国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (3): 340-344.

• 综述 • 上一篇    下一篇

乳杆菌与人乳头瘤病毒感染及宫颈病变的相关性 

张倩玉,王雅楠,宋殿荣   

  1. 301617  天津中医药大学研究生院(张倩玉);天津中医药大学第二附属医院(王雅楠,宋殿荣)
  • 收稿日期:2019-11-11 修回日期:2020-02-08 出版日期:2020-06-15 发布日期:2020-06-23
  • 通讯作者: 宋殿荣,E-mail:songdr58@126.com E-mail:songdr58@126.com
  • 基金资助:
    天津市卫生健康委员会、天津市中医药管理局中医、中西医结合科研课题(2019076)

Correlation of Vaginal Lactobacillus with HPV Infection and Cervical Lesions

ZHANG Qian-yu, WANG Ya-nan, SONG Dian-rong   

  1. Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (ZHANG Qian-yu); Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300150, China (WANG Ya-nan, SONG Dian-rong)
  • Received:2019-11-11 Revised:2020-02-08 Published:2020-06-15 Online:2020-06-23
  • Contact: SONG Dian-rong, E-mail: songdr58@126.com E-mail:songdr58@126.com

摘要: 乳杆菌是健康女性阴道内数量最多的菌群,对于维持阴道微生态平衡起着重要的作用。乳杆菌能牢固黏附于阴道黏膜上皮,起到占位性保护作用,并且分泌乳酸,维持阴道的酸性环境,产生H2O2、细菌素、生物表面活性物质等抑菌物质,引起有益的免疫反应,从而抵挡病原微生物的感染,是女性下生殖道重要的微生物屏障。人乳头瘤病毒(HPV)感染是宫颈癌的直接致病因素,而阴道作为宫颈的毗邻器官,其微生态环境对宫颈起着重要的作用。近年来国内外很多学者研究发现以乳杆菌的减少为主的阴道微生态失衡与HPV感染、宫颈癌的发生有密切关系。乳杆菌通过产生各种代谢产物,以及激活机体免疫功能而发挥抵抗HPV感染、抑制肿瘤的作用。本文对乳杆菌与HPV感染及宫颈病变的相关性及其机制进行综述。

关键词: 乳杆菌属;, 阴道微生态;, 乳头状瘤病毒科;, 宫颈肿瘤;, 宫颈疾病

Abstract: Lactobacilli are the most abundant bacteria in the vagina of healthy women, which play an important role in maintaining the micro ecological balance of vagina. Lactobacilli can firmly adhere to the epithelium of vaginal mucosa, play a role of space occupying protection, and secrete lactic acid, maintain the acidic environment of vagina, produce bacteriostatic substances such as H2O2, bacteriocin, biosurfactant, etc., cause beneficial immune response, so as to resist the infection of pathogenic microorganisms, which is an important microbial barrier of female lower genital tract. Human papillomavirus(HPV) infection is the direct cause of cervical cancer. As an adjacent organ of the cervix, the micro ecological environment of the vagina plays an important role. In recent years, many scholars at home and abroad have found that the decrease of lactobacilli has a close relationship with the infection of HPV and the occurrence of cervical cancer. Lactobacillus can resist HPV infection and inhibit oncogenesis by producing various metabolites and activating immune function. This article will review the correlation and mechanism between lactobacilli and HPV infection and cervical lesions.

Key words: Lactobacillus;, Vaginal microecology, Papillomaviridae;, Uterine cervical neoplasms;, Uterine cervical diseases