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用于即时护理原发性宫颈癌筛查的等温核酸扩增

Isothermal Nucleic Acid Amplification for Point-of-Care Primary Cervical Cancer Screening.

作者信息

Lamsisi Maryame, Benlghazi Abdelhamid, Kouach Jaouad, Laraqui Abdelilah, Ennaji Moulay Mustapha, Chauleur Céline, Bourlet Thomas, Li Guorong

机构信息

Biotechnology Unit, Institut Pasteur du Maroc, Casablanca 20360, Morocco.

Department of Obstetrics & Gynecology, Mohamed V Military Instruction Hospital of Rabat, Rabat 10045, Morocco.

出版信息

Viruses. 2024 Nov 28;16(12):1852. doi: 10.3390/v16121852.

Abstract

Human Papillomavirus (HPV) infection is a significant global health concern linked to various cancers, particularly cervical cancer. Timely and accurate detection of HPV is crucial for effective management and prevention strategies. Traditional laboratory-based HPV testing methods often suffer from limitations such as long turnaround times, restricted accessibility, and the need for trained personnel, especially in resource-limited settings. Consequently, there is a growing demand for point-of-care (POC) HPV testing solutions that offer rapid, easy-to-use, and convenient screening at the primary care level. This review provides a comprehensive overview of recent advancements and emerging technologies utilized in POC HPV testing using isothermal amplification methods, in addition to evaluating their diagnostic performance, sensitivity, specificity, and clinical utility compared to conventional laboratory-based assays, particularly in low-resource settings, where access to centralized laboratory facilities is limited. We provide insights into the potential of isothermal nucleic acid amplification to revolutionize cervical cancer screening and prevention efforts worldwide, with emphasis on the need for continued research, innovation, and collaboration to optimize the performance, accessibility, and affordability of POC HPV testing solutions, ultimately contributing to the worldwide effort towards the elimination of this disease.

摘要

人乳头瘤病毒(HPV)感染是一个重大的全球健康问题,与多种癌症相关,尤其是宫颈癌。及时、准确地检测HPV对于有效的管理和预防策略至关重要。传统的基于实验室的HPV检测方法往往存在一些局限性,如周转时间长、可及性受限以及需要专业人员,特别是在资源有限的环境中。因此,对即时检测(POC)HPV检测解决方案的需求日益增长,这些解决方案可在基层医疗层面提供快速、易用且便捷的筛查。本综述全面概述了使用等温扩增方法的POC HPV检测中所采用的最新进展和新兴技术,此外还评估了它们与传统基于实验室的检测方法相比的诊断性能、敏感性、特异性和临床实用性,特别是在资源有限的环境中,那里获得集中实验室设施的机会有限。我们深入探讨了等温核酸扩增在全球范围内革新宫颈癌筛查和预防工作的潜力,强调需要持续开展研究、创新与合作,以优化POC HPV检测解决方案的性能、可及性和可负担性,最终为全球消除这种疾病的努力做出贡献。

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