ofFAM19A4/mir124-2甲基化检测在hrhpv阳性女性中的临床应用价值

Xiaohua He
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摘要

子宫颈癌是女性最常见的恶性肿瘤之一。人乳头瘤病毒(HPV)基因分型、宫颈脱落细胞薄膜液基细胞学检测(TCT)与HPV疫苗相结合,对宫颈癌的早期诊断和预防具有重要意义。然而,由于其方法的局限性,仍存在一定的漏诊或过度诊断的风险。因此,感染高危HPV (hrHPV)的女性需要更可靠的检测来确定病变是否会进展为癌症,从而指导早期准确治疗,防止过度治疗。近期研究发现FAM19A4/mir124-2甲基化与宫颈癌密切相关,且其甲基化程度随宫颈病变严重程度而升高,有望成为宫颈癌新的生物标志物。本文总结FAM19A4/mir124-2甲基化检测在hrhpv阳性女性中的临床应用价值。
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Theclinical application value ofFAM19A4/mir124-2 methylation test in hrHPV-positive women
Cervical cancer is one of the most common malignancies in women. The combination of human papillomavirus (HPV) genotyping with thinprep liquid-based cytology test (TCT) of cervical exfoliated cells and HPV vaccine helps greatly for the early diagnosis and prevention of cervical cancer. However, there is still a certain risk of missed diagnosis or over-diagnosis due to the limitations of its methodology. Therefore, women infected with high-risk HPV (hrHPV) need more reliable tests to identify whether the lesions will progress to cancer, which can guide early and accurate treatment and prevent over-treatment. Recently, studies have found that FAM19A4/mir124-2 methylation is closely related to cervical cancer, and its methylation degree increases with the severity of cervical lesions, which is expected to become a new biomarker of cervical cancer. Here, we summarized the clinical application value of FAM19A4/mir124-2 methylation test in hrHPV-positive women.
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