Abnormal Cytology
Conditions
Keywords
High-risk human papillomavirus, Integration of HR-HPV DNA, biomarker of severity, biomarker of evolution
Brief summary
High-risk human papillomavirus (HR-HPV) are involved in cervical cancer development. Integration of HR-HPV DNA in cellular genomes is considered as a major event in the cervical cancer development. The aim of this study is to validate the integration of the HPV-HR as an appropriate biomarker of the severity of precancerous lesions and progression of cervical lesions towards cervical cancer. HR-HPV integration status will be analyzed by Molecular Combing technology, which allows direct and high-resolution visualization of the integration of high-risk HPV genomes.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* women aged from 25 to 65 years * consulting in a gynecological-obstetrical service of one of the investigator center for a colposcopy reflex after an abnormal cytology dating of less than 6 months and more than 1 month * signature of the informed consent * affiliated to Social Security
Exclusion criteria
* women vaccinated against HPV * women who received a treatment for a cervical pathology followed by a normal * women with a known positive HIV test * women suffering from a chronic pathology that generate immunosuppression * Women currently treated with immunosuppressors * Women treated with corticoids currently or dating of less than 6 months * protected by law * pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| presence of high-risk papillomavirus in the analysis of cervical smear | during 36 months after inclusion |
| integration of genome of high-risk papillomavirus detected in cervical smear according molecular combing | during 36 months after inclusion |
| presence and severity of cervical lesion according to results of cervical smear, colonoscopy and histological analysis | during 36 months after inclusion |
Countries
France