Comparison of Pap smear and Multiplex-PCR methods for detection of Human Papillomavirus isolated from women with cervical lesions
Subject Areas : VirologyFateme Zandnia 1 , Abbas Doosti 2 , Abbas Mokhtari-Farsani 3 , Mohammad Chehelgerdi 4 , Shahrzad Soleimani 5
1 - M.Sc, Biotechnology Research Center, Islamic Azad University, Shahrekord branch, Shahrekord, Iran.
2 - Associate Professor, Biotechnology Research Center, Islamic Azad University, Shahrekord branch, Shahrekord, Iran.
3 - B.Sc, Biotechnology Research Center, Islamic Azad University, Shahrekord branch, Shahrekord, Iran.
4 - B.Sc, Biotechnology Research Center, Islamic Azad University, Shahrekord branch, Shahrekord, Iran.
5 - M.Sc, Biotechnology Research Center, Islamic Azad University, Shahrekord branch, Shahrekord, Iran.
Keywords: Multiplex PCR, cervical cancer, Pap smear, HPV,
Abstract :
Background & Objectives: High-risk human papillomaviruses (HPV) is the main cause of cervical cancer in women. Early diagnosis and immediate treatment are very helpful. Detection of this infection by traditional methods, such as pap smear, are very inadequate. This study was aimed to evaluate the HPV infection in women with cervical wounds using Multiplex PCR, and to compare the efficiency of this methods with pap smear. Materials & Methods: This cross-sectional study was carried out on 50 samples from patient with cervical wounds attended to Khanevadeh Hospital in Isfahan. After extraction and purification of DNA, 5 types of HPV viruses were identified using Multiplex PCR. At the end, the results of these technique were compared with the results obtained from Pop smear. Results: Our results showed that 41 samples were positive to different types of HPV infection. All of these strains were detected using Multiplex PCR method. However, only 14 cases were reported positive by pap smear technique. Conclusion: According to the results, pap smear has high error rate in HPV detection. But Multiplex PCR can provide a rapid, sensitive and affordable method for detection and screening of the viral infection.
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3. Yim EU, Park JS. The role of HPV E6 and E7 oncoproteins in HPV-associate cervical carcinogenesis. Cancer Res Treat. 2005; 37: 319-324.
4. Sharifzadeh A, Namazi MJ, Mokhtari-Farsani A, Doosti A. Bovine Herpesvirus type 5 in semen samples from bulls in Iran. Arch Virol. 2015; 160: 235-239.
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7. Lacey CJN, Lowndes CM, Shah K. Burden and management of non-cancerous HPV-related conditions: HPV-6/11 disease. Vaccine. 2006; 24: 36-41.
8. Gheit, T, Landi S, Gemignani F, Snijders PJF, Vaccarella S, Franceschi S. Development of a sensitive and specific assay combining multiplex PCR and DNA microarray primer extension to detect high-risk mucosal uuman Papillomavirus types. J Clin Microbiol. 2006; 44: 2025-2031.
9. Vu LT, Bui D, Le HT. Prevalence of cervical infection with HPV type 16 and 18 in Vietnam: implications for vaccine campaign. BMC Cancer. 2013; 13: 53.
10. Ali H, Guy RJ, Wand H, Read TR, Regan DG, Grulich AE, Fairley CK, Donovan B. Decline in in-patient treatments of genital warts among young Australians following the national HPV vaccination program. BMC Infect Dis. 2013; 13: 140.
11. Chessona HW, Flagga EW, Koutskyb L, Hsuc K, Ungera ER, Shlayd JC, Kerndte P, Ghanemf KG, Zenilmanf JM, Hagenseeg M, Weinstocka H, Dattaa SD. Modelling the impact of quadrivalent HPV vaccination on the incidence of Pap test abnormalities in the United States. Vaccine. 2013; 31: 3019-3024.
12. Lee WC, Lee SY, Koo YJ, Kim TJ, Hur SY, Hong SR. Establishment of a Korea HPV cohort study. J Gynecol Oncol. 2013; 24: 60-65.
13. Agoston ES, Robinson SJ, Mehra KK, Birch C, Semmel D, Mirkovic J. Polymerase chain reaction detection of HPV in squamous carcinoma of the oropharynx. Anat Pathol. 2010; 134: 36-41.
14. Brankovic I, Verdonk P, Klinge I. Applying a gender lens on human papillomavirus infection: cervical cancer screening, HPV DNA testing, and HPV vaccination. Int J Equity Health. 2013; 12: 14.
15. Hubbard RA. Human papillomavirus testing methods. Arch Pathol Lab Med. 2003, 127(8): 940-945.
16. Karlsen F, Kalantari M, Jenkins A, Pettersen E, Kristensen G, Holm R. Use of multiple PCR primer sets for optimal detection of human papillomavirus. J Clin Microbiol. 1996; 34: 2095-2100.
