文章摘要
李玲 马燕玲 马华玲 张文娟 郑明军.E-cadherin 在宫颈上皮内瘤变及宫颈癌中的表达及其与高危型HPV感染的相关性[J].,2017,17(6):1090-1093
E-cadherin 在宫颈上皮内瘤变及宫颈癌中的表达及其与高危型HPV感染的相关性
Expression of E-cadherin in Cervical Cancer and Cervical intraepithelialNeoplasia and Its Correlation with High Risk HPV Infection
  
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中文关键词: 宫颈上皮内瘤变  宫颈癌  E-cadherin  高危型人乳头瘤病毒  PCR-反向点杂交法
英文关键词: Cervical intraepithelial neoplasia  Cervical cancer  E-cadherin  High risk human papillomavirus  PCR- reverse dot blot hybridization method
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李玲 马燕玲 马华玲 张文娟 郑明军 华润武钢总医院病理科华中科技大学同济医学院附属协和医院呼吸内科 
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中文摘要:
      目的:研究各级宫颈上皮内瘤变(CIN) 及宫颈癌组织中E-cadherin 的表达及其与高危型人乳头瘤病毒(high risk human papillomavirus,HR-HPV)感染的相关性,探讨其在宫颈疾病发生、发展中的意义。方法:选取2008 年1 月至2014 年12月我院收 治的150 例患者标本,并将其分为CINⅠ级组、CINⅡ-Ⅲ级组及宫颈癌组,用免疫组化法对E-cadherin 的表达情况进行检测,并于 术前采用PCR-反向点杂交法检测患者高危型HPV 感染情况,所得结果进行统计学分析。结果:(1)E-cadherin 在CINⅠ级、CINⅡ -Ⅲ级及宫颈癌中的阳性表达率分别为40/50(80.0 %)、24/50(48.0 %)、17/50(34.0 %),随疾病的进展E-cadherin 的表达明显减少,各 组间差异有统计学意义(P<0.05)。(2)高危型HPV在CINI 级、CINⅡ-Ⅲ级及宫颈癌中的阳性感染率分别为21/50(42.0 %)、38/50 (76.0 %)、48/50(96.0 %),各组间差异有统计学意义(P<0.05)。(3)在CIN 和宫颈癌中,HR-HPV 阳性组中E-cadherin 阳性率39.3 % (42/107)低于HR-HPV 阴性组中E-cadherin 阳性率90.7 %(39/43)(P<0.05)。结论:E-cadherin 的表达下降或缺失可能是HR-HPV 导 致宫颈癌发生、发展的机制之一。
英文摘要:
      Objective:To study the expession of E-cadherin, high risk human papillomavirus (HR-HPV) in cervical cancer and pre-malignant lesion, and discuss the role of them in occurrence and development of cervical cancer.Methods:From January 2008 to December 2014, 150 cases of cervical cance and pre-malignant lesion were collected. Cervical tissues were divided into CIN grade I group, CIN grade II -III group and cervical cancer group. The expressions of E-cadherin were detected by immunohistochemical method, the high-risk HPV infection in the patients were detected by PCR-reverse dot blot hybridization method, and the statistical analysis was performed.Results:(1) The positive expression of E-cadherin in groups were respectively 80.0 %, 48.0 %, 34.0 %. There were significant differences in CIN grade I, CIN II-III and cervical cancer groups (P<0.05); The expression of E-cadherin was significantly decreased with the progression of disease, and there were significant differences between the groups (P<0.05). (2) Positive infection rate of HR-HPV in CIN grade I, CIN II-III and cervical cancer groups were 42.0 %, 76.0 %, 96.0 %. There were significant differences between the groups (P<0.05). (3) In CIN and cervical cancer, the positive rate of E-cadherin in HR-HPV positive group was 39.3% (42/107) lower than that in HR-HPV negative group was 90.7%(39/43) (P<0.05); In CIN and cervical cancer, The expression of E-cadherin was negatively correlated with high risk type HPV infection.Conclusion:The decrease or loss of E-cadherin expression may be one of the mechanisms of HR-HPV in the genesis and development of cervical cancer.
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