尖锐湿疣的高危(HR)和低危(LR)人乳头瘤病毒(HPV)的分布基因型

Gondo Mastutik, A. Rahniayu, Dwi Murtiastutik, A. Arista, T. Setyaningrum, N. Missaoui, S. Putra
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引用次数: 1

摘要

简介:尖锐湿疣又称生殖器疣,是由人乳头瘤病毒(HPV)感染引起的最常见的性传播疾病之一。低危(LR)或高危(HR) HPV持续感染是进展为良性或恶性癌症的危险因素。目的是分析基因型LR-HPV和HR-HPV在阴部尖锐湿疣的分布。方法:对36例男性和女性尖锐湿疣患者的病变进行横断面研究。所有受试者都签署了从我们机构获得的知情同意书,编号382/Panke.KKE/V/2016。标本用于组织病理学检查,并使用反向线印迹法鉴定40种HPV基因型。结果:所有患者均诊断为尖锐湿疣,部分患者伴有病灶发育不良和白细胞增多。所有患者HPV均呈阳性,其中LR-HPV为HPV 6、11、42、54、61、81、87、89,HR-HPV为HPV 18、26、45、51、52、66、67、68B、69、82。LR- hpv单次感染占44.4%,LR/HR-HPV多发感染占13.9%,LR/HR-HPV多发感染占41.7%。低hpv感染率为706%,HR-HPV感染率为29.4%。结论:HR-HPV是尖锐湿疣的主要感染源,可单次感染或多次感染。最常见的感染是HPV 11,其次是HPV 6, HPV 18, HPV 51和HPV 82。HPV基因型的测定可用于预测恶性转化。
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Distribution Genotype High Risk (HR) And Low Risk (LR) Human Papillomavirus (HPV) at Condyloma Acuminata
Introduction: Condyloma acuminata that is also known as genital warts are one of the most common sexually transmitted that caused by infection of Human papillomavirus (HPV). Persistent infection of Low Risk (LR) or High risk (HR) HPV is a risk factor for progress into benign or malignant cancer. The objective is to analyze distribution of genotype LR-HPV and HR-HPV at condyloma acuminata in anogenital region. Methods: A cross sectional study using were 36 lesions from men and women of condyloma acuminata patients. All subject signed the informed consent and ethic obtained from our institution, number 382/Panke.KKE/V/2016. The specimen was used to histopathological examination and to identified 40 genotypes of HPV using a reverse line blot assay.Results: The All patients were diagnosed as condyloma acuminata, some with focus dysplasia and koilocytosis. All patients were positive for HPV, including LR-HPV were HPV 6, 11, 42, 54, 61, 81,87,89 and HR-HPV were HPV 18, 26, 45, 51, 52, 66, 67, 68B, 69, 82. The single infection of LR-HPV was 44.4%, multiple infection LR/LR-HPV was 13,9% and the multiple infection of LR/HR-HPV was 41.7%. The LR-HPV infected 70,6% and HR-HPV infected 29,4%.  Conclusion: LR-HPV is the major infection of condyloma acuminata, in single infection or multiple infection with HR-HPV. The most common infections were HPV 11, followed by HPV 6, HPV 18, HPV 51, and HPV 82. The determination of genotype of HPV can be used to predict the malignant transformation.
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