Immune antiviral drug therapy in patients with HPV-associated cervical intraepithelial neoplasia grade I


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Abstract

Objective. To improve quality of life in patients with cervical intraepithelial neoplasia grade I (CIN I) associated with human papillomavirus ((HPV) infection due to a medical treatment without destructive intervention. Subjects and methods. The investigation of relevance to specialties was conducted at the Department of Obstetrics and Gynecology, Penza Institute for Postgraduate Training for Physicians. Examinations were made in 86 reproductive-aged women with cervical pathology and high-risk HPV (hr-HPV) who had attended outpatient clinics in Saransk. Results. The investigation established the patterns of hr-HPVprevalence in women with CIN I, as well as its relationship to the functioning of the immune system. Dysregulation that was manifested in the predominance of anti-inflammatory cytokines over pro-inflammatory ones increased the probability of virus persistence in the body, which is likely to contribute to the development of neoplastic processes and more advanced intraepithelial lesions. Conclusion. The data obtained from the conducted studies allow optimization of the management of patients with HPV-induced CINI without destructive therapies.

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About the authors

Olga V. Epifanova

Penza Institute for Postgraduate Training of Physicians, Branch, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia

Email: med@akademiyavrachei.ru

Olga P. Vinogradova

Penza Institute for Postgraduate Training of Physicians, Branch, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia

Email: o_vinogradova69@mail.ru

Natalya A. Andreeva

N.P. Ogarev Mordovia State University

Email: andreeva_77@list.ru

References

  1. Каприн А.Д., Старинский В.В., Петрова Г.В., ред. Злокачественные новообразования в России в 2017 году (заболеваемость и смертность). М., 2018. 250 с.
  2. Середа Н.Б., Маркелова Е.В., Спорыхина Т.Д. и др. Патогенетическая роль вируса папилломы человека в патологии шейки матки. Российский аллергологический журнал. 2010; 1: 160-162.
  3. Бебнева Т.Н., Муйжнек Е.Л., Роговская С.И., Киселев В.И., Ашрафян Л.А., Хамошина М.Б. Патогенетическое лечение неопластических процессов шейки матки: новые подходы. Доктор.Ру. 2016; 120(3): 9-14.
  4. Campos A.C., Murta E.F., Michelin M.A. et al. Evaluation of cytokines in endo cervical secretion and vaginal pH from women with bacterial vaginosis or human papillomavirus. ISRN Obstet Gynecol. 2012; 2012: 342075. doi: 10.5402/2012/342075.
  5. Chan C.J., Smyth M.J., Martinet L. Molecular mechanisms of natural killer cell activation in response to cellular stress. Cell Death Differ.2014; 21(1): 5-14. doi: 10.1038/cdd.2013.26
  6. Origoni М., Salvatore S., Perino A., et al. Cervical Intraepithelial Neoplasia (CIN) in pregnancy: the state of the art. Eur. Rev. Med. Pharmacol. Sci. 2014; 18(6): 851-60. PMID: 24706310
  7. Schneider W.M., Chevillotte M.D., Rice C.M. Interferon-stimulated genes: a complex web of host defenses. Annu Rev Immunol. 2014; (32): 513-45. doi: 10.1146/annurev-immunol-032713-120231
  8. Ванденбуш К.Дж., Али С.З., Розенталь Д.Л., Ванг Р. Цитологическое исследование цервикальных мазков. Атлас. М.: ГЭОТАР-Медиа, 2018. 206 с.
  9. Белокриницкая Т.Е., Фролова Н.И., Туранова О.В., Шемякина К.Н., Плетнева В.А. и др. Результативность и приемлемость обследования на вирус папилломы человека при самостоятельном и врачебном заборе вагинального отделяемого. Акушерство и гинекология. 2017; 2: 97-105. http:// dx.doi.org/10.18565/aig.2017.2.97-105
  10. Keppler D., Lin A. Cervical cancer: methods and protocols. NY.: Humana Press, 2015; 1249: XIV, 413. doi: 10.1007/978-1-4939-2013-6
  11. Полонская Н.Ю., Юрасова И.В. Цитологическое исследование цервикальных мазков. Пап-тест. М.: ГЭОТАР-Медиа, 2018. 168 с.
  12. Куценко И.И., Боровиков И.О., Дехтяренко Ю.В., Булгакова В.П. Комплексная терапия рецидивирующего генитального герпеса у женщин. Вестник РУДН. Серия: медицина. 2012; 5: 334-41.
  13. Шульженко А.Е., Зуйкова И.Н. Персистирующая папилломавирусная инфекция: цитокиновый дисбаланс и подходы к терапии. Эффективная фармакотерапия. Акушерство и гинекология. 2013; 2: 54-60.
  14. Kuczer M., Dziubasik K., Midak-Siewirska A., Zahorska R., Luczak M., Konopinska D. Studies of insect peptides alloferon, Any-GS and their analogues. Synthesis and antiherpes activity. J. Pept Sci. 2010; 16(4): 186-9. doi: https:// doi.org/10.1002/psc.1219
  15. Annual Report «Evaluation of the Effect of Alloferon In vivo and In Vitro», Seoul National University College of Medicine, 2008.

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