Interferon Gamma and Secretory Immunoglobulin A Levels Decrease in Persistent Anal Condyloma Acuminatum Infection.

Yuanli Guo, Zi Zhang, Lipei Zhao, Xiaohui Ma, Tingting Mao, Xiaolei Cheng, Qiulin Gao, Manli Qi
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Abstract

Background: Condyloma acuminatum (CA) is a common sexually transmitted disease caused by human papillomavirus (HPV). In recent years, research on anal CA has primarily focused on treatment rather than underlying mechanisms. The mechanism of HPV persistence and recurrence in CA require further exploration. It needs multiple researches in mechanisms to focalize treatment targets.

Objective: To investigate the relationship between intestinal mucosal immunity and the relapse of anal CA and persistent infection.

Methods: Levels of interferon gamma (IFN-γ) and secretory immunoglobulin A (sIgA) were measured using enzyme-linked immunosorbnent assay in anal mucosal cells obtained from patients treated at Tianjin Union Medical Center from September 2022 to December 2024. All the participants signed Informed Consent and the whole plan was approved by Institutional Review Board in Tianjin Union Medical Center (No. B155).

Results: The levels of IFN-γ and sIgA significantly decreased after infection, and persistent infection exhibited even lower levels. These two factors increased following treatment, reaching peak concentrations at 4 weeks before decreasing again.

Conclusion: These findings demonstrate a significant association between persistent anal CA infection and dysregulation of intestinal mucosal immunity.

持续肛门尖锐湿疣感染的干扰素γ和分泌性免疫球蛋白A水平降低。
背景:尖锐湿疣(CA)是由人乳头瘤病毒(HPV)引起的一种常见的性传播疾病。近年来,对肛门CA的研究主要集中在治疗上,而不是潜在的机制。HPV在CA中持续和复发的机制有待进一步探讨。需要对治疗靶点的定位机制进行多方面的研究。目的:探讨肛门CA复发及持续性感染与肠道黏膜免疫的关系。方法:采用酶联免疫吸附法测定2022年9月至2024年12月在天津协和医疗中心就诊的患者肛门粘膜细胞中干扰素γ (IFN-γ)和分泌性免疫球蛋白A (sIgA)的水平。所有参与者签署知情同意书,整个计划经天津市协和医学中心机构审查委员会批准。B155)。结果:感染后血清中IFN-γ和sIgA水平明显降低,持续感染后水平更低。这两个因子在治疗后增加,在第4周达到峰值,然后再次下降。结论:这些发现表明持续肛门CA感染与肠黏膜免疫失调之间存在显著关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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