目的通过对13452例人乳头瘤病毒(HPV)亚型感染检测结果的分析,了解检测样本的HPV感染状况及年龄分布特点。方法采用导流杂交技术检测21种HPV亚型,包括14种高危型和7种低危型HPV,分析受检妇女中常见的HPV亚型感染及分布规律。结果HPV亚型感染总阳性率为36.98%,21种亚型被检出。高危型以HPV16最为常见,低危型最常见为HPV53。HPV多重感染比例为24.08%,以二重感染最为多见。结论13452例受检妇女HPV亚型感染总阳性率为36.98%,常见的3种高危型为HPV16、HPV58、HPV52,2种低危型为HPV53和HPVcp8304。19~29岁年龄组,≥60岁年龄组的HPV亚型感染阳性率和HPV多重感染阳性率表现出较弱的高峰,HPV多重感染以二重感染最多见。
Objective To evaluate the genotype and age distribution of human genotype papilloma virus (HPV) infection in 13452 cases. Methods The 21different genotypes including 14 high-risk genotypes and 7 low-risk genotypes of HPV in 13452 cases were detected by flow through tybridization. Results The total positive rate of HPV infection was 36.98%. All 21different genotypes were found. The most common high-risk genotype and low-risk genotype was HPV16 and HPV53, respectively. The multiple infection rate was 24.08% and two co-infections were the most common situation. Conclusion The 3 most common high-risk genotypes of HPV infection are HPV16, 58, 52,and the 2 most common low-risk are HPV53 and cp8304. The infection peak age is 19 to 29 years old and ≥60 years old. Two types co-infection are the most common multiple HPV infection.
[1] Walboomers J M, Jacobs M V, Mans M M,et al. Human papillomvirus is a necessary cause of invasive cervical cancer worldwide[J].J Pathol,1999, 189(1): 12-19.
[2]McLachlin C M. Human papillomavirus in cervical neoplasia. Role, risk factors, and implications [J].Clin Lab Med, 2000,20(2):257-270.
[3]Muoz N, Bosch F X, de Sanjosé S,et al.Epidemiologic classification of human papillomavirus types associated with cervical cancer[J].N Engl J Med,2003,348 (6): 518-527.
[4]Li N, Franceschi S, Howell-Jones R, et al. Human papillomavirus type distribution in 30,848 invasive cervical cancers worldwide: Variation by geographical region, histological type and year of publication[J]. Int J Cancer, 2011,128(4):927-935.
[5]Muoz N, Bosch F X, Castellsagué X, et al. Against which human papillomavirus types shall we vaccinate and screen? The international perspective [J]. Int J Cancer, 2004,111(2):278-285.
[6]Usubütün A, Alemany L, Küükali T, et al.Human papillomavirus types in invasive cervical cancer specimens from Turkey[J]. Int J Gynecol Pathol, 2009, 28 (6): 541- 548.
[7]Dai M, Bao Y P, Li N, et al. Human papillomavirus infection in Shanxi Province, People’s Republic of China: a population-based study[J].Br J Cancer, 2006,95(1):96-101.
[8]Li Y, Wang Y, Jia C, et al. Detection of human papillomavirus genotypes with liquid bead microarray in cervical lesions of northern Chinese patients[J].Cancer Genet Cytogenet,2008,182(1):12-17.
[9]Bao Y P,Li N,Smith J S,et al. Human papillomavirus type distribution in the cervix of Chinese women: a meta-analysis [J].Int J STD AIDS, 2008,19(2): 106- 111.
[10]Chan P K, Li W H, Chan M Y, et al. High prevalence of human papillomavirus type 58 in Chinese women with cervical cancer and precancerous lesions[J].J Med Virol,1999,59(2):232-238.
[11]陶萍萍,卞美璐,欧华,等.导流杂交基因芯片技术在人乳头瘤病毒检测中应用的研究[J].中华妇产科学杂志,2006,41(1):43-47.
[12]杨英捷,赵健,李雪倩,等.2285例女性下生殖道人乳头瘤病毒感染筛查结果分析[J].中国实用妇科与产科杂志,2006,22(6):444-445.
[13]Castle P E, Schiffman M, Herrero R, et al. A prospective study of age trends in cervical human papillomavirus acquisition and persistence in Guanacaste, Costa Rica [J]. J Infect Dis, 2005,191 (11): 1808-1816.
[14]靳琼,沈铿,李辉,等.西藏自治区妇女宫颈人乳头状瘤病毒感染现状调查及相关因素分析[J].中华妇产科学杂志,2009,44(12):898-902.
[15]梁德光,何三恒,蓝柯.人乳头瘤病毒及其致瘤机制的研究进展[J].生命科学,2008,20(6):843-848.