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Новые возможности диагностики «малых» форм поражений эпителия шейки матки, ассоциированных с папилломавирусной инфекцией (обзор литературы)
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Nazarova N.M., Prilepskaya V.N., Sycheva E.G. et al. New features in the diagnosis of "lesser" abnormalities of cervical epithelium associated with HPV infection (review of literature). Gynecology. 2015; 17 (5): 32–36.
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Ключевые слова: вирус папилломы человека, цервикальные интраэпителиальные неоплазии, шейка матки, молекулярно-генетические маркеры, мРНК Е6/Е7.
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In this review we observed the role of high risk HPV types in the development of epithelial lesions of the cervix. Modern data on the role of molecular genetic methods in the diagnosis of HPV-associated diseases are represented here. We analyze the literature on modern molecular biomarkers that shows the risk of proliferative processes in the transformation to neoplasia.
Key words: human papillomavirus, cervical intraepithelial neoplasia, cervix, molecular genetic markers, E6/E7 mRNA.
2. Lehtinen M. Интеграция вакцины против вирусов папилломы человека в национальные программы иммунизации. Европейский журн. по секс. и репрод. здоровью. 2007; 64: 12. / Lehtinen M. Integratsiia vaktsiny protiv virusov papillomy cheloveka v natsional'nye programmy immunizatsii. Evropeiskii zhurn. po seks. i reprod. zdorov'iu. 2007; 64: 12. [in Russian]
3. Waxman AG, Chelmow D, Darragh TM et al. Revised Terminology for Cervical Histopathology and Its Implications for Management of High-Grade Squamous Intraepithelial Lesions of the Cervix. Obstet Gynecol 2012; 120 (6): 1465–71.
4. Doorbar J, Egawa N, Griffin H. Human papillomavirus molecular biology and disease association. Rev Med Virol 2015; 25: 2–23.
5. Cricca M, Morselli-Labate AM, Venturoli S et al. Viral DNA load, physical status and E2/E6 ratio as markers to grade HPV16 positive women for high-grade cervical lesions. Gynecol Oncol Res 2007; 106 (3): 49–57.
6. Lethaby A, Brown J, Marjoribanks et al. Phytoestrogens for vasomotor menopausal symptoms. Cochran Database Syst Rev 2007: CD001395
7. Куевда Д.А., Шипулина О.Ю. Генодиагностика папилломавирусной инфекции высокого канцерогенного риска. Количественный подход. Патология шейки матки и генитальная инфекция. Т. 3. М., 2007; c. 108–19. / Kuevda D.A., Shipulina O.Iu. Genodiagnostika papillomavirusnoi infektsii vysokogo kantserogennogo riska. Kolichestvennyi podkhod. Patologiia sheiki matki i genital'naia infektsiia. T. 3. M., 2007; c. 108–19. [in Russian]
8. Kapeu AS, Luostarinen T, Jellum E et al. Is Smoking an Independent Risk Factor for Invasive Cervical Cancer? A Nested Case-Control Study Within Nordic Biobanks. Am J Epidemiol 2009; 169 (4): 480–8.
9. Sørbye SW, Fismen S, Gutteberg TJ et al. Triage of women with minor cervical lesions: data suggesting a "test and treat" approach for HPV E6/E7 mRNA testing. PLoS One 2010; 5 (9): e12724.
10. Ghittoni R, Accardi R, Chiocca S et al. Role of human papillomaviruses in carcinogenesis. ecancer 2015, 9: 526.
11. Zur Hausen H. Papillomaviruses and cancer: from basic studies to clinical application. Nat Rev Cancer 2002; 2 (5): 342–50.
12. Bosch FX et al. Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group [see comments] J Natl Cancer Inst 1995; 87 (11): 796–802.
13. Munoz N et al. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med 2003; 348 (6): 518–27.
14. De Sanjose S et al. Human papillomavirus genotype attribution in invasive cervical cancer: a retrospective crosssectional worldwide study. Lancet Oncol 2010; 11 (11): 1048–56.
