Volume 43 Issue 2
Mar.  2022
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Honglan CHEN, Yi WU, Tao HU, Yuming WANG. Potential Value of G6PD Activity Detection in the Peripheral Blood for the Diagnosis and Prognosis of Cervical Cancer Patients with High Risk Human Papillomavirus Infection[J]. Journal of Kunming Medical University, 2022, 43(2): 89-95. doi: 10.12259/j.issn.2095-610X.S20220203
Citation: Honglan CHEN, Yi WU, Tao HU, Yuming WANG. Potential Value of G6PD Activity Detection in the Peripheral Blood for the Diagnosis and Prognosis of Cervical Cancer Patients with High Risk Human Papillomavirus Infection[J]. Journal of Kunming Medical University, 2022, 43(2): 89-95. doi: 10.12259/j.issn.2095-610X.S20220203

Potential Value of G6PD Activity Detection in the Peripheral Blood for the Diagnosis and Prognosis of Cervical Cancer Patients with High Risk Human Papillomavirus Infection

doi: 10.12259/j.issn.2095-610X.S20220203
  • Received Date: 2021-12-05
    Available Online: 2022-02-24
  • Publish Date: 2022-03-04
  •   Objective  To explore the value of detecting G6PD activity in the peripheral blood for the diagnosis and prognosis of cervical cancer patients with high-risk human papillomavirus (HR-HPV) infection.   Methods  A total of 53 cervical cancer (CC) patients, 58 cervical intraepithelial neoplasia (CIN) patients and 40 health cohorts (HC), visiting and attending the clinic of Yunnan Third People’s Hospital during June 2014 to December 2015, were employed in this study. HPV Gene Chip Test Kit was used to detect and screen the genotype HPV infection in each group of population. Pathological evaluation and genotyping were performed on surgical specimens of cervical cancer patients. Serum samples were taken from each group of population, the activity of G6PD was detected by immunofluorescence assay, and the correlation analysis was carried out according to the clinical data and the results of G6PD activity. The results were then analyzed based on evidence.   Results  The activity of G6PD in peripheral blood was the highest in CC group, and there was significant difference to CIN Group and HC Group (P < 0.01) , and CIN Group to HC Group (P < 0.05). The change of G6PD activity in peripheral blood of CC patients is closely related to the progression of cervical cancer, and the change of G6PD activity in peripheral blood of CIN patients is closely related to the progression of cervical cancer. In CC group and CIN Group, the activity of G6PD in peripheral blood was consistent with HPV16/18 infection, and the relationship between the OS curve and the activity of G6PD in peripheral blood of CC patients infected with HPV 16/18 was analyzed, the 5-year survival rate decreased significantly in patients with high G6PD activity in peripheral blood (P <0.05) . The validity and reliability of G6PD activity detection and / or HPV16/18 infection test are valuable in evidence-based diagnosis for CIN or cervical cancer.   Conclusions  The activity of G6PD is related to the progression of cervical cancer. The detection of G6PD activity in peripheral blood can be used as one of the diagnostic and prognostic indicators of CIN and HR-HPV-infected cervical cancer, especially HPV 16/18.
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