王 晶, 周 琦, 刘 预, 李少林. 基因芯片法与杂交捕获法检测人乳头瘤病毒对比分析[J]. 中国肿瘤临床, 2010, 37(11): 634-637. DOI: 10.3969/j.issn.1000-8179.2010.11.010
引用本文: 王 晶, 周 琦, 刘 预, 李少林. 基因芯片法与杂交捕获法检测人乳头瘤病毒对比分析[J]. 中国肿瘤临床, 2010, 37(11): 634-637. DOI: 10.3969/j.issn.1000-8179.2010.11.010
WANG Jing, ZHOU Qi, LIU Yu, LI Shao-lin. Cross-Check Analysis between Detection of HPV by Gene Chip Test and Hybrid Capture2[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(11): 634-637. DOI: 10.3969/j.issn.1000-8179.2010.11.010
Citation: WANG Jing, ZHOU Qi, LIU Yu, LI Shao-lin. Cross-Check Analysis between Detection of HPV by Gene Chip Test and Hybrid Capture2[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(11): 634-637. DOI: 10.3969/j.issn.1000-8179.2010.11.010

基因芯片法与杂交捕获法检测人乳头瘤病毒对比分析

Cross-Check Analysis between Detection of HPV by Gene Chip Test and Hybrid Capture2

  • 摘要: 目的:评价杂交捕获法和基因芯片法检测宫颈人乳头瘤病毒(human papillomavirus ,HPV )感染的方法学优势,探讨HPV 的多重感染以及HPV 病毒负荷量与不同级别宫颈病变的相关性。方法:分别采用基因芯片法和杂交捕获法对360 例宫颈癌机会性筛查的患者进行HPV-DNA的检测以及液基细胞学检测,并以基因测序为金标准评价两种检测方法的灵敏度、特异度。结果:基因芯片法和杂交捕获法的灵敏度、特异度和约登指数分别为前者98.33% 、93.40% 和0.917,后者97.56% 、98.17% 和0.957。按宫颈液基细胞学检查结果分为NSIL组、ASC 组、LSIL 组及HSIL和SCC 组,随宫颈细胞病变程度的增加,HPV 感染率、高危型HPV 感染率、多重感染率病毒逐渐增加,在宫颈上皮正常组与异常组间比较差异有统计学意义,低危型HPV 感染率无规律性改变。结论:两种HPV 检测方法相比,基因芯片法灵敏度较高,杂交捕获法特异度较高,基因芯片法可作为宫颈病变筛查方法;HPV的多重感染和病毒负荷量增加都与宫颈病变程度有一定的相关性。

     

    Abstract: Objective: To evaluate the methodological merits of the gene chip diagnostic test and Hybrid Capture 2 HPV DNA test in detecting the human cervical papillomavirus (HPV) infection and to investigate the association between multiple-infection, viral load of HPV and cervical lesions at various stages.Methods:During the period from January to De -cember 2009, 360 female participants were screened for HPV using the gene chip diagnostic test and Hybrid Capture 2 test. They were also screened for cervical cancer using the Thin-prep cytology test (liquid-based cytology). DNA sequenc -ing was used as the gold standard to evaluate the sensitivity and specificity of the two detection tests. Results:The sensitivi-ty, specificity and Youden's index were respectively 98.33% ,93.40% and0.917 in the genotyping diagnostic test and 97.56%,98.17% and 0.957 in the Hybrid Capture 2 method. Based on the result of the cervical liquid-based cytology test, the cases were divided into the NSIL, ASC and LSIL groups, as well as the HSIL and SCC groups. The HPV infection rate, high and low-risk HPV infection rates, multi-infection rate and viral load increased with the aggravation of cervical squa-mous intraepithelial lesions. There were statistical differences between the groups with normal cervical squamous epitheli-um and with diseased tissue. However, there was no regular pattern in the changes of the low-risk HPV infection rate. Conclusions: In a comparison of the two HPV detection tests, there is a higher sensitivity in the genotyping diagnostic test, and a higher specificity in the Hybrid Capture 2 test. The gene chip test or TCT can additionally be used in cervical cancer screening, potentially making them more useful than the Hybrid Capture 2 test. The multi-infection rate of HPV and in -crease of the viral load are both associated with the severity of the cervical lesion

     

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