17. Gravitt PE, Jamshidi R. Diagnosis and management of oncogenic cervical human papillomavirus infection. Infect Dis Clin North Am. 2005; 19: 439-458.
18. Snijders PJ, Heideman DA, Meijer CJ. Methods for HPV detection in exfoliated cell and tissue specimens. Apmis. 2010; 118: 520-528.
_||_1. Steenbergen RDM, Wilde JD, Wilting SM, Brink AATP, Snijders PJF, Meijer CJLM. HPV-mediated transformation of the anogenital tract. J Clin Virol. 2005; 32: 25-33.
2. Sankaranarayanan R, Nene BM, Shastri SS, Jayant K, Muwonge R, Budukh AM. HPV screening for cervical cancer in Rural India. New Engl J Med. 2009; 360: 1385-1394.
3. Yim EU, Park JS. The role of HPV E6 and E7 oncoproteins in HPV-associate cervical carcinogenesis. Cancer Res Treat. 2005; 37: 319-324.
4. Sharifzadeh A, Namazi MJ, Mokhtari-Farsani A, Doosti A. Bovine Herpesvirus type 5 in semen samples from bulls in Iran. Arch Virol. 2015; 160: 235-239.
5. Poljak M, Kovanda A, Kocjan BJ, Seme K, Jancar N, Vrtacnik-Bokal E. The Abbott Real Time high risk HPV test: comparative evaluation of analytical specificity and clinical sensitivity for cervical carcinoma and CIN 3 lesions with the Hybrid Capture 2 HPV DNA test. Acta Dermatoven APA. 2009; 18: 94-103.
6. Zekan J, Sirotkovic-Skerlev M, Skerlev S. Oncogenic aspects of HPV infections of the female genital tract. Intech. 2011; 11: 595-612.
7. Lacey CJN, Lowndes CM, Shah K. Burden and management of non-cancerous HPV-related conditions: HPV-6/11 disease. Vaccine. 2006; 24: 36-41.
8. Gheit, T, Landi S, Gemignani F, Snijders PJF, Vaccarella S, Franceschi S. Development of a sensitive and specific assay combining multiplex PCR and DNA microarray primer extension to detect high-risk mucosal uuman Papillomavirus types. J Clin Microbiol. 2006; 44: 2025-2031.
9. Vu LT, Bui D, Le HT. Prevalence of cervical infection with HPV type 16 and 18 in Vietnam: implications for vaccine campaign. BMC Cancer. 2013; 13: 53.
10. Ali H, Guy RJ, Wand H, Read TR, Regan DG, Grulich AE, Fairley CK, Donovan B. Decline in in-patient treatments of genital warts among young Australians following the national HPV vaccination program. BMC Infect Dis. 2013; 13: 140.
11. Chessona HW, Flagga EW, Koutskyb L, Hsuc K, Ungera ER, Shlayd JC, Kerndte P, Ghanemf KG, Zenilmanf JM, Hagenseeg M, Weinstocka H, Dattaa SD. Modelling the impact of quadrivalent HPV vaccination on the incidence of Pap test abnormalities in the United States. Vaccine. 2013; 31: 3019-3024.
12. Lee WC, Lee SY, Koo YJ, Kim TJ, Hur SY, Hong SR. Establishment of a Korea HPV cohort study. J Gynecol Oncol. 2013; 24: 60-65.
13. Agoston ES, Robinson SJ, Mehra KK, Birch C, Semmel D, Mirkovic J. Polymerase chain reaction detection of HPV in squamous carcinoma of the oropharynx. Anat Pathol. 2010; 134: 36-41.
14. Brankovic I, Verdonk P, Klinge I. Applying a gender lens on human papillomavirus infection: cervical cancer screening, HPV DNA testing, and HPV vaccination. Int J Equity Health. 2013; 12: 14.
15. Hubbard RA. Human papillomavirus testing methods. Arch Pathol Lab Med. 2003, 127(8): 940-945.
16. Karlsen F, Kalantari M, Jenkins A, Pettersen E, Kristensen G, Holm R. Use of multiple PCR primer sets for optimal detection of human papillomavirus. J Clin Microbiol. 1996; 34: 2095-2100.
17. Gravitt PE, Jamshidi R. Diagnosis and management of oncogenic cervical human papillomavirus infection. Infect Dis Clin North Am. 2005; 19: 439-458.
18. Snijders PJ, Heideman DA, Meijer CJ. Methods for HPV detection in exfoliated cell and tissue specimens. Apmis. 2010; 118: 520-528.