Table 1 Male cases and Female cases studied for HPV DNA

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2 Table 1 Male cases and Female cases studied for HPV DNA

3 性 感染 症 症 例 に お け るHPVDNAの 167 検出 ア 性 尿 道 炎4例 中2例,非 中1例,ク ラ ミ ジ ア 性 尿 道 炎32例 淋 菌 性 非 ク ラ ミジ ア 性 尿 道 炎39例 中1 例 で あ っ た.尖 圭 コ ン ジ ロ ー マ 以 外 のSTD症 全 体 に お け るHPV陽 HPV陽 性 率 は4.7%で 性 のSTD症 別 で は,6/11型 例 あ っ た. 例 に お け るHPVDNA型 以 外 に 性 器 癌 に 関 連 が あ る16/18型 が 淋 菌 性 ク ラ ミ ジ ア 性 尿 道 炎 の1例 に検 出 され た. 外 陰 部 に 病 変 を 認 め な い 健 常 男 子 のHPV陽 性 前 立 腺 炎 症 例 で は3,4% (7/205)で 立 腺 肥 大 症 症 例 に はHPV あ っ た が,前 は 検 出 さ れ な か っ た.HPVDNA型 立 腺 炎 症 例 の3例 Fig. Autoradiograph of dot blot hybridization using Vira Type TMin glans and sulcus coronarius of penis. The probe was 32P-labeled HPV 6/11 RNA. The HPV 6/11 positive control was in slot A-1, the HPV 16/18 positive control in slot A-2, the HPV 31/33/35 positive control in slot A-3 and the negative control in slot A-4. The STD cases in slot B-1, C-1, C-4, D-4 and E-5 were positive for HPV 6/11 DNA. The other STD cases were negative for HPV 6/11 DNA. 績 状 溝 に お け るHPV 治療 の 尖 圭 コ ン ジ ロー マ24例 中23例 以外 に淋 菌 性 尿 道 炎24例 中1例,淋 Table 平 成4年2月20日 2 あ る16/18 が 検 出 さ れ た. 尖 圭 コ ン ジ ロ ー マ 以 外 の 男 子STD症 例 と健 常 性例 の年 齢 分 布 を 比 較 し た(Table3).STD症 か ら35歳,健 が 検 出 さ れ た.ま 例 に もHPVは 例 で は26歳 常 男 子 で は21歳 か ら30歳,ま 前 立 腺 炎 症 例 で は26歳 た慢 性 か ら40歳 の 年 齢 層 にHPV た41歳 以上 の年 齢 層 で は ど の症 検 出 さ れ な か っ た. 女 子 の 子 宮 頸 管 に お け るHPVの 女 子STD症 例 は,未 例 の 亀 頭.冠 risk groupで 男 子 お よ び 慢 性 前 立 腺 炎 症 例 のHPV陽 検 出頻 度(Table2) 男 子STD症 別 では慢性前 検 出頻 度 (Table4) 1) 男 子 の 亀 頭 冠 状 溝 に お け るHPVの 陽 性 例 は,未 にhigh 型 お よ び31/33/35型 2) 成 性 率 は6.1%(2/33)で,慢 Detection 菌 性 ク ラ ミジ of HPV 例 の 子 宮 頸 管 に お け るHPV陽 治 療 の 尖 圭 コ ン ジ ロ ー マ の7例 に 淋 菌 性 ク ラ ミジ ア 性 子 宮 頸 管 炎3例 ラ ミジ ア 性 子 宮 頸 管 炎30例 中2例 コ ン ジ ロ ー マ 以 外 のSTD症 DNA in glans and sulcus coronarius of penis 性 全例以外 中1例,ク で あ っ た.尖 圭 例 全 体 に お け る

4 Table 3 Age distribution of HPV DNA positive cases of men in glans and sulcus coronarius Table 4 Detection of HPV DNA in uterine cervix Table 5 Age distribution of HPV DNA positive cases of women in uterine cervix

