1.Possible different genotypes for human papillomavirus vaccination in lower middle-income countries towards cervical cancer elimination in 2030: a cross-sectional study
Tofan Widya UTAMI ; Andrijono ANDRIJONO ; Andi PUTRA ; Junita INDARTI ; Gert FLEUREN ; Ekaterina JORDANOVA ; Inas HUMAIRAH ; Ahmad UTOMO
Clinical and Experimental Vaccine Research 2022;11(2):141-148
Purpose:
Human papillomavirus (HPV) genotype and age distribution of HPV infection were crucial for the national vaccination and screening program planning. However, there was a limited study providing these data in the normal cervix population. This study aimed to explore the HPV genotypes profile of women with clinically normal cervix based on Visual Inspection of Acetic Acid (VIA) test.
Materials and Methods:
A 7-year cross-sectional study was conducted from 2012 to 2018 in private and public health care centers in Jakarta. Subjects were recruited consecutively. Data were collected by anamnesis, VIA, and HPV DNA test using the polymerase chain reaction (PCR; SPF10-DEIA-LiPA25) method. HPV genotyping procedures include DNA extraction, PCR (SPF10-DEIA-LiPA25) using the HPV XpressMatrix kit (PT KalGen DNA, East Jakarta, Indonesia), and hybridization. The IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) were used to analyze the data.
Results:
A total of 1,397 subjects were collected. Positive HPV-DNA tests were found in 52 subjects (3.7%); 67% were single and 33% were multiple HPV infections. HPV 52 was the most frequently detected HPV genotype, followed by HPV 39, 16, 18 74, 44, 31, 54, and 66, respectively. The highest HPV infections in this population were in the 31–40 and 41–50 years old group.
Conclusion
This study suggested beneficial screening for women aged 31–50 years old. Instead of “original” nonavalent (HPV 16, 18, 6, 11, 31, 33, 45, 52, 58), the different “nonavalent” formula for HPV vaccines protecting against HPV 16, 18, 6, 11, 31, 39, 44, 52, 74 might be useful for Indonesian population. However, further multicenter studies with a huge sample size are still needed.
2.SEMA3B but Not CUL1 as Marker for Pre-Eclampsia Progression
Tjam Diana Samara ; Isabella Kurnia Liem ; Ani Retno Prijanti ; Andrijono
Malaysian Journal of Medical Sciences 2019;26(1):66-72
Background: An imbalance between pro- and anti-angiogenic factors contributes to
impaired trophoblast invasion during pregnancy, leading to failure of uterine spiral artery
remodeling, blood vessel ischemia, and pre-eclampsia (PE). Anti-angiogenic semaphorin 3B
(SEMA3B) and pro-angiogenic cullin 1 (CUL1) are expressed in both the placenta and maternal
blood. The present study investigated correlations between serum and placental SEMA3B as well as
CUL1 levels in late-onset PE.
Methods: This cross-sectional study included 50 patients with late-onset (≥ 32 weeks
gestation) PE. Maternal serum was obtained before delivery, and placentas were obtained
immediately after delivery. SEMA3B and CUL1 levels were evaluated by ELISA. Results were
statistically analysed by Spearman correlation test, with a P < 0.05 considered statistically
significant.
Results: While elevated serum SEMA3B levels significantly correlated with increased
placental SEMA3B levels in late-onset PE (R = 0.620, P = 0.000), alteration of serum CUL1 levels
did not correlate with alteration of placental CUL1.
Conclusion: Alteration of circulating maternal SEMA3B, but not CUL1, levels can
potentially be used to monitor PE progression during pregnancy.