宫颈癌并发人乳头瘤病毒感染癌症组织FHIT和C-myc研究

FHIT and C-myc in cancer tissues of cervical cancer patients complicated with human papillomavirus infection

  • 摘要: 目的 探讨宫颈癌并发高危型人乳头瘤病毒(HPV)感染妇女的癌症组织脆性组氨酸三联体基因(FHIT)、癌基因C-myc蛋白表达水平。方法 选取内蒙古医科大学附属医院2016年5月-2018年5月收治的宫颈癌患者为宫颈癌组;宫颈上皮内瘤变(CIN)患者为CIN组;因子宫良性病变行子宫切除术的患者为对照组。比较所有标本中FHIT、C-myc蛋白表达情况以及HPV亚型。结果 CIN组和宫颈癌组FHIT阳性率低于对照组(P<0.05),C-myc阳性率高于对照组(P<0.05);宫颈癌组FHIT阳性率低于CIN组(P<0.05)。宫颈癌组高危亚型HPV感染率高于CIN组和对照组(P<0.05)。宫颈癌患者癌组织中FHIT阳性表达与组织分化程度、卵巢癌分期(FIGO)和高危亚型HPV感染有关(P<0.05);C-myc阳性表达与组织分化程度、病理类型、FIGO分期、淋巴结转移和高危亚型HPV感染有关(P<0.05)。结论 合并高危亚型HPV感染的宫颈癌患者癌组织中C-myc表达上调,FHIT表达下调,提示可能对于宫颈癌的诊断有一定意义。

     

    Abstract: OBJECTIVE To explore the expression of fragile histidine triad (FHIT) gene and protooncogene(C-myc)in cancer tissues of cervical cancer women complicated with high-risk human papillomavirus (HPV) infection. METHODS The patients with cervical cancer who were treated in the Affiliated Hospital of Neimenggu Medical University from May 2016 to May 2018 were chosen as the cervical cancer group, the patients who had cervical intraepithelial neoplasia (CIN) were assigned as the CIN group, and the patients who received hysterectomy due to benign uterine lesions were set as the control group. The levels of FHIT and C-myc proteins in the specimens as well as the HPV subtypes were observed. RESULTS The positive rate of FHIT was significantly lower in the CIN group and the cervical cancer group than in the control group (P<0.05), the positive rate of C-myc was significantly higher in the CIN group and the cervical cancer group than in the control group (P<0.05); the positive rate of FHIT of the cervical cancer group was significantly lower than that of the CIN group (P<0.05). The incidence rate of high-risk HPV infection of the cervical cancer group was significantly higher than that of the CIN group and the control group (P<0.05). The positive expression of FHIT in cancer tissues of the cervical cancer patients was associated with the histological differentiation degree, FIGO stage and high-risk HPV infection (P<0.05). The positive expression of C-myc was associated with the histolgical differentiation degree, pathological types, FIGO stage, lymph mode metastasis and high-risk HPV infection (P<0.05). CONCLUSION The expression of C-myc is up-regulated and the expression of FHIT is down-regulated in the cancer tissues of the cervical cancer patients complicated with high-risk HPV infection, indicating that they have certain significance in diagnosis of cervical cancer.

     

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