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The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
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Obstetrics and Gynegology2022№9
Predictors of development and progression...

Predictors of development and progression of cervical dysplastic processes

DOI
https://dx.doi.org/10.18565/aig.2022.9.19-24

Levakov S.A., Mushkyurova D.R., Sheshukova N.A., Obukhova E.A.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
Cervical cancer (CC) ranks fourth in the structure of morbidity and mortality from cancers in women. Early detection of CC and assessment of malignancy prognoses are of critical importance, because women who have early-stage invasive carcinoma have significantly higher chances of being cured, which is in turn cost effective. Publications in the PubMed and Cochrane databases; recommendations of international and Russian professional communities, clinical studies published in the public domain to search for modern markers for the progression of cervical precancerous processes have been analyzed. The review presents markers for the progression of cervical precancerous processes and describes the main mechanisms of the pathogenic effect of human papillomavirus (HPV) on epithelial cells. Along with well-known markers, such as p16, Ki-67, proteomics that is a valuable tool for studying the mechanisms involved in the interaction of viral infection and protein dysfunction leading to cervical carcinogenesis is being actively investigated. Metabolomics is widely used to study cancer metabolism. Metabolites, the end products of various biological processes, hold promise as accurate biomarkers that reflect past biological events, such as genetic mutations and environmental changes. Altered metabolites will help to better understand metabolic dysregulation during tumor initiation and progression.
Conclusion: An analysis of the data available in the literature has shown that markers for dysplasia progression enhance the possibilities of timely diagnosis and therapy.

Keywords

cervix
cervical intraepithelial neoplasia (CIN)
immunohistochemistry
Ki-67
p16/INK4a
human papillomavirus (HPV)
LSIL
HSIL
Full text (in Russian)

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Received 26.05.2022

Accepted 25.08.2022

About the Authors

Sergey A. Levakov, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology of N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), levakoff@yandex.ru , 119991, Russia, Moscow, Trubetskaya str., 8-2.
Diana R. Mushkyurova, postgraduate student of the Department of Obstetrics and Gynecology of the N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), dr.ramazanovna@gmail.com, 119991, Russia, Moscow, Trubetskaya str., 8-2.
Natalia A. Sheshukova, Dr. Med. Sci., Professor at the Department of Obstetrics and Gynecology of the N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), dr.sheshukova@mail.ru, 119991, Russia, Moscow, Trubetskaya str., 8-2.
Elizaveta A. Obukhova, Teaching Assistant at the Department of Obstetrics and Gynecology of N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), liza_obukhova@mail.ru, 119991, Russia, Moscow, Trubetskaya str., 8-2.
Corresponding author: Diana R. Mushkyurova, r.ramazanovna@gmail.com

Authors' contributions: Levakov S.A. – an investigation supervisor; Mushkyurova D.R. – analysis and collection of literature data; Sheshukova N.A. – editing the text; Obukhova E.A. – idea of the investigation.
Conflicts of interest: The authors declare that there is no need to disclose conflicts of interest related to this publication.
Funding: The authors declare that there is no need to disclose financial support related to this publication.
For citation: Levakov S.A., Mushkyurova D.R., Sheshukova N.A., Obukhova E.A.
Predictors of development and progression of cervical dysplastic processes.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 9: 19-24 (in Russian)
https://dx.doi.org/10.18565/aig.2022.9.19-24

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