高危型人乳头状瘤病毒感染及P53蛋白与乳腺癌患者的关联性分析

Association analysis between high-risk human papillomavirus infection, P53 protein and breast cancer

  • 摘要: 目的 探讨高危型人乳头状瘤病毒(HPV)感染、P53蛋白与乳腺癌患者的关联性。方法 自2014年1月-2016年1月,前瞻性收集乳腺癌患者60例为研究组,同期收集乳腺增生患者60例为对照组,检测乳腺癌组织和乳腺增生组织中高危型HPV感染情况和P53蛋白表达水平,分析高危型HPV感染与P53、乳腺癌临床参数的关联性。结果 研究组患者HPV16和HPV18感染率分别为20.00%和23.33%,显著高于对照组患者3.33%和3.33%,差异有统计学意义(P<0.05),两组患者31、33、35、39、45、51、52、56、58、59和68等HPV基因型感染率差异无统计学意义;HPV阳性乳腺癌患者阳性率比P53蛋白阳性患者阳性率显著降低;HPV阳性患者淋巴结转移率显著高于HPV阴性患者,HPV感染与TNM分期和肿瘤大小无显著关联性。结论 乳腺癌患者高危型HPV感染与P53蛋白和淋巴结转移相关。

     

    Abstract: OBJECTIVE To investigate the correlation between high-risk human papillomavirus (HPV) infection, P53 protein and breast cancer. METHODS From Jan. 2014 to Jan. 2016, a total of 60 cases of breast cancer patients were prospectively collected as study group, while 60 patients with cyclomastopathy were enrolled in this study as control group. The high-risk gene types of HPV infection and expression of P53 protein in both breast cancer tissue and cyclomastopathy tissue were detected. Moreover, the association between high-risk HPV infection and P53 protein and the clinical parameters of breast cancer were analyzed. RESULTS The infection rates of HPV16 and HPV18 in study group were 20.00% and 23.33%, which were significantly higher than those of control group of 3.33% and 3.33% (P<0.05). There was no significant difference in the infection rates of 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68 HPV genotypes between the two groups. The positive rate of P53 protein in HPV positive breast cancer patients was significantly lower. The lymph node metastasis rate of HPV positive patients was significantly higher than that of HPV negative patients. There was no significant correlation between HPV infection and TNM stage and tumor size. CONCLUSION High-risk HPV infection is associated with P53 protein and lymph node metastasis in patients with breast cancer.

     

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