15. Smith JS et al. Human papillomavirus type distribution in invasive cervical cancer and high-grade cervical lesions: a meta-analysis update Int J Cancer 2007; 121 (3): 621–32.
16. von Knebel-Döberitz M, Syrjänen K. Molecular markers. How to apply in practice. Gynecol Oncol 2006; 103: 18–20.
17. Szoke K, Sapy T, Krasznai Z et al. Moderate variation of the oncogenic potential among high-risk human papillomavirus types in gynecologic patients with cervical abnormalities. J Med Virol 2003; 71: 585–92.
18. Molano M, van den Brulel A, Plummer M et al. Determinants of Clearance of Human Papillomavirus Infections in Colombian Women with Normal Cytology: A Population-based, 5-Year Follow-up Study. Am J Epidemiol 2003; 158 (5): 486–94.
19. Schneider A et al. Screening for cervical intraepithelial neoplasia grade 2/3: validity of cytologic study, cervicography, and human papillomavirus detection. Am J Obstet Gynecol 1996; 174 (5): 1534–41.
20. Grce M, Davies P. Human papillomavirus testing for primary cervical cancer screening. Expert Rev Mol Diagn 2008; 8 (5): 599–605.
21. Mandelblatt JS, Lawrence WF, Womack SM et al. Benefits and costs of using HPV testing to screen for cervical cancer. JAMA 2002; 287: 2372–81.
22. Naucler P, Ryd W, Törnberg S et al. Human papillomavirus and Papanicolaou tests to screen for cervical cancer. N Engl J Med 2007; 357: 1589–97.
23. Schiffman M, Wentzensen N. From Human papillomavirus to cervical cancer. Obstet Gynecol 2010; 116 (1): 177–85.
24. Sorbye SW, Fismen S, Gutteberg TJ et al. HPV mRNA test in women with minor cervical lesions: experience of the University Hospital of North Norway. J Virol Methods 2010; 169: 219–2.
25. Tropé A, Sjoborg K, Eskild A et al. Performance of Human Papillomavirus DNA and mRNA Testing Strategies for Women with and without Cervical Neoplasia. J Clin Microbiol 2009; 47 (8): 2458–64.
26. Castle PE, Fetterman B, Poitras N et al. Variable risk of cervical precancer and cancer after a human papillomavirus-positive test. Obstet Gynecol 2011; V (117); 650–6.
27. Ho GY, Bierman R, Beardsley L et al. Natural history of cervicovaginal papillomavirus infection in young women. N Engl J Med 1998; 338: 423–28.
28. Sankaranarayanan R et al. HPV screening for cervical cancer in rural India N Engl J Med 2009; 360 (14): 1385–94.
29. Tropé A, Sjoborg KD, Nygård M et al. Cytology and human papillomavirus testing 6 to 12 months after ASCUS or LSIL cytology in organized screening to predict high-grade cervical neoplasia between screening rounds. J Clin Microbiol 2012; 50 (6): 1927–35.
30. Ronco G, Cuzick J, Pierotti P et al. Accuracy of liquid versus conventional cytology: overall results of new technologies for cervical cancer screening: randomized controlled trial. BMJ 2007; 335 (7609): 28.
31. Moore EE, Danielewski JA, Garland SM et al. Clearance of human papillomavirus in women treated for cervical dysplasia. Obstet Gynecol 2011; 117: 101–8.
32. Серов В.Н., Баранов И.И. Лечение урогенитальных инфекций у женщин в современных условиях. Рус. мед. журн. 2004; 12 (8): 564–9.
33. Шабалова И.П., Касоян К.Т. Цитологическая диагностика заболеваний шейки матки и тела матки. 3-е изд., испр. и доп. М.: Триада, 2010. / Shabalova I.P., Kasoian K.T. Tsitologicheskaia diagnostika zabolevanii sheiki matki i tela matki. 3-e izd., ispr. i dop. M.: Triada, 2010. [in Russian]
34. Ronco G, Cuzick J, Pierotti P et al. Accuracy of liquid based versus conventional cytology: overall results of new technologies for cervical cancer screening randomized controlled trial. BMJ 2007; 5 (7609): 28–38.
