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高危型人乳头瘤病毒(HR HPV)感染女性白细胞和宫颈涂片的端粒长度

Telomere length in leukocytes and cervical smears of women with high-risk human papillomavirus (HR HPV) infection.

作者信息

Pańczyszyn Anna, Boniewska-Bernacka Ewa, Głąb Grzegorz

机构信息

University of Opole, Institute of Medical Sciences, Poland.

University of Opole, Institute of Medical Sciences, Poland.

出版信息

Taiwan J Obstet Gynecol. 2020 Jan;59(1):51-55. doi: 10.1016/j.tjog.2019.11.007.

Abstract

OBJECTIVE

Persistent high-risk HPV (HR HPV) infection leads to the development of squamous intraepithelial lesions, which in turn may progress to cervical cancer. Telomere elongation or shortening may indicate a carcinogenesis process. In the present study, we analyzed telomere length from blood and cervical smears of women without and with high-risk HPV infection.

MATERIALS AND METHODS

Telomere length was quantified by real-time PCR in blood and cervical smears from 48 women with high-risk HPV infection and HGSIL or LGSIL, 29 women HR-HPV positive without SIL, and 11 HPV-negative women.

RESULTS

No correlation was found between age and telomere length in blood and cervical smears. Women with high-risk HPV infection had shorter telomeres in cervical smears, but not in blood compared to the control group.

CONCLUSION

These findings suggest that telomere shortening occurs in cervical cells of women with HR HPV infection both with LGSIL and HGSIL and may indicate the onset of carcinogenesis. In turn, there is no correlation between leukocyte telomere length and cervical cancer risk in women with HR HPV infection.

摘要

目的

持续性高危型人乳头瘤病毒(HR HPV)感染会导致鳞状上皮内病变,进而可能发展为宫颈癌。端粒延长或缩短可能表明致癌过程。在本研究中,我们分析了高危型HPV感染女性和未感染女性血液及宫颈涂片样本中的端粒长度。

材料与方法

采用实时荧光定量PCR技术,对48例患有高危型HPV感染且有高级别鳞状上皮内病变(HGSIL)或低级别鳞状上皮内病变(LGSIL)的女性、29例HR-HPV阳性但无鳞状上皮内病变的女性以及11例HPV阴性女性的血液和宫颈涂片样本中的端粒长度进行定量分析。

结果

血液和宫颈涂片样本中端粒长度与年龄之间无相关性。与对照组相比,高危型HPV感染女性的宫颈涂片样本中端粒较短,但血液样本中端粒长度无差异。

结论

这些研究结果表明,无论是低级别鳞状上皮内病变还是高级别鳞状上皮内病变,高危型HPV感染女性的宫颈细胞中端粒均发生缩短,这可能预示着致癌过程的开始。反过来,高危型HPV感染女性的白细胞端粒长度与宫颈癌风险之间无相关性。

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