基础医学与临床 ›› 2013, Vol. 33 ›› Issue (5): 593-596.

• 研究论文 • 上一篇    下一篇

两种检测头颈部鳞状细胞癌HPV16/18感染状态方法的对比

张洁莉1,孙昭2,霍真1,王德田3,崔全才4,白春梅1   

  1. 1. 北京协和医院肿瘤内科
    2. 中国医学科学院北京协和医院
    3. 北京协和医院病理科
    4. 中国医学科学院 北京协和医学院 北京协和医院 病理科
  • 收稿日期:2012-07-23 修回日期:2012-11-06 出版日期:2013-05-05 发布日期:2013-05-29
  • 通讯作者: 白春梅 E-mail:baichunmei1964@yahoo.cn

RT-PCR and In Situ Hybridization Have Consistent Result in Detecting HPV16/18 DNA Infection in Head and Neck Squamous Cell Cancer Tissues

  • Received:2012-07-23 Revised:2012-11-06 Online:2013-05-05 Published:2013-05-29
  • Contact: Chunmei Bai E-mail:baichunmei1964@yahoo.cn

摘要: 目的 比较荧光定量PCR法(RT-PCR)和原位杂交法检测头颈部鳞状细胞癌中HPV(HPV)16/18亚型感染的差异。方法 采用RT-PCR法和原位杂交法对78例头颈部鳞状细胞癌患者的肿瘤组织进行HPV感染状态的检测,评价两种方法的一致性。结果 RT-PCR法检测到62.8%的头颈部鳞癌组织中含有HPV16/18 DNA。原位杂交法检测到47.4%的肿瘤组织中有HPV16DNA。用RT-PCR方法,唇、口腔、口咽及下咽的HPV16/18DNA阳性率分别为33.3%、66.67%、70%和57.14%;用原位杂交方法,唇、口腔、口咽、下咽的HPV16 DNA阳性率分别为33.3%、43.8%、60.0%和57.1%。总体上,两种方法检测HPV16/18DNA具有较高一致性(Kappa=0.595,P<0.001)。 结论 RT-PCR和原位杂交法检测HPV16/18DNA结果的一致性较高。

关键词: 荧光定量PCR技术, 原位杂交技术, 人乳头瘤病毒, 头颈部鳞癌

Abstract: Objective To compare the effectiveness of two different methods, real time PCR (RT-PCR) and in situ hybridization, in detecting human papillomavirus 16/18(HPV16/18) infection in head and neck squamous cell cancer tissues. Methods The level of HPV16/18DNA was measured by RT-PCR and in situ hybridization in the tissues from head and neck squamous cell cancer (n=78).Results The incidence rates of HPV infection were 62.8% by RT-PCR and 47.4% by in situ hybridization (ISH). By the way of RT-PCR, the incidence rates of HPV16/18 DNA positive in lip, oral cavity, oropharynx and hypopharynx were 33.3%, 66.7%, 70% and 57.1%, respectively. By the way of ISH, the incidence rates of HPV16/18 DNA in corresponding location were 33.3%, 43.8%, 60.0% and 57.1%, respectively. In general, these two methods had a high consistency in detecting HPV infection (kappa=0.595, P<0.001). Conclusions RT-PCR and in situ hybridization have a high consistency in detecting HPV16/18 DNA infection in head and neck squamous cell cancer tissues. Either of them can be chosen for evaluating HPV16/18 infection status in head and neck squamous cell cancer tissues.

Key words: Real time PCR, in situ hybridization, HNSCC, HPV