Astori G, Arzese A, Pipan C, de Villiers E M, Botta G A
Institute of Microbiology, Medical Faculty, University of Udine, Italy.
Virus Res. 1997 Jul;50(1):57-63. doi: 10.1016/s0168-1702(97)00054-3.
Various methods have been proposed for HPV detection and typing. Prevalence and distribution among types have varied depending upon the methods used and the populations studied. We have applied the polymerase chain reaction (PCR) followed by a Restriction Fragment Length Polymorphism (RFLP) analysis using the MY09/MY11 primers for detection of HPV in cervicovaginal lavages obtained from 323 patients who were referred to our Clinical Department either for genital complaints or an abnormal PAP smear. We assessed (i) the prevalence of HPV and (ii) the reliability of RFLP-typing. For the latter, 35 PCR-HPV products were sequenced. HPV-DNA was detected in 40/197 (20.3%) patients with normal cytology 86/111 (77.5%) with LSIL and 11/15 (73.3%) with HSIL. HPV-16 was the most common type detected in normal cervical cytology samples (10/40, 25%), whereas HPV 16 and 18 were detected in 36/97 (37.1%) of the LSIL and HSIL patients, evidencing the presence of these high-risk HPV types not only in malignant conditions. Results obtained after partial nucleotide sequencing confirmed the results obtained by RFLP analysis. In this study, a putative new HPV fragment (GA6053) was identified. Its closest homology to other known HPV types is 73.8% to HPV-62, 73.0% to HPV-61 and 67.7% to HPV-18. The use of degenerate primers, in conjunction with RFLP, proved to be a reliable method for HPV detection and typing.
已经提出了多种用于人乳头瘤病毒(HPV)检测和分型的方法。不同类型HPV的流行率和分布因所使用的方法以及所研究的人群而异。我们应用聚合酶链反应(PCR),随后使用MY09/MY11引物进行限制性片段长度多态性(RFLP)分析,以检测从323例因生殖器不适或巴氏涂片异常转诊至我们临床科室的患者的宫颈阴道灌洗液中的HPV。我们评估了(i)HPV的流行率和(ii)RFLP分型的可靠性。对于后者,对35个PCR-HPV产物进行了测序。在197例细胞学正常的患者中有40例(20.3%)检测到HPV-DNA,在111例低度鳞状上皮内病变(LSIL)患者中有86例(77.5%),在15例高度鳞状上皮内病变(HSIL)患者中有11例(73.3%)。HPV-16是在正常宫颈细胞学样本中检测到的最常见类型(10/40,25%),而在97例LSIL和HSIL患者中有36例(37.1%)检测到HPV 16和18,这表明这些高危HPV类型不仅存在于恶性病变中。部分核苷酸测序后获得的结果证实了RFLP分析获得的结果。在本研究中,鉴定出一个推定的新HPV片段(GA6053)。它与其他已知HPV类型的最接近同源性为与HPV-62的73.8%、与HPV-61的73.0%和与HPV-18的67.7%。事实证明,使用简并引物结合RFLP是一种可靠的HPV检测和分型方法。