高危型人乳头瘤病毒感染患者病毒基因整合状态分析

Analysis of viral gene integration status in patients with high-risk human papillomavirus infection

  • 摘要:
    目的 探讨高危型人乳头瘤病毒(high-risk human papillomavirus,HR-HPV)感染患者中HPV基因的整合状况,并分析整合与宫颈病变程度及患者年龄的相关性。
    方法 收集2019年11月至2025年6月新疆维吾尔自治区人民医院收治的104例单一HR-HPV感染女性的宫颈脱落细胞样本。采用聚合酶链式反应(PCR)+膜杂交法进行HPV分型检测,并利用液相探针杂交捕获与高通量测序技术检测HPV基因整合状态,分析不同HPV亚型、不同宫颈病变程度及不同年龄段患者的HPV基因整合率。
    结果 HPV16/18型的整合率为44.4%,显著高于非HPV16/18型(3.1%),差异具有统计学意义(χ2=17.460,P<0.001);HPV16/18型患者中,整合率随着宫颈病变程度的加重而升高,从宫颈炎组的20.0%增加至宫颈癌组的84.6%,差异具有统计学意义(χ2=28.722,P<0.001)。病毒整合率与患者年龄呈正相关,≥60岁年龄段的整合率最高(60.0%),显著高于<30岁年龄段(12.5%),差异具有统计学意义(χ2=13.386,P=0.008)。
    结论 HPV基因整合与HPV感染亚型、宫颈病变程度及患者年龄密切相关。HPV16/18型更易发生整合,且整合率随宫颈病变进展和年龄增长而显著上升。检测HPV基因整合状态对评估宫颈病变进展具有重要的临床价值。

     

    Abstract: Objective: To investigate the integration status of human papillomavirus (HPV) genes in patients infected with high-risk human papillomavirus (HR-HPV) and to analyze the correlations between integration status and patient age and cervical lesion severity. Methods: Cervical exfoliated cell samples were collected from 104 women with single HR-HPV infection that had been admitted to the Department of Gynecology, Xinjiang Uygur Autonomous Region People's Hospital, China, between November, 2019 and June, 2025. Human papilloma virus genotyping was performed using PCR and membrane hybridization,and HPV gene integration status was determined using liquid-phase probe hybridization capture and high-throughput sequencing. The integration rates were analyzed across different HPV subtypes, cervical lesion grades, and age groups. Results: The HPV16/18 integration rate was 44.4%, which was significantly higher than that for non-HPV16/18 types (3.1%) (χ²=17.460 (P<0.001).The integration rate significantly increased with cervical lesion severity among the HPV16/18 patients, rising from 20.0% in the cervicitis group to 84.6% in the cervical carcinoma group (χ²=28.722, P<0.001). Additionally, the viral integration rate was positively correlated with patient age. The correlation was highest (60.0%) for the ≥ 60 age group, which was significantly higher than the <30 age group (12.5%) (χ²=13.386, P=0.008). Conclusions: Human papilloma virus gene integration is closely associated with HPV infection subtype, cervical lesion severity, and patient age; the HPV16/18 types have a greater integration propensity, with integration rates significantly increasing with cervical lesion progression and advancing age. Assessing HPV gene integration status is clinically important when evaluating cervical lesion progression.

     

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