Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (6): 946-952.doi: 10.3969/j.issn.1006-7795.2015.06.020

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Related research of HTERC gene in cervical intraepithelial neapalsia after the treatment

Zhou Lihong, He Xihong, Long Yan, Lin Li   

  1. Department of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2014-12-12 Online:2015-12-21 Published:2015-12-18
  • Supported by:
    This study was supported by the Medical and Clinical Scientific Research Cooperation Fund of Capital Medical University(11JL30).

Abstract: Objective To explore the monitoring value of human telomerase RNA component(HTERC) gene in cervical intraepithelial neapalsia(CIN) after the treatment. Methods Totally eight-three patients confirmed as cervical intraepithelial neapalsia were chosen. Those patients were examined with thin prep cytologic test(TCT), high risk-human papillomavirus(HR-HPV) detection, multi-point biopsy and HTERC gene preoperative. Then we examined TCT, HPV, HTERC gene and colposcopy biopsy at the time of 6 months and 1 year follow-up. Results 1 With the histological lesion degree increasing, HTERC gene positive expression rate increased, and the increased difference is statistically significant. 2 Half year after the treatment, we discovered that the cytology, high-risk type HPV positive rate and positive HTERC gene detection rate(HTERC gene positive rate was 0% after the treatment), were significantly reduced compared with preoperative, and it suggested that the surgery could effectively reduce the degree of cervical lesions, high-risk type HPV positive rate and positive rate of HTERC gene. 3 Comparing those tests, we found that the TCT had the highest positive predictive value, the HR-HPV had the highest sensitivity and negative predictive value, and the HTERC had the highest specificity. Conclusion When patients have HR-HPV infection, and especially have the CIN, it will help predict the direction of development of the disease with the HTERC gene detects added.

Key words: human telomerase RNA component, cervical intraepithelial neapalsia, fluorescence in situ hybridizatiom, human papillomavirus, thin prep cytologic test

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