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采用实时聚合酶链反应检测口腔鳞状细胞癌中人乳头瘤病毒 16 型和 18 型的分子流行率。

Molecular Prevalence of Human Papillomavirus Types 16 and 18 in Oral Squamous Cell Carcinoma using Real-time PCR.

机构信息

Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Qazvin University of Medical Sciences, Qazvin, Iran.

Medical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Arch Razi Inst. 2024 Apr 30;79(2):361-366. doi: 10.32592/ARI.2024.79.2.361. eCollection 2024 Apr.

Abstract

Human papillomavirus (HPV) has been established as a causative agent in the development of oral squamous cell carcinoma (OSCC). Specifically, HPV types 16 and 18 are known to be prevalent in oral cancers. This cross-sectional study aimed to determine the prevalence of HPV types 16 and 18 in OSCC cases in Qazvin province, Iran. Thirty-eight paraffin-embedded samples of OSCC were selected, and DNA extraction was performed using the Roche High Pure FFPE DNA isolation kit. The quality of the extracted DNA was assessed through PCR amplification of the human β-Globin gene. The HPV detection was carried out using SYBR green-based real-time PCR with GP5+ and GP6+ primers targeting the L1 region of HPV. The HPV genotyping was conducted on positive samples using specific primers. Statistical analysis was performed between HPV infection in OSCC and age, sex, and anatomical location. This study analyzed 38 biopsy specimens obtained from male and female OSCC patients, with an average age of 64 years. Among these samples, 13 tested positive for HPV, resulting in a prevalence rate of 34.2%. The age group with the highest HPV infection rate was 61-70 (10.5%) years. Notably, HPV type 16 was detected in 21.0% of samples, HPV type 18 in 10.5%, and other viral subtypes in 2.6%. No statistically significant correlation was found between HPV prevalence and gender or age. The findings indicated that 34.2% of OSCC samples in the Qazvin province harbor HPV, with types 16 and 18 being the most common in tumors affecting the tongue. Additionally, no association was observed between HPV infection and age or gender. To address HPV as a risk factor for OSCC, public health initiatives such as vaccination, awareness campaigns, and accessible healthcare services should be implemented. They are, furthermore, incorporating HPV DNA testing into practice.

摘要

人乳头瘤病毒(HPV)已被确定为口腔鳞状细胞癌(OSCC)发展的致病因子。具体来说,HPV 16 型和 18 型已知在口腔癌中普遍存在。本横断面研究旨在确定伊朗卡兹温省 OSCC 病例中 HPV 16 型和 18 型的流行率。选择了 38 例石蜡包埋的 OSCC 样本,并使用罗氏高纯度 FFPE DNA 分离试剂盒提取 DNA。通过聚合酶链反应扩增人β-球蛋白基因评估提取 DNA 的质量。使用针对 HPV L1 区的 GP5+和 GP6+引物的 SYBR 绿色实时 PCR 检测 HPV。对阳性样本进行 HPV 基因分型,使用特定引物。在 HPV 感染与年龄、性别和解剖位置之间进行了统计分析。本研究分析了来自男性和女性 OSCC 患者的 38 份活检标本,平均年龄为 64 岁。在这些样本中,有 13 份 HPV 检测呈阳性,阳性率为 34.2%。HPV 感染率最高的年龄组为 61-70 岁(10.5%)。值得注意的是,21.0%的样本中检测到 HPV 16 型,10.5%的样本中检测到 HPV 18 型,2.6%的样本中检测到其他病毒亚型。HPV 阳性率与性别或年龄无统计学显著相关性。结果表明,卡兹温省 34.2%的 OSCC 样本携带 HPV,16 型和 18 型在影响舌部的肿瘤中最为常见。此外,HPV 感染与年龄或性别无关。为了将 HPV 作为 OSCC 的一个危险因素,应实施包括疫苗接种、宣传运动和普及医疗服务在内的公共卫生措施。此外,还应将 HPV DNA 检测纳入实践。

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