Significance of HPV-58 Infection in Women Who Are HPV-Positive,Cytology-Negative and Living in a Country with a High Prevalence of HPV-58 Infection

Purpose

Cervical cytology and human papillomavirus (HPV) DNA co-testing is recommended as a screening method for detecting cervical lesions. However, for women who are HPV-positive but cytology-negative, the appropriate management and significance of HPV-58 infection remain unknown.

Methods

This study of prevalent HPV detected at baseline with a median follow-up of 3.2 years evaluated the risk factors associated with cervical abnormalities and assessed the significance of HPV-58 infection. A total of 265 women were enrolled. All high-grade squamous intraepithelial lesions (HSIL) that were detected by cytology were confirmed by histology. Histological diagnoses of cervical intraepithelial neoplasia 2/3 were classified as HSIL. Women were classified into four groups according to the HPV genotype that was detected at their first visit: HPV-58 (n = 27), HPV-16 (n = 52; 3 women had HPV-58 co-infection), ten other high risk (HR) types (n = 79), or low/undetermined risk types (n = 107).

Results

Of 265 women, 20 (7.5%) had HSIL on their follow-up examinations. There were significant differences in the cumulative incidence of HSIL between the four groups (p<0.001). The 5-year cumulative incidence rates of HSIL were 34.0% (95% CI: 17.3–59.8%) in HPV-58 positive cases, 28.0% (95% CI: 13.8–51.6) in HPV-16 positive cases, 5.5% (95% CI: 2.1–14.0%) in one of the ten other types of HR-HPV positive cases, and 0% in women with low/undetermined risk HPV. When seen in women with HR-HPV (n = 158), persistent HPV infection was a significant factor associated with the development of HSIL (hazard ratio = 15.459, 95% CI: 2.042–117.045). Women with HPV-58 had a higher risk (hazard ratio = 5.260, 95% CI: 1.538–17.987) for the development of HSIL than women with HPV-16 (hazard ratio = 3.822, 95% CI: 1.176–12.424) in comparison with women with other types of HR-HPV.

Conclusion

HPV-58 has a high association with the development of HSIL in women who are HPV-positive and cytology-negative.     

Efficient computation of subset selection probabilities with application to Cox regression

An efficient method is presented to compute the probabilityof selection of a specified subset from the set of all subsetsof a fixed size where the subsets are taken from a populationwhose units have varying individual probabilities of selection.The problem is motivated by the computation of the exact marginallikelihood for the Cox proportional hazards model.     

Putative down-stream signaling molecule of GTPase in Porphyromonas gingivalis

Porphyromonas gingivalis is a strict anaerobic bacterium mainly responsible for periodontal disease in oral cavity. Putative GTPase gene (pgp) of this bacterium was cloned and its recombinant protein (rPGP) was produced in Escherichia coli. Based on the amino acid sequence of SGP that is a GTP-binding protein of Streptococcus mutans, putative GTPase amino acid sequence was deduced in the data base of genome sequences of Porphyromonas gingivalis. A 900-bp PCR fragment was amplified with P. gingivalis genomic DNA as a template and cloned into E. coli JM109. Then pgp was transferred into pQE-30 expression vector to make pQE-PGP for production of rPGP. This protein was produced and purified by Ni-NTA affinity column chromatography. Anti-PGP antibody was also produced in Sprague Dawley rats. Using Westernblot analysis with this antibody, it was confirmed that the rPGP produced in E. coli was identical to that of donor strain. Furthermore, by Southernblot analysis it was revealed that the pgp was originated from P. gingivalis. By immunoprecipitation with anti-PGP antibody and N-terminal amino acid sequence analysis it was found that PGP was able to bind to acetate kinase, which was reported to be a secondary signaling molecule in anaerobic microorganisms. Therefore, these results imply that P. gingivalis produces putative GTPase and this protein might play a potential role in signaling pathway in oral biofilm formation.     

Degradation of Cochlodinium polykrikoides using photocatalytic reactor with TiO2-coated alumina

Cochlodinium polykrikoides (C. polykrikoides) is one of the most harmful red tide dinoflagellates due to its great economic damage and compromising recreational opportunity and public health. Titanium dioxide (TiO₂) is known to be used as a photocatalyst for the control of the aquatic invasive algae under natural and artificial light. The purpose of this study was to design a highly efficient continuous photocatalytic reactor with TiO₂-coated alumina for the demonstrated efficient degradation of C. polykrikoides. TiO₂ photocatalyst beads were prepared by sol-gel dip-coating method using titanium tetra iso-propoxide on alumina. After 40 min of ultraviolet illumination time, the reduction of C. polykrikoides cell number was more than 80%. The degree of degradation of C. polykrikoides increased in a time-dependent manner in this novel reactor. The degradation begins with photocatalytic action by the oxidative species of TiO₂ on the protective cell structures of C. polykrikoides.