Background:
Cervical cancer is the most common cancer in women. High Risk HPV types are known as the main agents involved in genital and cervical malignancies. There may be co pathogens like STDs that involved in enhancing the susceptibility and progression to cervical neoplasia. This study was conducted to detect HSV2, C.Trachomatis and M.Genitalium in women with and at the risk of cervical cancer related to HPV for defining their roles in facilitating and persistence of genital disorders.
Materials and Methods:
This descriptive study was performed on 195 Liquid Based Cytology (LBCs) specimens were collected from women referred to private laboratories. Fifty, 98 and 47 samples were from women with known cervical cancer, HPV positive and HPV negative, respectively. The HSV-2, C.trachomatis, M.genitalium and HPV genotypes have been detected using multiplex TaqMan Real Time PCR and PCR hybridization.
Results:
A total of 148 HPV positive samples, HPVs 6 (35.13%), 16 (32.43%), 18 (21.62%), 11 (9.46%), 31 (9.46%), and 51 (9.46%) were the most common genotypes. Single, 2, 3, and more than 4 multiple HPV genotypes were detected in 46%, 29.7%, 14.2%, 15 10.1% cases, respectively. The prevalence of M.genitalium, C.trachomatis and HSV2 was 3 (1.54%), 24 (12.3%) and 1(0.5%), respectively. There were no statistically significant differences between these pathogens and cervical cancer (p≥ 0.05).
Conclusions:
HR-HPV genotypes were more prevalent in genital infections and cervical cancer.