Research Centre for Applied Molecular Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
National Centre for Biomolecular Research, Faculty of Science, Masaryk University, Brno, Czech Republic.
J Med Virol. 2024 Feb;96(2):e29409. doi: 10.1002/jmv.29409.
Persistent infection with high-risk types of human papillomaviruses (HPV) is a major cause of cervical cancer, and an important factor in other malignancies, for example, head and neck cancer. Despite recent progress in screening and vaccination, the incidence and mortality are still relatively high, especially in low-income countries. The mortality and financial burden associated with the treatment could be decreased if a simple, rapid, and inexpensive technology for HPV testing becomes available, targeting individuals for further monitoring with increased risk of developing cancer. Commercial HPV tests available in the market are often relatively expensive, time-consuming, and require sophisticated instrumentation, which limits their more widespread utilization. To address these challenges, novel technologies are being implemented also for HPV diagnostics that include for example, isothermal amplification techniques, lateral flow assays, CRISPR-Cas-based systems, as well as microfluidics, paperfluidics and lab-on-a-chip devices, ideal for point-of-care testing in decentralized settings. In this review, we first evaluate current commercial HPV tests, followed by a description of advanced technologies, explanation of their principles, critical evaluation of their strengths and weaknesses, and suggestions for their possible implementation into medical diagnostics.
高危型人乳头瘤病毒(HPV)持续感染是宫颈癌的主要病因,也是其他恶性肿瘤(例如头颈部癌症)的重要因素。尽管在筛查和疫苗接种方面取得了最近的进展,但发病率和死亡率仍然相对较高,尤其是在低收入国家。如果能够获得一种简单、快速且廉价的 HPV 检测技术,针对具有更高癌症发病风险的个体进行进一步监测,那么与治疗相关的死亡率和经济负担就可以降低。市场上现有的 HPV 检测商业试剂盒通常价格昂贵、耗时且需要复杂的仪器,这限制了它们的更广泛应用。为了应对这些挑战,还针对 HPV 诊断实施了新的技术,包括等温扩增技术、侧向流动分析、基于 CRISPR-Cas 的系统以及微流控、纸流控和芯片实验室设备,非常适合在分散环境中的即时护理检测。在这篇综述中,我们首先评估了当前的 HPV 商业检测方法,然后描述了先进的技术,解释了它们的原理,对其优缺点进行了批判性评估,并就其在医学诊断中的可能应用提出了建议。
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