PMID- 15981811 OWN - NLM STAT- MEDLINE DCOM- 20050719 LR - 20131121 IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 123 IP - 5 DP - 2005 May TI - High-throughput cervical cancer screening using intracellular human papillomavirus E6 and E7 mRNA quantification by flow cytometry. PG - 716-23 AB - The Papanicolaou (Pap) test, based solely on the morphologic examination of exfoliated cells from the cervix, has reduced deaths due to cervical cancer by 74% in the United States during the past 40 years. During that time, the molecular mechanisms of cervical cancer have largely been elucidated. Taken together, these observations have identified a need for a high-throughput cervical cancer screening assay. We report the development of a high-throughput assay consisting of simultaneous immunophenotyping and ultrasensitive in situ hybridization for human papillomavirus (HPV) E6 and E7 messenger RNA (mRNA). This assay can be performed in less than 3 hours directly from liquid-based cervical cytology specimens. Overall, HPV fluorescence in situ hybridization (FISH) for E6 and E7 mRNA demonstrated 83.3% sensitivity and 91.3% specificity for high-grade squamous intraepithelial lesions compared with the Pap test in 231 liquid-based cytology samples from 2 cohorts. In a subset of these samples, HPV FISH demonstrated higher sensitivity and specificity than Hybrid Capture (Digene, Gaithersburg, MD) for high-risk genotypes. FAU - Narimatsu, Roberto AU - Narimatsu R AD - Department of Pathology and Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, CA 94305-5629, USA. FAU - Patterson, Bruce K AU - Patterson BK LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (E6 protein, Human papillomavirus type 16) RN - 0 (Oncogene Proteins, Viral) RN - 0 (Papillomavirus E7 Proteins) RN - 0 (RNA, Messenger) RN - 0 (RNA, Viral) RN - 0 (Repressor Proteins) RN - 0 (oncogene protein E7, Human papillomavirus type 16) SB - IM MH - Female MH - Flow Cytometry/*methods MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Mass Screening/*methods MH - Oncogene Proteins, Viral/*genetics/metabolism MH - Papanicolaou Test MH - Papillomaviridae/genetics/*isolation & purification MH - Papillomavirus E7 Proteins MH - Papillomavirus Infections/*diagnosis MH - RNA, Messenger/analysis MH - RNA, Viral/isolation & purification/*metabolism MH - Repressor Proteins/genetics/metabolism MH - Sensitivity and Specificity MH - *Uterine Cervical Neoplasms/diagnosis/metabolism/virology MH - Vaginal Smears/instrumentation/methods EDAT- 2005/06/29 09:00 MHDA- 2005/07/20 09:00 CRDT- 2005/06/29 09:00 PHST- 2005/06/29 09:00 [pubmed] PHST- 2005/07/20 09:00 [medline] PHST- 2005/06/29 09:00 [entrez] PST - ppublish SO - Am J Clin Pathol. 2005 May;123(5):716-23.