机构：[1]Department of Obstetrics and Gynecology, Xuanwu Hospital, Capital Medical University, Beijing, China外科系统妇产科首都医科大学宣武医院[2]Department of Obstetrics and Gynecology, Beijing Tsinghua Changgung Hospital, Beijing, China
Background: Detection of E6 and E7 mRNA load of high-risk human papillomavirus (HR-HPV) infection during pregnancy was compared with conventional cytopathology and DNA detection by pathological examination as colposcopy to evaluate the application of E6 and E7mRNA detection in the diagnosis and management in HR-HPV infection for high-grade cervical lesions during pregnancy. Methods: From January 2014 to June 2019, 1,058 pregnant women of childbearing age who were filed for regular obstetrics in the Department of Obstetrics and Gynecology, Xuanwu Hospital of Capital Medical University, were separately assessed using cervical liquid-based cytology and HPV DNA detection. If the results were abnormal, colposcopy was performed as a follow-up. The presence of HR-HPV E6/E7 mRNA fragments was detected through the HR-HPV E6/E7 mRNA test, and monitored at the same time as colposcopy. The diagnostic efficacy of the HR-HPV DNA test versus the HR-HPV E6/E7 mRNA test for high-grade cervical lesions during pregnancy was compared. Results: The positive rate of HR-HPV E6/E7 mRNA detection in the overall cervical intraepithelial neoplasia (CIN) and above during pregnancy was lower than that with HR-HPV DNA detection, and there was a significant statistical difference between the two methods. In CIN I and normal or inflammatory results, the positive rate of HR-HPV E6/E7 mRNA detection was lower than that of HR-HPV DNA detection, while in the results of CIN II and CIN III, the positive rate of the two was not significantly different. HR-HPV E6/E7 mRNA detection is the same as HR-HPV DNA detection, both of which increased with the severity of cervical lesions, and the positive rate increased. In cases of maintenance or progression of cervical lesions, the positive rate of HR-HPV E6/E7 mRNA detection during pregnancy can reach 81.8%. High-grade cervical lesions during pregnancy had a higher rate of reversal to a lower level after delivery. Conclusions: The results suggested that the use of HR-HPV E6/E7 mRNA detection in cases of positive HR-HPV DNA detection can significantly improve the diagnostic specificity of CIN II and above high-grade cervical lesions.
第一作者机构：[1]Department of Obstetrics and Gynecology, Xuanwu Hospital, Capital Medical University, Beijing, China
通讯作者：
通讯机构：[1]Department of Obstetrics and Gynecology, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Department of Obstetrics and Gynecology, Beijing Tsinghua Changgung Hospital, Beijing, China[*1]Department of Obstetrics and Gynecology, Xuanwu Hospital, Capital Medical University, Beijing, China.
推荐引用方式(GB/T 7714)：
Yang Yong-Me,Wang Shi-Jun,Wang Feng-Ying,et al.Preliminary study of the use of E6/E7mRNA detection in screening and triage management of HR-HPV infection during pregnancy[J].ANNALS OF TRANSLATIONAL MEDICINE.2021,9(18):doi:10.21037/atm-21-4026.
APA：
Yang, Yong-Me,Wang, Shi-Jun,Wang, Feng-Ying,Chen, Rui,Xiao, Qun...&Liao, Qing-Ping.(2021).Preliminary study of the use of E6/E7mRNA detection in screening and triage management of HR-HPV infection during pregnancy.ANNALS OF TRANSLATIONAL MEDICINE,9,(18)
MLA：
Yang, Yong-Me,et al."Preliminary study of the use of E6/E7mRNA detection in screening and triage management of HR-HPV infection during pregnancy".ANNALS OF TRANSLATIONAL MEDICINE 9..18(2021)
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