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迄今已发现的人乳头瘤病毒(HPV) 型已超过77 型,其中至少有30 个型与泌尿生殖道肿瘤有关。所以HPV 的检测与分型对于泌尿生殖道肿瘤的病因和预后将是非常重要的。HPV有很大的异质性,故用常规的诊断技术来测定未知标本中的HPV 基因型有一定困难。为此,我们应用了反向点杂交法(RDB) 来检测HPV 分型。即用7 种序列特异性寡核苷酸探针分别对应7 型HPV(HPV6B、11 、16 、18 、31 、33 、35) ,这些探针被合成后依次固定在一条尼龙膜上形成7 个点,再与样品DNA序列的PCR产物进行杂交。结果7 型HPV 中任一型阳性都可以在一条尼龙膜上鉴别出来。我们收集来自广州各大医院的标本,共计177 例( 除20 例食道癌标本来自河南省外) ,用RDB来检测HPV 和分型。结果如下:子宫颈癌86 例,其中鳞癌68 例,HPV 阳性59 例(86 .76 % ) ;腺癌18 例,HPV 阳性8 例(44 .44 % );尖锐湿疣42 例,HPV 阳性39 例(92 .86 % ) ;慢性宫颈炎29例,HPV阳性1 例(3.45 % ) ;食道癌20 例,HPV 阳性7 例(35 .00 % ) 。
Hitherto, human papillomavirus (HPV) types have been found to be more than 77, of which at least 30 are associated with urogenital tumors. Therefore, the detection and typing of HPV genitourinary tract cancer causes and prognosis will be very important. HPV has great heterogeneity, so using conventional diagnostic techniques to determine the HPV genotype in unknown samples have some difficulties. To this end, we applied reverse dot blot (RDB) to detect HPV typing. That is, seven types of sequence-specific oligonucleotide probes corresponding to HPV type 7 (HPV6B, 11, 16, 18, 31, 33, 35) were used. These probes were synthesized and sequentially immobilized on a nylon membrane to form seven Point and hybridize with the PCR product of the sample DNA sequence. Results of any type 7 HPV positive can be identified in a nylon membrane. We collected samples from major hospitals in Guangzhou, a total of 177 cases (except for 20 cases of esophageal cancer specimens from outside Henan Province), using RDB to detect HPV and typing. The results were as follows: There were 86 cases of cervical cancer, including 68 cases of squamous cell carcinoma, 59 cases of HPV positive (86.76%), 18 cases of adenocarcinoma, 8 cases of HPV positive (44.44%), 42 cases of genital warts, (92.86%), chronic cervicitis in 29 cases, HPV positive in 1 case (3.45%), esophageal cancer in 20 cases and HPV positive in 7 cases (35.00%).