Abstract:
OBJECTIVE To explore the relationships between micro ribonucleic acid (miR)-199, miR-362-3p and miR-195 and clinical stages, degrees of morphologic differentiation and lymph node metastasis in cervical cancer patients with human papillomavirus (HPV) infection, so as to provide references for early prevention.
METHODS A total of 169 cervical cancer patients with HPV-infection admitted to Wuhan Eighth Hospital (Wuhan Colorectal Hospital) from Jul. 2021 to Jan. 2024 were selected as the positive group, 175 without HPV as the negative group, and another 187 with benign cervical diseases in the same period were as the control group. The levels of miR-199, miR-362-3p and miR-195 were compared among the three groups, and among different clinical stages, degrees of morphologic differentiation and conditions of lymph node metastatic in the positive group. Spearman measure was used to analyze the correlations.
RESULTS miR-199, miR-362-3p and miR-195 levels in the positive group were (0.83±0.22), (1.39±0.34) and (0.74±0.20), respectively, which were the lowest in the three groups, and followed by the negative and control group (P < 0.05); miR-199, miR-362-3p and miR-195 levels in stage Ⅲ-Ⅳ of cancer were the lowest in the three stages and followed by those in stage Ⅱ and stage Ⅰ (P < 0.05); their levels in patients with low-differentiated cancer were lower than those in medium/high differentiated cancer (P < 0.05); and levels of three indicators in cervical cancer patients with lymph node metastasis were lower than those in patients without lymph node metastasis (P < 0.05). miR-199, miR-362-3p and miR-195 were negatively correlated with clinical stage progression and lymph node metastasis (r=-0.657, -0.704, -0.715 and -0.685, -0.752, -0.746, respectively, all P < 0.05), and positively correlated with the degree of morphologic differentiation (r=0.699, 0.744, 0.765, respectively, all P < 0.05).
CONCLUSION miR-199, miR-362-3p and miR-195 express lowly in the cervical tissues of HPV-infected cervical cancer patients and their levels are related to the progression of clinical stages, morphologic differentiation degrees and lymph node metastasis.