35. Роговская С.И. Папилломавирусная инфекция у женщин и патология шейки матки: в помощь практикующему врачу. М.: ГЭОТАР-Медиа, 2005; 39–42. / Rogovskaia S.I. Papillomavirusnaia infektsiia u zhenshchin i patologiia sheiki matki: v pomoshch' praktikuiushchemu vrachu. M.: GEOTAR-Media, 2005; 39–42. [in Russian]
36. Троицкая О.Г. Современные методы диагностики и лечения папилломавирусной инфекции шейки матки у женщин репродуктивного возраста. Автореф. дис. … канд. мед. наук. СПб., 2008. / Troitskaia O.G. Sovremennye metody diagnostiki i lecheniia papillomavirusnoi infektsii sheiki matki u zhenshchin reproduktivnogo vozrasta. Avtoref. dis. … kand. med. nauk. SPb., 2008. [in Russian]
37. Arbyn M, Martin-Hirsch P, Buntinx F et al. Triage of women with equivocal or low-grade cervical cytology results: a meta-analysis of the HPV test positivity rate. J Cell Mol Med 2009; 13: 648–59.
38. Koliopoulos G, Arbyn M, Martin-Hirsch P et al. Diagnostic accuracy of human papillomavirus testing in primary cervical screening: a systematic review and meta-analysis of non-randomized studies. Gynecol Oncol 2007; 104 (1): 232–46.
39. Сухих Г.Т., Прилепская В.Н. Профилактика рака шейки матки. М.: МЕДпресс-информ, 2012; с. 25–30. / Sukhikh G.T., Prilepskaia V.N. Profilaktika raka sheiki matki. M.: MEDpress-inform, 2012; s. 25–30. [in Russian]
40. Роговская С.И., Подзолкова Н.М., Минкина Г.Н. Новое в кольпоскопии. Гинекология. 2011; 13 (5): 62–6. / Rogovskaia S.I., Podzolkova N.M., Minkina G.N. Novoe v kol'poskopii. Ginekology. 2011; 13 (5): 62–6. [in Russian]
41. Saslow D, Castle PE, Cox JT et al. American Cancer Society Guideline for Human Papillomavirus (HPV) Vaccine Use to Prevent Cervical Cancer and Its Precursors. C A Cancer J Clin 2007; 57: 7–28.
42. Wentzensen N, Sherman ME, Schiffman M et al. Utility of methylation markers in cervical cancer early detection: appraisal of the state-of-the-science. Gynecologic Oncology 2009; 112 (2): 293–9.
43. Nasioutziki M, Daniilidis A, Dinas K et al. The evaluation of p16INK4a immunoexpression/immunostaining and human papillomavirus DNA test in cervical liquid-based cytological samples. Int J Gynecol Cancer 2011; 21 (1): 79–85.
44. Sørbye SW, Fismen S, Gutteberg TJ et al. HPV mRNA Is More Specific than HPV DNA in Triage of Women with Minor Cervical Lesions. PLoS One 2014; 9 (1).
45. Wang F, Li Y, Zhou J et al. miR-375 is down-regulated in squa-mous cervical cancer and inhibits cell migration and invasion via targeting transcription factor SP1. Am J Pathol 2011; 179: 2580–8.
46. Caraceni D, Ghiringhello B, Keller T et al. p16/ki-67 dual-stain cytology in the triage of ASCUS and LSIL papanicolaou cytology: results from the European equivocal or mildly abnormal Papanicolaou cytology study. Cancer Cytopathol 2011; 119 (3): 158–66.
47. Possati-Resende JC, Fregnani JH, Kerr LM et al. The Accuracy of p16/Ki-67 and HPV Test in the Detection of CIN2/3 in Women Diagnosed with ASC-US or LSIL. PLoS One 2015; 10 (7).