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6 1) Durst, M., Gissmann, L., Ikenberg, H.& zur Hausen, H.: A papillomavirus DNA from a cervical carcinoma and its prevalence in cancer biopsy samples from different geographic regions. Proc. Natl. Acad. Sci. U. S. A., 80: ) Grussendorf-Conen, E. I., Meinhof, W., de Villiers, E. M.& Gissman, L.: Occurence of HPV genomes in penile smears of healthy men. Arch. Dermatol. Res., 279: S73-75, ) Schneider, A., Horz, M.& Gissmann, L.: Increased prevalence of human papillomaviruses in the lower genital tract of pregnant women. Int. J. Cancer, 40: , ) Warford, A. L.& Levy, R. A.; Use of commercial DNA probes. Clin. Lab. Sci., 2: , ) Southern, E. M.: Detection of specific sequences among DNA fragments separated by gel electrophoresis. J. Mol. Biol., 98: ,

7 ) Gall, J. G.& Pardue, M. L.: Formation and detection of RNA-DNA hybrid molecules in cytological preparations. Proc. Natl. Acad. Sci. U. S. A., 63: , ) Katelaris, P. M., Cossart, Y. E., Rose, B. R., Thompson, C. H., Sorich, E., Nightingale, B., Dallas, P. B.& Morris, B. J.: Human papillomavirus: The untreated male resrvoir. J. Urol., 140: , ) McNicol, P. A.& Dodd, J.: High prevalence of human papillomavirus in prostste tissues. J. Urol., 145: , ) Green, J., Monteiro, E.& Gibson, P.: Detection of human papillomavirus DNA in semen from patients with intameatal penile warts. Genitourin. Med., 65: , ) Melchres, W. J. G., Schift, R., Stolz, E., Lindeman, J.& Quint, W. G. V.: Human papillomavirus detection in urine samples from male patients by the polymerase chain reaction. J. Clin. Microbiol., 27: , ) Rosemberg, S. K.: Subclinical papilloma viral infection of male genitalia. Urology, 26: , ) Saiki, R. K., Scharf, S., Faloona, F., Mullis, K. B., Horn, G. T., Erlich, H. A.& Arnheim, N.: Enzymatic amplification of fl-globin genomic sequences and restriction site analysis for diagnosis of sickle cell anemia. Science, 230: 1350 Detection of Human Papillomavirus DNA in Cases of Sexually Transmitted Diseases (STD) Akihiko IWASAWA, Yoshiaki KUMAMOTO, Takaoki HIROSE & Taiji TSUKAMOTO Department of Urology, Sapporo Medical College Tsutomu GOHRO Sapporo Urologic Clinic Syunji IKEGAKI Ikegaki Dermatologic and Urologic Clinic Taketoshi SAKA Saka Urologic Hospital Kunihiro MINAMI Sapporo Tohou Hospital Kei FUJINAGA Department of Molecular Biology, Cancer Research Institute, Sapporo Medical College Human papillomavirus (HPV) has been detected on the genitalia without any macroscopic abnormality and the possibility of latent infection of HPV has been suggested. Using Vira TypeTM (Toure Co.), we have detected 7 genotypes of HPV DNA under a high stringent condition on the genitalia of patients with sexually transmitted diseases (STD), who were suspected of having had many sexual partners. In male cases of STDs other than condyloma acuminatum, the HPV-positive rate of the glans and sulcus coronarius was 4.7% (5/106). In healthy men, the HPV-positive rate was 6.1% (2/33), while in chronic prostatitis cases it was 3.4% (7/205) and in benign prostatic hypertrophy cases HPV was not detected. In female cases of STDs other than condyloma acuminatum, the HPV-positive rate of uterine cervix was 5.1% (3/58). In pregnant women, the HPV-positive rate was 4.6% (9/197). With regard to the HPV-positive rate within different age groups of STD and non STD cases, the rate tended to be higher in young people. After several weeks, follow-up studies were conducted on HPV-positive cases. HPV DNA was detected in one case of 10 male STD cases and two of 10 pregnant women, and the HPV DNA was the same type as at the first examination. However, after 3-4 months, all three of these cases had become negative for HPV DNA.

正 常 男子 例 に お け るの Table 1 DNA detection procedure of Vira は,一 sample preparion collection 2. Incube sample 4. Spot 5. Cover to a 6. diluent (DNA on wi

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