基础医学与临床 ›› 2009, Vol. 29 ›› Issue (11): 1161-1165.

• 研究论文 • 上一篇    下一篇

HLA-A等位基因及超型与宫颈癌易感性的关联

邱小萍 陶宁 谭云 伍欣星   

  1. 武汉大学医学部病毒所 武汉大学医学院病毒所 武汉大学医学部病毒所
  • 收稿日期:2008-12-26 修回日期:2009-02-16 出版日期:2009-11-20 发布日期:2009-11-20
  • 通讯作者: 伍欣星

Relationship between HLA-A alleles, supertype and the susceptibility of cervical cancer

Xiao-ping QIU, Ning TAO, Yun TAN, Xin-xing WU   

  1. Institute of Virology, Medical School,Wuhan University Institute of Virology, Medical School,Wuhan University
  • Received:2008-12-26 Revised:2009-02-16 Online:2009-11-20 Published:2009-11-20
  • Contact: Xin-xing WU

摘要: 目的 研究湖北土家族HLA-A等位基因及超型与HPV感染、宫颈癌的关联。方法 在居住地及年龄相匹配的条件下,HPV感染阳性的癌症组分别与HPV感染阳性的对照组和HPV感染阴性的对照组进行比较。癌症组100例(其中HPV感染阳性者86例),对照组187例(其中HPV感染阳性者95例,HPV感染阴性者92例)。采用SBT法对最具多态性的HLA-A位点的 2、3外显子进行基因型分析。结果,HPV阳性宫颈癌组与HPV阳性对照组比较,超型HLA-A3 (pcorrected=0.015,OR=2.01,95%CI=1.26-3.21)可增加宫颈癌的易感性。HPV阳性宫颈癌组与HPV阴性对照组比较,HLA-A*0206(pcorrected=0.025 ,OR=0.20,95%CI=0.07-0.58)超型HLA-A2(pcorrected=0.005, OR=0.57,95%CI=0.37-0.88)可降低宫颈癌的易感性,而超型HLA-A3 (pcorrected=0.005, OR=2.36, 95%CI=1.45-3.85) 同样增加宫颈癌的易感性。结论:超型HLA-A3为宫颈癌的风险因子。

关键词: 宫颈癌, 人乳头瘤病毒, 人类组织相容性抗原, SBT

Abstract: Objective To study the relationship between HLA-A alleles, supertype, HPV infection and cervical cancer in Tu Nationality of Hubei province.Methods in the same geographic region and of similar age .The comparisons included the comparison between HPV positive cases and HPV positive women in control group, and the comparison between HPV positive cases and HPV negative women in control group. Number of cases was 100( HPV positive was 86) , and control was 187 (HPV positive was 95 and HPV negative was 92). The most polymorphism of 2 and 3 exons of the HLA-A alleles were analyzed by the high-resolution typing method-sequence-based typing(SBT). Results Comparison between HPV positive cases and HPV positive control women. Supertype HLA-A3 (pcorrected=0.005, OR=2.36, 95%CI=1.45-3.85) was risk factors. Comparison between HPV positive cases and HPV negative control women, HLA-A*0206 alleles(pcorrected=0.025 ,OR=0.20,95%CI=0.07-0.58)Supertype HLA-A2(pcorrected=0.005, OR=0.57,95%CI=0.37-0.88)was protective factor. SupertypeHLA-A3 (pcorrected=0.005, OR=2.36, 95%CI=1.45-3.85) was also related to the susceptibility of cervical carcinoma.Concusion SupertypeHLA-A3 was risk factor of cervical cancer.

Key words: Cervical cancer, Human papillomavirus (HPV), Human leukocyte antigen (HLA), SBT