Li Ling, Chen Yuanyuan, Chen Juan, Su Qianyao, Tang Jianlan, Yang Peng, Cui Quanzhe, Tang Yan
Department of Pathology, the Third People's Hospital of Chengdu.
Department of Pathology, School of Basic Medicine, Chengdu University of TCM.
Jpn J Infect Dis. 2020 Mar 24;73(2):96-101. doi: 10.7883/yoken.JJID.2019.181. Epub 2019 Oct 31.
The estimation of prevalence and genotype distribution of high-risk human papillomavirus (HR-HPV) is important in formulating strategies for the prevention and screening of cervical cancer. This study aimed to determine HR-HPV prevalence and genotype distribution among Chinese women living in Sichuan Province. A total of 3,089 women were recruited from the Third People's Hospital of Chengdu in Sichuan Province. HR-HPV genotyping was assessed using real-time quantitative polymerase chain reaction. Up to 720 women (23.3%) were HR-HPV positive. A total of 81.1% (584/720) of women had a single HR-HPV genotype, and 18.9% (136/720) had multiple genotypes. The most frequently detected HPV genotype was HPV52, followed by HPV58, HPV16, and HPV51. Age subgroup analysis showed 2 peaks for the frequencies of HPV infections, one for the group of women under 29 years old, and the other for the group of women over 50 years old. Among the women for whom cytology results were available, HPV16 was the most commonly detected genotype among women affected with high-grade squamous intraepithelial lesion (32.5%) and squamous cell carcinoma, followed by HPV58, HPV33, and HPV52. This is one of the largest studies to demonstrate HPV prevalence and genotype distribution among Chinese women in Sichuan. The prevalence and genotype distribution of HR-HPV was unique with higher frequencies of HPV52 and HPV58.
高危型人乳头瘤病毒(HR-HPV)流行率及基因型分布的评估对于制定宫颈癌预防和筛查策略至关重要。本研究旨在确定居住在四川省的中国女性中HR-HPV的流行率及基因型分布。共从四川省成都市第三人民医院招募了3089名女性。采用实时定量聚合酶链反应评估HR-HPV基因分型。多达720名女性(23.3%)为HR-HPV阳性。共有81.1%(584/720)的女性感染单一HR-HPV基因型,18.9%(136/720)的女性感染多种基因型。最常检测到的HPV基因型是HPV52,其次是HPV58、HPV16和HPV51。年龄亚组分析显示HPV感染频率有两个高峰,一个是29岁以下女性组,另一个是50岁以上女性组。在可获得细胞学结果的女性中,HPV16是高级别鳞状上皮内病变(32.5%)和鳞状细胞癌女性中最常检测到的基因型,其次是HPV58、HPV33和HPV52。这是证明四川省中国女性中HPV流行率和基因型分布的最大规模研究之一。HR-HPV的流行率和基因型分布具有独特性,HPV52和HPV58的频率较高。