【摘要】 目的探讨人乳头瘤病毒(HPV)感染后宿主宫颈局部免疫状态。方法 209例HPV感染女性(感染组)及40例HPV阴性女性(对照组)为研究对象。应用PCR-膜杂交法进行HPV分型,同时应用ELISA检测宫颈细胞保存液中白细胞介素(IL)-2、IL-4、干扰素(IFN)-γ、转化生长因子(TGF)-β水平。结果感染组IL-2、IL-4、IFN-γ水平与对照组比较,差异有统计学意义(P=0.000 1、0.001 0、0.000 1);但感染组与对照组TGF-β水平比较,差异无统计学意义(P=0.680 0)。高危组IFN-γ水平低于低危组,差异有统计学意义(P=0.007 0)。结论 HPV感染引起宫颈局部细胞因子表达和免疫功能改变,通过改变宫颈局部免疫环境可作为有效的治疗手段阻断HPV的持续感染。更多还原

【Abstract】 Objective To study the correlation between human papillomavirus(HPV)infection and cervical immune function.Methods A total of 209 women with HPV positive results in HPV-infected group,40 women with HPV negative results in control group,cervical samples were detected and genotyped with HPV GenoArray Diagnostic Kit.Concentrations of cytokines including interleukin(IL)-2,IL-4,interferon(IFN)-γ,and transforming growth factor(TGF)-βin cervical specimens were measured by ELISA.Results IL-2,IL-4and IFN-γlevels in the HPV-infected group were different with those of the control group(P=0.000 1,0.0010,0.000 1),TGF-βin HPV-infected group and control group showed no significant difference(P=0.680 0).IFN-γin high-risk HPV group was significant lower than that in the low-risk HPV group(P=0.007 0).Conclusion HPV infection might be one of the main reasons of cervical local immune dysfunction.更多还原