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阴道微生态在宫颈癌中的作用。

The role of vaginal microecology in the cervical cancer.

机构信息

Department of Obstetrics and Gynecology, Heilongjiang University of Chinese Medicine, Harbin, China.

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.

出版信息

J Obstet Gynaecol Res. 2022 Sep;48(9):2237-2254. doi: 10.1111/jog.15359. Epub 2022 Jul 11.

Abstract

AIM

To explore the role of vaginal microecology in cervical cancer, so as to increase the understanding of cervical cancer and lay a foundation for future large-sample clinical trials.

METHODS

We reviewed and summarized the literature comprehensively, and discussed the relationship between vaginal microecology and HPV infection, CIN progression and cervical cancer, as well as the potential molecular mechanism and the prospects of probiotics and prebiotics in future cancer treatments.

RESULTS

With the popularization of high-throughput sequencing technology and the development of bioinformatics analysis technology, many evidences show that the increase in the diversity of the bacterial community in the vaginal microecological environment and the decrease in the number of Lactobacilli are associated with the continuous infection of HPV and the further development of CIN, cervical cancer-related.

CONCLUSIONS

Vaginal microecological imbalance has an important impact on the occurrence and development of cervical cancer. However, the pathogenesis is not completely clear, and more high-level basic research and longitudinal clinical studies are needed to verify.

摘要

目的

探讨阴道微生态在宫颈癌发生发展中的作用,以期加深对宫颈癌的认识,为今后的大样本临床试验奠定基础。

方法

我们全面复习和总结文献,探讨了阴道微生态与 HPV 感染、CIN 进展及宫颈癌的关系,以及潜在的分子机制和益生菌、益生元在未来癌症治疗中的应用前景。

结果

随着高通量测序技术的普及和生物信息分析技术的发展,大量证据表明阴道微生态环境中细菌群落多样性增加和乳杆菌数量减少与 HPV 的持续感染及 CIN、宫颈癌的进一步发展有关。

结论

阴道微生态失衡对宫颈癌的发生发展有重要影响,但发病机制尚不完全清楚,需要更多高水平的基础研究和纵向临床研究来验证。

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