Zhang LL, Du MY, Du X, Duan J, Yao DM, Jing J, Feng C, Song L. Correlation analysis of human papillomavirus E6/E7 mRNA detection with diagnosis, prognosis and recurrence risk in patients with cervical epithelioma. World J Clin Cases 2024; 12(20): 4146-4153 [PMID: 39015927 DOI: 10.12998/wjcc.v12.i20.4146]
Corresponding Author of This Article
Lin Song, MM, Doctor, Department of Surgery, Maternal and Child Health Hospital of Hubei Province, No. 745 Wuluo Road, Hongshan District, Wuhan 430075, Hubei Province, China. linsoweet@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jul 16, 2024; 12(20): 4146-4153 Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4146
Table 1 Comparison of the positive expression rates of human papillomavirus-DNA and human papillomavirus E6/E7 mRNA in each group (%)
Group
Example number
HPV E6/E7 mRNA
HPV (PCR-reverse point hybridization)
Positive
Negative
Positive
Negative
CINI level
48
13 (27.1)
35 (72.9)
15 (31.3)
33 (68.7)
CIN II level
31
24 (77.4)
7 (22.6)
21 (67.7)
10 (32.3)
CIN III level
16
12 (75.0)
4 (25.0)
11 (68.7)
5 (31.3)
Squamous or adenocarcinoma
5
3 (18.8)
2 (12.5)
4 (25.0)
1 (6.3)
χ2
23.483
14.669
P value
< 0.001
0.002
Table 2 Results of the univariate analysis affecting the diagnosis of cervical intraepithelial neoplasia high-grade lesions (%)
Project
CIN grade (n = 52)
CIN grade I (n = 48)
χ2
P value
Age
0.495
0.482
≥ 45
15 (28.8)
17 (35.4)
< 45
37 (71.2)
31 (64.6)
Gravidity
0.031
0.861
≥ 2
16 (30.8)
14 (29.2)
< 2
36 (69.2)
34 (70.8)
Parity
0.495
0.482
≥ 2
15 (28.8)
17 (35.4)
< 2
37 (71.2)
31 (64.6)
HPV (PCR reverse-dot hybridization)
14.408
< 0.001
Positive
36 (69.2)
15 (31.3)
Negative
16 (30.8)
33 (68.7)
HPV E6/E7 mRNA
22.960
< 0.001
Positive
39 (75.0)
13 (27.1)
Negative
13 (25.0)
35 (72.9)
Table 3 Results of logistic factor analysis
Metric
β
SE
Walds
P value
OR
95%CI
HPV (PCR reverse-dot hybridization)
-0.163
0.511
0.102
0.007
1.850
1.312-2.312
HPV E6/E7 mRNA
0.630
0.510
0.523
0.022
1.877
1.690-5.120
Table 4 Effect of positive human papilloma virus E6/E7 mRNA expression on the development of disease in patients with cervical intraepithelial neoplasia grade I (%)
HPV E6/E7 mRNA
Example number
CIN I level
CIN II level
Positive
13
4 (30.8)
9 (69.2)
Negative
35
25 (71.4)
10 (28.6)
χ2
6.553
P value
0.010
Citation: Zhang LL, Du MY, Du X, Duan J, Yao DM, Jing J, Feng C, Song L. Correlation analysis of human papillomavirus E6/E7 mRNA detection with diagnosis, prognosis and recurrence risk in patients with cervical epithelioma. World J Clin Cases 2024; 12(20): 4146-4153