48. Heng ZM, Wang X. Regulation of cellular miRNA expression by human papillomaviruses. Biochim Biophys Acta 2011; 1809 (11–12): 668–77.
49. Molden T, Nygård JF, Kraus I et al. Predicting CIN2+ when detecting HPV mRNA and DNA by PreTect HPV-Proofer and consensus PCR: a 2-year follow-up of women with ASCUS or LSIL Pap smear. Int J Cancer 2005; 114 (6): 973–6.
50. Cuzick J, Cadman L, Mesher D et al. Comparing the performance of six human papillomavirus tests in a screening population. Br J Cancer 2013; 108: 908–13.
51. Cattani P, Zannoni GF, Ricci C et al. Clinical performance of human papillomavirus E6 and E7 mRNA testing for high-grade lesions of the cervix. J Clin Microbiol 2009; 47: 3895–01.
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1. Zolotoverkhaia E.A. Molekuliarnye markery onkogennoi aktivnosti virusa papillomy cheloveka: Avtoref. dis. ... kand. med. nauk. SPb, 2009. [in Russian]
2. Lehtinen M. Integratsiia vaktsiny protiv virusov papillomy cheloveka v natsional'nye programmy immunizatsii. Evropeiskii zhurn. po seks. i reprod. zdorov'iu. 2007; 64: 12. [in Russian]
3. Waxman AG, Chelmow D, Darragh TM et al. Revised Terminology for Cervical Histopathology and Its Implications for Management of High-Grade Squamous Intraepithelial Lesions of the Cervix. Obstet Gynecol 2012; 120 (6): 1465–71.
4. Doorbar J, Egawa N, Griffin H. Human papillomavirus molecular biology and disease association. Rev Med Virol 2015; 25: 2–23.
5. Cricca M, Morselli-Labate AM, Venturoli S et al. Viral DNA load, physical status and E2/E6 ratio as markers to grade HPV16 positive women for high-grade cervical lesions. Gynecol Oncol Res 2007; 106 (3): 49–57.
6. Lethaby A, Brown J, Marjoribanks et al. Phytoestrogens for vasomotor menopausal symptoms. Cochran Database Syst Rev 2007: CD001395
7. Kuevda D.A., Shipulina O.Iu. Genodiagnostika papillomavirusnoi infektsii vysokogo kantserogennogo riska. Kolichestvennyi podkhod. Patologiia sheiki matki i genital'naia infektsiia. T. 3. M., 2007; c. 108–19. [in Russian]
8. Kapeu AS, Luostarinen T, Jellum E et al. Is Smoking an Independent Risk Factor for Invasive Cervical Cancer? A Nested Case-Control Study Within Nordic Biobanks. Am J Epidemiol 2009; 169 (4): 480–8.
9. Sørbye SW, Fismen S, Gutteberg TJ et al. Triage of women with minor cervical lesions: data suggesting a "test and treat" approach for HPV E6/E7 mRNA testing. PLoS One 2010; 5 (9): e12724.
10. Ghittoni R, Accardi R, Chiocca S et al. Role of human papillomaviruses in carcinogenesis. ecancer 2015, 9: 526.
11. Zur Hausen H. Papillomaviruses and cancer: from basic studies to clinical application. Nat Rev Cancer 2002; 2 (5): 342–50.
12. Bosch FX et al. Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group [see comments] J Natl Cancer Inst 1995; 87 (11): 796–802.
13. Munoz N et al. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med 2003; 348 (6): 518–27.
14. De Sanjose S et al. Human papillomavirus genotype attribution in invasive cervical cancer: a retrospective crosssectional worldwide study. Lancet Oncol 2010; 11 (11): 1048–56.
15. Smith JS et al. Human papillomavirus type distribution in invasive cervical cancer and high-grade cervical lesions: a meta-analysis update Int J Cancer 2007; 121 (3): 621–32.
16. von Knebel-Döberitz M, Syrjänen K. Molecular markers. How to apply in practice. Gynecol Oncol 2006; 103: 18–20.
