Methylated ZNF582 as a triage marker for occult cervical cancer and advanced cervical intraepithelial neoplasia

Author:

Su Yuehui1,Tang Yujie1,Zhang Ting1,Xu Yue2,Zhang Yingcui1,Shen Yan1,Qin Lihong1,Zhang Luoman1,Cao Lili1,Zhou Yingying1,Liou Yuligh3,Zhang Mengzhen1ORCID

Affiliation:

1. Gynecology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

2. Pathology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

3. Xiangya Medical Laboratory, Central South University, Changsha, China

Abstract

Aim: To explore the appropriate triage methods for women infected with high-risk human papillomavirus (hrHPV). Materials & methods: A total of 424 out of 872 hrHPV-infected women were divided into cervicitis (n = 123), cervical intraepithelial neoplasia grade 1 (CIN1; n = 89), CIN2 (n = 72), CIN3 (n = 87) and cervical cancer (n = 53) groups. Results: The sensitivity/specificity of ZNF582m, PAX1m and liquid-based cytology (LBC) for hrHPV-infected women with transformation zone 3 CIN3+ was 83.9/93.1, 77.4/90.6 and 80.6/58.5%, respectively. The ZNF582m/ PAX1m test had a higher specificity than LBC (p < 0.001) and similar sensitivity to that observed for LBC (p > 0.05). ZNF582m/ PAX1m improved the positive predictive value of CIN3+ (64.7/60.0%) in low-grade LBC (negative predictive value: 91.7/88.7%). Conclusion: ZNF582m was superior to PAX1m and LBC tests in detecting CIN3+ in hrHPV-infected women.

Funder

Provincial and ministerial joint projects of the National Health Commission of China

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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