Naegele Klaudia, Bubendorf Lukas, Hirsch Hans H, Leuzinger Karoline
Clinical Virology, University Hospital Basel, Basel, Switzerland.
Institute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland.
J Med Virol. 2024 Jun;96(6):e29649. doi: 10.1002/jmv.29649.
Persistent infection with high-risk human papillomavirus (HPV) is recognized as the main cause for the development of anogenital cancers. This study prospectively evaluated the diagnostic performance of the novel Allplex-HPV28 assay with the Anyplex-II-HPV28 to detect and genotype HPV in 234 consecutive swabs and 32 biopsies of the anogenital tract from 265 patients with atypical findings in cytomorphological screening. Agreement in HPV-DNA detection between the Anyplex-II and Allplex-HPV28 assays was 99%. There was a notable diversity in the HPV-virome, with the most prevalent high-risk HPV types being 16, 53, 66, and 68. The agreement rates for detecting these genotypes exceeded 93% between the Anyplex-II and Allplex-HPV28 assays. Discrepancies in test results were solely noted for Anyplex-II-HPV28 results with a low signal intensity of "+", and for Allplex-HPV28 results with cycle thresholds of ≥36. The semi-quantitative analysis of HPV-DNA loads showed significant agreement between the Anyplex-II-HPV28 and Allplex-HPV28 assays (p < 0.001). Furthermore, HPV-DNA detection rates and mean HPV-DNA loads significantly correlated with the grade of abnormal changes identified in cytopathological assessment, being highest in cases of HSIL, condyloma accuminatum, and squamous cell carcinoma. Overall agreement rates for detecting specific HPV-types among the Anyplex-II and Allplex-HPV28 assays exceeded 99.5% in cases of atypical squamous cells, condyloma accuminatum, and squamous cell carcinoma. The novel Allplex-HPV28 assay shows good diagnostic performance in detecting and genotyping HPV commonly associated with anogenital cancers. Consequently, this assay could offer substantial potential for incorporation into future molecular screening programs for anogenital cancers in clinical settings.
高危型人乳头瘤病毒(HPV)持续感染被认为是肛门生殖器癌发生的主要原因。本研究前瞻性评估了新型Allplex-HPV28检测法与Anyplex-II-HPV28检测法在检测265例细胞形态学筛查有非典型结果患者的234份连续拭子样本及32份肛门生殖道活检样本中HPV及进行基因分型的诊断性能。Anyplex-II检测法与Allplex-HPV28检测法在HPV-DNA检测方面的一致性为99%。HPV病毒组存在显著差异,最常见的高危型HPV类型为16、53、66和68。在检测这些基因型方面,Anyplex-II检测法与Allplex-HPV28检测法的一致率超过93%。仅在信号强度为“+”的低信号强度的Anyplex-II-HPV28检测结果以及循环阈值≥36的Allplex-HPV28检测结果中发现了检测结果的差异。HPV-DNA载量的半定量分析显示Anyplex-II-HPV28检测法与Allplex-HPV28检测法之间存在显著一致性(p<0.001)。此外,HPV-DNA检测率和平均HPV-DNA载量与细胞病理学评估中确定的异常变化程度显著相关,在高级别鳞状上皮内病变(HSIL)、尖锐湿疣和鳞状细胞癌病例中最高。在非典型鳞状细胞、尖锐湿疣和鳞状细胞癌病例中,Anyplex-II检测法与Allplex-HPV28检测法在检测特定HPV类型方面的总体一致率超过99.5%。新型Allplex-HPV28检测法在检测与肛门生殖器癌常见相关的HPV及进行基因分型方面显示出良好的诊断性能。因此,该检测法在临床环境中纳入未来肛门生殖器癌分子筛查项目方面具有巨大潜力。
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