Performance of Human Papillomavirus DNA and mRNA Testing Strategies for Women with and without Cervical Neoplasia ▿

In the present study we investigated the cross-sectional positivity for DNA and E6/E7 mRNA from high-risk human papillomavirus (HPV) types in 643 women with high-grade cervical neoplasia (135 cases of cervical intraepithelial neoplasia grade 2 [CIN2], 495 cases of CIN3/adenocarcinoma in situ [ACIS], and 13 cases of invasive carcinoma) and in 736 women with normal cytology by using the Amplicor and PreTect HPV-Proofer assays. In addition, genotyping was performed using Linear Array for women with normal cytology and a positive HPV test and in all women with histologically confirmed CIN2+. In women with normal cytology, 8.3% (61/736) were Amplicor positive and 3.3% (24/736) were PreTect HPV-Proofer positive (P < 0.001). Concordant results between the Amplicor and PreTect HPV-Proofer tests were present in 90.3% (665/736). In women with CIN2+ lesions 96.4% (620/643) were positive by Amplicor, 98.4% (633/643) by linear array, and 64.1% (412/643) by PreTect HPV-Proofer. Concordant results for the three HPV assays were present in 63.8%. The genotype profile detected by linear array and PreTect HPV-Proofer showed substantial agreement for HPV types 16, 18, 33, and 45. HPV type 16 and/or 18 was detected in 58.8% (378/643) of the women with high-grade neoplasia. Detection of E6/E7 mRNA by PreTect HPV-Proofer increased with severity of the cervical lesion. Detection of HPV DNA, however, was not associated with histology grade. In conclusion, the detection of HPV varied according to the assay used, and the concordance between the tests was poor. Our results indicate that mRNA testing may be a biomarker for progression of cervical neoplasia, but the optimal genotype mix remains to be determined

Delineation of the Genera Struvea Bonder and Phyllodictyon J. E. Gray (Cladophorales, Chlorophyta)

Plants of the stalked, net-forming green alga Struvea plumosa Sender, the type species of the genus Struvea , divide segregatively at every stage of their multicellular differentiation. The segregative process results in virtually simultaneous internal cleavage of the cytoplasts of parent axes or laterals into uniseriate series of nearly identically sized daughter cells m which intercalary cross-wall formation never takes place. Several branch orders result through a repeated process by which each daughter cell produces a pair of opposite protrusions at its distal end; the protruded arms subsequently undergo segregative divisions themselves after reaching a sufficient length. Struvea elegans BØrgesen is seemingly the only other member of the genus in which the thallus divides by this segregative process. The remaining species appear to lack segregative cell division, their septation resulting from non-synchronous, centripetal wall ingrowths that divide parent cells into more or less equal halves. Intercalary cell divisions are common, this process being easily seen in the most widely distributed member of the genus, Struvea anastomosans (Harv.) Pice, et Grunov ex Pice. Phyllodictyon J. E. Gray, based on Phyllodictyon putcherrimum. is currently considered a synonym of Struvea but should be reinstated to accommodate those former species of Struvea that have Cladophoratype. as opposed to segregative, cell division. Although the two genera thus differ substantially in their modes of cytokinesis and are assumed to represent independent developmental lines, both Struvea and Phyllodictyon are assigned to the Cladophorales on the basis of molecular studies by others showing that recognition of the separate order Siphonocladales renders the Cladophorales paraphyletic.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74104/1/j.1440-1835.1996.tb00042.x.pd