Abstract
孙雪松,丁玲,陈芳,吴婷婷,王金桃.叶酸缺乏及其与HPV1 6感染的交互效应对宫颈癌变的影响[J].Chinese journal of Epidemiology,2014,35(4):437-441
叶酸缺乏及其与HPV1 6感染的交互效应对宫颈癌变的影响
Effects of folate deficiency with HPVl6 infection on cervix cancerization
Received:September 26, 2013  
DOI:10.3760/cma.j.issn.0254-6450.2014.04.021
KeyWord: 血清叶酸  红细胞叶酸  人乳头瘤病毒16型  宫颈癌变
English Key Word: Serum folate  RBC folate  HPVl6  Cervix cancerization
FundProject:国家自然科学基金(30872166,81273157);山西省自然科学基金(2008011075一1)
Author NameAffiliationE-mail
Sun Xuesong Department of iderniology, School of Public Health, Shanxi Medical University, siyuan 030001, China  
Ding Ling Department of iderniology, School of Public Health, Shanxi Medical University, siyuan 030001, China  
Chen Fang Department of iderniology, School of Public Health, Shanxi Medical University, siyuan 030001, China  
Wu Tingting Department of iderniology, School of Public Health, Shanxi Medical University, siyuan 030001, China  
Wang Jintao Department of iderniology, School of Public Health, Shanxi Medical University, siyuan 030001, China wangjt59@163.com 
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Abstract:
      目的 探讨血清叶酸和红细胞叶酸水平与宫颈癌变的关系以及叶酸缺乏和HPVl6型感染在宫颈癌变中的相互作用。方法 选取经病理学确诊的宫颈炎症(cI)患者80例、低度宫颈上皮内瘤样变(cINI)患者55例、高度宫颈上皮内瘤样变(CINⅡ/m)患者55例以及宫颈鳞状细胞癌(scc)患者64例作为研究对象。采用PCR法检测HPVl6感染状况、微生物法测定血清叶酸及红细胞叶酸水平。结果 随着宫颈癌变的进展,HPVl6感染率升高(趋势)C2=34.96,P<0.001),血清叶酸含量(趋势X2=42.17,P结论 叶酸缺乏可增加宫颈癌变的发生风险,在宫颈癌变的过程中与HPVl6感染可能具有协同作用。
English Abstract:
      0bjective To investigate the relationship between folate in serum,red blood cell(RBC).cervix cancefization,as well as the interaction between folate deficiency and HPV 1 6infection in cervix cancerization.Methods 254 samples were selected from the patients who werenewly pathologically diagnosed of having cervix inflammation(CI)。low-grade cervical intraepithelial neoplasia(CIN I),high-grade cervical intraepithelial neoplasia(CIN 11/Ⅲ)and cervical squamous cell carcinoma(SCC).PCR and microbiological assay were adopted to detect HPV infection and folate concentration.Results Rates of HPVl6 infection increased with the severity of cervix cancerization(tend:x 2=34.96,P<0.001),while decreased wim concentrations of serum and RBC folate(tend:)C2=42.17,PResults from interaction analysis showed that serum folate deficiency had all additive interaction with HPVl6 infection in CINⅡ/Ⅲand SCC.while RBC folate having an additive interaction with HPV l 6 infection in the whole process of cervix cancerization.Conclusion Both serum and RBC folate deficiency could increase the risk of cervix cancerization,and folate deficiency migllt have a synergic action with HPVl6 in this procession.
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