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上海地区十种性传播疾病病原体与高危型人乳头瘤病毒感染的相关性研究

Investigation of the association between ten pathogens causing sexually transmitted diseases and high-risk human papilloma virus infection in Shanghai.

作者信息

Xie Li, Li Qian, Dong Xiangrong, Kong Qi, Duan Yuping, Chen Xiong, Li Xiaoqiang, Hong Mao, Liu Tao

机构信息

Clinical Laboratory, Zhongshan Hospital Affiliated to Fudan University Wusong Hospital, Shanghai 200940, P.R. China.

Ear, Nose and Throat Department, Shanghai Gongli Hospital, Shanghai 200940, P.R. China.

出版信息

Mol Clin Oncol. 2021 Jul;15(1):132. doi: 10.3892/mco.2021.2294. Epub 2021 May 9.

Abstract

Cervical cancer, one of the high-incidence female malignant tumors, has predominated in recent years. Persistent infection with high-risk human papillomavirus (HR-HPV) is the main cause of cervical cancer. Studies have shown that infection with certain sexually transmitted disease (STD) pathogens increases the risk of persistent infection with HR-HPV and is a high-risk factor for cervical cancer. In the present study, cervical specimens were collected for Thinprep cytology test detection, while DNA of cervical cells was extracted for HPV genotyping and detection of 10 STD pathogens, including , (CT), , (Uup)1, Uup3, Uup6, Uup14, (Mh), (Mg) and herpes simplex virus II. Significant differences were observed between CT, Mh and Mg infections and HR-HPV infection (P<0.05). In addition, CT, Uup3, Uup6 and Mh infections were associated with HR-HPV infection (odds ratio >1; P<0.05). In the comparison of Uup3, Uup6 and Mg infections between the cervical intraepithelial neoplasia (CIN) group and the control group, statistically significant differences were observed (P<0.05). In conclusion, the incidences of CT, Mh and Mg infections were similar with HR-HPV infection. CT, Uup6, Mh and Mg infections were risk factors for HR-HPV infection. Finally, Uup3, Uup6 and Mg were risk factors of CIN.

摘要

宫颈癌是近年来高发的女性恶性肿瘤之一。高危型人乳头瘤病毒(HR-HPV)的持续感染是宫颈癌的主要病因。研究表明,某些性传播疾病(STD)病原体感染会增加HR-HPV持续感染的风险,是宫颈癌的高危因素。在本研究中,收集宫颈标本进行液基薄层细胞学检测,同时提取宫颈细胞DNA进行HPV基因分型及10种STD病原体检测,包括沙眼衣原体(CT)、解脲脲原体(Uup)1、Uup3、Uup6、Uup14、人型支原体(Mh)、生殖支原体(Mg)和单纯疱疹病毒II型。CT、Mh和Mg感染与HR-HPV感染之间存在显著差异(P<0.05)。此外,CT、Uup3、Uup6和Mh感染与HR-HPV感染相关(优势比>1;P<0.05)。在宫颈上皮内瘤变(CIN)组与对照组之间比较Uup3、Uup6和Mg感染情况,差异有统计学意义(P<0.05)。综上所述,CT、Mh和Mg感染发生率与HR-HPV感染相似。CT, Uup6, Mh和Mg感染是HR-HPV感染的危险因素。最后,Uup3、Uup6和Mg是CIN的危险因素。

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