82型人乳头瘤病毒单次感染的临床特征、持续感染能力及病毒载量的研究。

IF 4 3区 医学 Q2 VIROLOGY
Zuyi Chen, Qichen Cheng, Xinyue Zhang, Feng Tao, Nana Li, Ganglin Liu, Xuejiao Mu, Mei Zhang, Zeling Dong, Qiongyao Li
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引用次数: 0

摘要

背景:人乳头瘤病毒(HPV)感染是宫颈癌发展的关键因素,HPV基因分型对筛查至关重要。不同类型的人乳头瘤病毒的致病潜力有显著差异。目前,关于HPV82的临床资料很少,其病毒载量、致病性和持久性之间的关系尚不清楚。本研究分析了HPV82单次感染的特点。方法:采集宫颈标本,测定单次感染HPV82的阳性率及临床特征,探讨病毒载量、持续感染与致病性的关系。结果:医院妇科体检或会诊妇女HPV82阳性率约为0.24%(1033 /435,072)。在335例HPV82单次感染病例中,无病变组织活检结果、宫颈上皮内瘤变(CIN) 1例、CIN2例、CIN3例和宫颈癌患者分别为263例、42例、11例、18例和1例。210例患者的随访显示,21.21%(7/33)的CIN1患者进展为高级别病变,而7.34%(13/177)的无病变患者进展为CIN。结论:HPV82单次感染的致病性在高危型HPV中处于中等水平,可导致宫颈癌,值得将HPV82纳入HPV扩大筛查范围。高病毒载量是提高HPV82持续感染能力和致病性的重要因素。病毒载量有望作为与HPV82相关的持续感染和疾病进展的筛查风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study on the clinical characteristics, persistent infection capability, and viral load of human papillomavirus type 82 single infection.

Background: Human papillomavirus (HPV) infection is a key factor in the development of cervical cancer and HPV genotyping is crucial for screening. There are significant differences in the pathogenic potential of the various HPV types. Currently, clinical data on HPV82 are scarce, and the relationship between its viral load, pathogenicity, and persistence is unknown. This study analyzed the characteristics of HPV82 single infection.

Methods: Cervical samples were collected to determine the positivity rate of HPV82 and its clinical features in a single infection and examined the association between viral load, persistent infection, and pathogenicity.

Results: The positive rate of HPV82 among women attending hospitals for gynecological physical examination or medical consultation was approximately 0.24% (1,033/435,072). Among 335 cases of HPV82 single infection, the number of patients with lesion-free tissue biopsy results, cervical intraepithelial neoplasia (CIN) 1, CIN2, CIN3, and cervical cancer were 263, 42, 11, 18, and one, respectively. A follow-up of 210 patients showed that 21.21% (7/33) of patients with CIN1 progressed to high-grade lesions, whereas 7.34% (13/177) of lesion-free patients progressed to CIN. The viral load in the CIN and cervical cancer group was significantly higher than that in the lesion-free group (p < 0.001), and the viral load in the persistent infection group was higher than that in the viral clearance group (p < 0.001).

Conclusion: The pathogenicity of single HPV82 infection ranks in the middle among high-risk HPV types, and it can lead to cervical cancer, warranting the inclusion of HPV82 in expanded screening for HPV. High viral load is a significant factor that improves the persistent infection ability and pathogenicity of HPV82. Viral load is expected to serve as a screening risk factor for persistent infection and disease progression associated with HPV82.

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来源期刊
Virology Journal
Virology Journal 医学-病毒学
CiteScore
7.40
自引率
2.10%
发文量
186
审稿时长
1 months
期刊介绍: Virology Journal is an open access, peer reviewed journal that considers articles on all aspects of virology, including research on the viruses of animals, plants and microbes. The journal welcomes basic research as well as pre-clinical and clinical studies of novel diagnostic tools, vaccines and anti-viral therapies. The Editorial policy of Virology Journal is to publish all research which is assessed by peer reviewers to be a coherent and sound addition to the scientific literature, and puts less emphasis on interest levels or perceived impact.
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