首页|人乳头瘤病毒感染合并宫颈病变患者血清 白细胞介素-10和转化生长因子-β1水平及其与病毒载量的关系研究

人乳头瘤病毒感染合并宫颈病变患者血清 白细胞介素-10和转化生长因子-β1水平及其与病毒载量的关系研究

Study on serum IL-10 and TGF-β1 levels in patients with HPV infection and cervical lesions and their relationship with virus load

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目的 探讨人乳头瘤病毒(HPV)感染合并宫颈病变患者血清白细胞介素(IL)-10和转化生长因子(TGF)-β1水平及其与病毒载量的关系.方法 回顾性选取2021年3月至2023年6月在我院确诊的HPV感染合并宫颈病变患者60例,同期纳入在妇科健康体检的女性志愿者50名为健康组,检测高危型HPV-DNA负荷量和血清IL-10、TGF-β1水平,分析IL-10、TGF-β1与宫颈病变程度、病毒载量的关系.结果 宫颈上皮内瘤变(CIN)Ⅲ级组(73%)、宫颈癌组(92%)高危型HPV-DNA检出率均明显高于CIN Ⅰ级组(33.3%)(x2=4.821、10.155,P=0.028、0.001),宫颈癌组(92%)高危型 HPV-DNA 检出率高于 CIN Ⅱ 级组(59%),差异有统计学意义(x2=4.224,P=0.039);血清IL-10、TGF-β1水平比较,宫颈癌组>CIN组>健康对照组,组间差异均具统计学意义(P<0.05);CIN组内比较显示,癌前病变程度越高,患者血清IL-10、TGF-β1水平越高,差异有统计学意义(P<0.05);HPV感染合并宫颈病变患者血清IL-10、TGF-β1水平比较,HPV病毒载量>1 000组、101~1 000组、1~100组依次降低,且两两比较组间差异有统计学意义(F=25.494、7.539,P<0.001);经Spearman相关性分析,HPV-DNA病毒负荷量与血清IL-10、TGF-β1水平均呈显著正相关(r=0.461、0.172,P<0.05).结论 血清IL-10、TGF-β1水平与宫颈病变严重程度有关,二者表达水平与HPV病毒载量呈正相关,检测血清IL-10和TGF-β1对评估宫颈病变病情具有重要参考价值.
Objective To explore the serum IL-10 and TGF-β1 levels in patients with HPV infection and cervical lesions and their relationship with viral load.Methods Sixty patients diagnosed with HPV infection and cervical lesions in our hospital from March 2021 to June 2023 were retrospectively selected,and 50 female volunteers who underwent gynecological health examinations were included as the health group during the same period.The high-risk HPV DNA load,serum IL-10,and TGF-β,levels were measured.The relationship of IL-10 and TGF-β levels between cervical lesion severity and viral load was analyzed.Results The detection rates of high-risk HPV-DNA in the CIN Ⅲ group(73%)and cervical cancer group(92%)were significantly higher than those in the CIN Ⅰ group(33%)(x2=4.821,10.155,P=0.028,0.001).The detection rates of high-risk HPV-DNA in the cervical cancer group(92%)were higher than those in the CIN Ⅱ group(59%),with statistical significance(x2=4.224,P=0.039).For serum IL-10,TGF-β1 level,the cervical cancer group was higher than the CIN group and higher than the healthy group,and the differences between the groups were statistically significant(P<0.05).Comparison within the CIN group showed that the higher the degree of precancerous lesions,the higher the serum levels of IL-10 and TGF in patients-β The higher the level,the statistically significant difference(P<0.05).Serum IL-10 and TGF levels in patients with HPV infection and cervical lesions-β Compared at the 1st level,the HPV viral load of groups>1 000,101~1 000,and 1~100 decreased sequentially,and the difference between the two comparison groups was statistically significant(F=25.494,7.539,P<0.001).According to Spearman correlation analysis,the HPV-DNA viral load is related to serum IL-10 and TGF levels-β There was a significant positive correlation at all levels(r=0.461,0.172,P<0.05).Conclusion Serum IL-10 and TGF-β1 level is related to the severity of cervical lesions,and their expression levels are positively correlated with HPV viral load.Detection of serum IL-10 and TGF-β1 has important reference value for evaluating the condition of cervical lesions.

Human papilomavirusCervical lesionsInterleukin-10Transforming growth factor-βViral load

肖蓉蓉、胡燕、陈香苹

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联勤保障部队第九一零医院妇产科,泉州 362000

人乳头瘤病毒 宫颈病变 白细胞介素10 转化生长因子-β 病毒载量

2024

实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
年,卷(期):2024.31(3)
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