DNA甲基化在宫颈病变中的应用进展OA
Advances in the Application of DNA Methylation in Cervical Lesions
宫颈癌是严重威胁女性健康的妇科常见恶性肿瘤,其发生发展与高危型人乳头瘤病毒(high risk human papilloma virus,HR-HPV)持续感染密切相关.目前宫颈癌筛查主要依赖细胞学检查和HR-HPV DNA检测,但前者主观性强、敏感度有限,后者特异度不足,易导致过度诊疗.DNA甲基化作为重要的表观遗传学修饰,参与基因转录调控.近年研究表明,HR-HPV感染可诱导宿主细胞特定基因位点发生异常甲基化,该改变与宫颈上皮内瘤变的进展及宫颈癌的发生发展密切相关.检测这些特定基因的甲基化状态,在宫颈癌筛查分流、预后评估及治疗效果监测方面展现出巨大潜力.综述DNA甲基化在宫颈病变中的应用价值,以期为宫颈癌的精准防治提供新思路.
Cervical cancer is a common gynecological malignancy that seriously threatens women's health,and its occurrence and development is closely related to persistent infection with high risk human papilloma virus(HR-HPV).Current cervical cancer screening primarily relies on cytological examination and HR-HPV DNA testing.However,the former is subjective and has limited sensitivity,while the latter lacks specificity and may lead to overdiagnosis and overtreatment.DNA methylation,as a crucial epigenetic modification,is involved in the regulation of gene transcription.Recent studies have shown that HR-HPV infection can induce abnormal methylation at specific gene loci in host cells,and these alterations are closely associated with the progression of cervical intraepithelial neoplasia and the occurrence and development of cervical cancer.Detecting the methylation status of these specific genes demonstrates significant potential in triaging cervical cancer screening,prognostic evaluation,and monitoring therapeutic efficacy.This article reviews the application value of DNA methylation in cervical lesions,aiming to provide new insights for the precise prevention and treatment of cervical cancer.
张燕;宋淑芳
010030 呼和浩特,内蒙古医科大学附属医院妇产科航天中心医院妇产科
DNA甲基化宫颈肿瘤癌宫颈上皮内瘤样病变乳头状瘤病毒感染早期诊断治疗预后
DNA methylationUterine cervical neoplasmsCarcinomaCervical intraepithelial neoplasiaPapillomavirus infectionsEarly diagnosisTherapyPrognosis
《国际妇产科学杂志》 2026 (2)
206-210,227,6
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