17. Szoke K, Sapy T, Krasznai Z et al. Moderate variation of the oncogenic potential among high-risk human papillomavirus types in gynecologic patients with cervical abnormalities. J Med Virol 2003; 71: 585–92.
18. Molano M, van den Brulel A, Plummer M et al. Determinants of Clearance of Human Papillomavirus Infections in Colombian Women with Normal Cytology: A Population-based, 5-Year Follow-up Study. Am J Epidemiol 2003; 158 (5): 486–94.
19. Schneider A et al. Screening for cervical intraepithelial neoplasia grade 2/3: validity of cytologic study, cervicography, and human papillomavirus detection. Am J Obstet Gynecol 1996; 174 (5): 1534–41.
20. Grce M, Davies P. Human papillomavirus testing for primary cervical cancer screening. Expert Rev Mol Diagn 2008; 8 (5): 599–605.
21. Mandelblatt JS, Lawrence WF, Womack SM et al. Benefits and costs of using HPV testing to screen for cervical cancer. JAMA 2002; 287: 2372–81.
22. Naucler P, Ryd W, Törnberg S et al. Human papillomavirus and Papanicolaou tests to screen for cervical cancer. N Engl J Med 2007; 357: 1589–97.
23. Schiffman M, Wentzensen N. From Human papillomavirus to cervical cancer. Obstet Gynecol 2010; 116 (1): 177–85.
24. Sorbye SW, Fismen S, Gutteberg TJ et al. HPV mRNA test in women with minor cervical lesions: experience of the University Hospital of North Norway. J Virol Methods 2010; 169: 219–2.
25. Tropé A, Sjoborg K, Eskild A et al. Performance of Human Papillomavirus DNA and mRNA Testing Strategies for Women with and without Cervical Neoplasia. J Clin Microbiol 2009; 47 (8): 2458–64.
26. Castle PE, Fetterman B, Poitras N et al. Variable risk of cervical precancer and cancer after a human papillomavirus-positive test. Obstet Gynecol 2011; V (117); 650–6.
27. Ho GY, Bierman R, Beardsley L et al. Natural history of cervicovaginal papillomavirus infection in young women. N Engl J Med 1998; 338: 423–28.
28. Sankaranarayanan R et al. HPV screening for cervical cancer in rural India N Engl J Med 2009; 360 (14): 1385–94.
29. Tropé A, Sjoborg KD, Nygård M et al. Cytology and human papillomavirus testing 6 to 12 months after ASCUS or LSIL cytology in organized screening to predict high-grade cervical neoplasia between screening rounds. J Clin Microbiol 2012; 50 (6): 1927–35.
30. Ronco G, Cuzick J, Pierotti P et al. Accuracy of liquid versus conventional cytology: overall results of new technologies for cervical cancer screening: randomized controlled trial. BMJ 2007; 335 (7609): 28.
31. Moore EE, Danielewski JA, Garland SM et al. Clearance of human papillomavirus in women treated for cervical dysplasia. Obstet Gynecol 2011; 117: 101–8.
32. Серов В.Н., Баранов И.И. Лечение урогенитальных инфекций у женщин в современных условиях. Рус. мед. журн. 2004; 12 (8): 564–9.
33. Shabalova I.P., Kasoian K.T. Tsitologicheskaia diagnostika zabolevanii sheiki matki i tela matki. 3-e izd., ispr. i dop. M.: Triada, 2010. [in Russian]
34. Ronco G, Cuzick J, Pierotti P et al. Accuracy of liquid based versus conventional cytology: overall results of new technologies for cervical cancer screening randomized controlled trial. BMJ 2007; 5 (7609): 28–38.
35. Rogovskaia S.I. Papillomavirusnaia infektsiia u zhenshchin i patologiia sheiki matki: v pomoshch' praktikuiushchemu vrachu. M.: GEOTAR-Media, 2005; 39–42. [in Russian]
36. Troitskaia O.G. Sovremennye metody diagnostiki i lecheniia papillomavirusnoi infektsii sheiki matki u zhenshchin reproduktivnogo vozrasta. Avtoref. dis. … kand. med. nauk. SPb., 2008. [in Russian]
37. Arbyn M, Martin-Hirsch P, Buntinx F et al. Triage of women with equivocal or low-grade cervical cytology results: a meta-analysis of the HPV test positivity rate. J Cell Mol Med 2009; 13: 648–59.
