首页|阴道菌群与HPV感染及宫颈病变的相关性研究进展

阴道菌群与HPV感染及宫颈病变的相关性研究进展

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宫颈癌是女性常见的恶性肿瘤,高危型人乳头瘤病毒的持续性感染是导致宫颈癌前病变发生并进展为宫颈癌的必要不充分条件.女性生殖道表面定植着众多微生物,以乳酸杆菌主导的健康阴道菌群对人体起着关键性的保护作用.随着高通量测序技术的发展,通过16SrRNA测序、宏基因组学测序等新的分子技术实现了对阴道菌群的准确分析.乳酸杆菌缺乏伴随多种厌氧菌增加的阴道菌群失调与HPV感染、宫颈病变发生发展密切相关.本文对阴道菌群与HPV感染及宫颈病变的相关性研究进行综述,并总结了种族、激素水平等因素对阴道菌群的影响,归纳了阴道菌群的相关检测手段,为HPV感染和癌前病变的研究提供新的思路,为进一步研究女性生殖道疾病的病因及发病机制提供科学依据,为预防以及治疗相关疾病奠定基础.
Progress in research on the relationship between vaginal flora and HPV infection and cervical lesions
Cervical cancer is a common malignant tumor in women. Persistent infection with high-risk human papillomavirus is a necessary but insufficient condition for the occurrence of precancerous lesions and progression to cervical cancer. Many microorganisms colonize the surface of the female genital tract. The healthy vaginal flora dominated by lactobacillus plays a key role in protecting the human body. With the development of high-throughput sequencing technology,16S rRNA sequencing,metagenomics sequencing and other new molec-ular technologies have achieved accurate analysis of vaginal microbiota. Lactobacillus deficiency,along with an increase in multiple anaerobic bacteria,is widely associated with human papillomavirus infection and cervical le-sions. This paper reviews the correlation between vaginal flora and human papillomavirus infection and cervical lesions. It also summarizes the effects of race,hormone levels,and other factors on vaginal flora as well as the de-tection methods of vaginal flora,providing new ideas for the prevention and treatment of HPV infection and pre-cancerous lesions. Furthermore,it provides a scientific basis for further study on the etiology and pathogenesis of female reproductive tract diseases and lays a foundation for the prevention and treatment of related diseases.

Vaginal floraHPV infectionCervical cancerLactobacillus

张敏、李晓聪、丁海涛

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内蒙古医科大学,内蒙古,呼和浩特010059

内蒙古自治区人民医院检验科,内蒙古,呼和浩特010017

阴道菌群 HPV感染 宫颈癌 乳杆菌

内蒙古自治区卫生健康委医疗卫生科技计划

202201054

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(3)
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