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자궁경부의 인유두종 바이러스 감염 양성인 여성에서 바이러스 성상 및 부하에 관한 연구
Physical Status and Viral load in Women with Positive Human Papillomavirus (HPV) Infection in Uterine Cervix
윤창범(CB Yoon),김병섭(BS Kim),이은희(EH Lee),성정희(JH Sung),유상영(SY Ryu),김종훈(JH Kim),김병기(BG Kim),박상윤(SY Park),이의돈(ED Rhee),이경희(KH Lee)
UCI I410-ECN-0102-2009-510-005331601

Objective: This study was performed to determine the frequency of viral integration and viral load in women with positive HPV type 16 infection, and showing normal findings, CIN, and cervical cancer. Methods: Total 75 (normal, 15; CIN Ⅰ, 20; CIN Ⅲ, 20; cervical cancer, 20) cervical swab specimens were used. HPV detection, typing, and viral load was determined by PCR method. Results: Seventy of 75 (93.3%) of cervical swab specimens showed same results with hybrid capture assay and PCR method for detecting HPV DNA. HPV type 16 DNA was identified more frequently with progression from normal to cervical cancer (normal, 13%; CIN Ⅰ, 15%; CIN Ⅲ, 40%; cervical cancer, 55%). The frequency of HPV type 16 DNA integration also increased with grade of the lesion (normal, 0%; CIN Ⅰ, 33%; CIN Ⅲ, 87%; cervical cancer, 91%) suggesting most of HPV type 16 present as integration forms in the cells. In addition, high-level of HPV 16 viral load also was found more frequently in CIN Ⅲ and cervical cancer, (normal, 0%; CIN Ⅰ, 0%; CIN Ⅲ, 87%; cervical cancer, 100%). Conclusion: These results suggest that viral integration and high-level of viral load may play an important role in cervical carcinogenesis.

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