38. Koliopoulos G, Arbyn M, Martin-Hirsch P et al. Diagnostic accuracy of human papillomavirus testing in primary cervical screening: a systematic review and meta-analysis of non-randomized studies. Gynecol Oncol 2007; 104 (1): 232–46.
39. Sukhikh G.T., Prilepskaia V.N. Profilaktika raka sheiki matki. M.: MEDpress-inform, 2012; s. 25–30. [in Russian]
40. Rogovskaia S.I., Podzolkova N.M., Minkina G.N. Novoe v kol'poskopii. Ginekology. 2011; 13 (5): 62–6. [in Russian]
41. Saslow D, Castle PE, Cox JT et al. American Cancer Society Guideline for Human Papillomavirus (HPV) Vaccine Use to Prevent Cervical Cancer and Its Precursors. C A Cancer J Clin 2007; 57: 7–28.
42. Wentzensen N, Sherman ME, Schiffman M et al. Utility of methylation markers in cervical cancer early detection: appraisal of the state-of-the-science. Gynecologic Oncology 2009; 112 (2): 293–9.
43. Nasioutziki M, Daniilidis A, Dinas K et al. The evaluation of p16INK4a immunoexpression/immunostaining and human papillomavirus DNA test in cervical liquid-based cytological samples. Int J Gynecol Cancer 2011; 21 (1): 79–85.
44. Sørbye SW, Fismen S, Gutteberg TJ et al. HPV mRNA Is More Specific than HPV DNA in Triage of Women with Minor Cervical Lesions. PLoS One 2014; 9 (1).
45. Wang F, Li Y, Zhou J et al. miR-375 is down-regulated in squa-mous cervical cancer and inhibits cell migration and invasion via targeting transcription factor SP1. Am J Pathol 2011; 179: 2580–8.
46. Caraceni D, Ghiringhello B, Keller T et al. p16/ki-67 dual-stain cytology in the triage of ASCUS and LSIL papanicolaou cytology: results from the European equivocal or mildly abnormal Papanicolaou cytology study. Cancer Cytopathol 2011; 119 (3): 158–66.
47. Possati-Resende JC, Fregnani JH, Kerr LM et al. The Accuracy of p16/Ki-67 and HPV Test in the Detection of CIN2/3 in Women Diagnosed with ASC-US or LSIL. PLoS One 2015; 10 (7).
48. Heng ZM, Wang X. Regulation of cellular miRNA expression by human papillomaviruses. Biochim Biophys Acta 2011; 1809 (11–12): 668–77.
49. Molden T, Nygård JF, Kraus I et al. Predicting CIN2+ when detecting HPV mRNA and DNA by PreTect HPV-Proofer and consensus PCR: a 2-year follow-up of women with ASCUS or LSIL Pap smear. Int J Cancer 2005; 114 (6): 973–6.
50. Cuzick J, Cadman L, Mesher D et al. Comparing the performance of six human papillomavirus tests in a screening population. Br J Cancer 2013; 108: 908–13.
51. Cattani P, Zannoni GF, Ricci C et al. Clinical performance of human papillomavirus E6 and E7 mRNA testing for high-grade lesions of the cervix. J Clin Microbiol 2009; 47: 3895–01.
ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России. 117997, Россия, Москва, ул. Академика Опарина, д. 4
*VPrilepskaya@mail.ru
________________________________________________
N.M.Nazarova, V.N.Prilepskaya*, E.G.Sycheva, M.D.Zardiashvili, O.V.Bourmenskaya
V.I.Kulakov Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation. 1179974, Russian
Federation, Moscow, ul. Akademika Oparina, d. 4
*VPrilepskaya@mail.ru