女性。
宫颈拭子标本采用巴氏(PAP)和美-格-姬(MGG)技术染色,并对1000个细胞进行MN计数。对结果进行统计学评估。
使用社会科学统计软件包(SPSS)13版对数据进行分析。定量数据以均值±标准差表示。MN检测评分采用曼-惠特尼U检验进行比较。
富硼地区和非硼地区尿硼含量分别测得为3.02±1.45和0.98±0.42mg/天。在HPV和ASCUS阳性女性中,根据PAP和MGG染色比较MN计数时,统计学上无显著差异(P>0.05)。不考虑地区因素,PAP和MGG染色的HPV/对照及HPV/ASCUS病例在MN计数上有统计学显著差异(P<0.05)。
这些发现表明,在MN计数方面,MGG和PAP染色给出了相似的结果。另一方面,再次表明HPV诱导MN并导致基因组不稳定。