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摘要:
目的 探讨ER、Bcl-2蛋白在不同程度宫颈病变中的相关性及意义。 方法 免疫组织化学检测慢性宫颈炎20例、低度宫颈上皮内瘤变30例、高度宫颈上皮内瘤变70例及80例宫颈癌组织中ER和Bcl-2蛋白的表达。 结果 ER在慢性宫颈炎组中阳性率为75%，随着宫颈病变程度的加重，其表达率逐渐降低（χ2=24.266，P < 0.01），与慢性宫颈炎组比较，CINⅡ~Ⅲ组和宫颈鳞癌组差异有统计学意义，CINⅠ组差异无统计学意义（χ2=0.751，P=0.386）。与肿瘤组织类型及病理分级无关；BCL-2在宫颈鳞癌组中阳性率为75.38%，随着宫颈病变程度的加重，其表达率逐渐增高（χ2=27.715，P < 0.01），与慢性宫颈炎组比较，CINⅠ组、CINⅡ~ Ⅲ组及宫颈鳞癌组差异均有统计学意义。与宫颈鳞癌病理分级相关（χ2=4.862，P=0.027），与肿瘤组织类型无关（P=0.500）；CIN Ⅱ~Ⅲ组中联合表达阳性率为38.57%（27/70），宫颈鳞癌组中联合表达阳性率为15.38%（10/65），差异具有统计学意义（χ2=9.108，P=0.003）。CINⅡ~Ⅲ组中ER与Bcl-2蛋白表达存在相关（r=0.506，P < 0.01），其余组中无相关关系。 结论 在宫颈病变的进展中，ER和Bcl-2表达呈相反趋势，在CINⅡ~Ⅲ组中有相关性，联合表达阳性可能是宫颈高度上皮内瘤变发生的主要机制之一。 Abstract:Objective This study aimed to investigate the relationship between estrogen receptor (ER) and Bcl-2 in cervical cancer and precancerous lesions. Methods ER and Bcl-2 were evaluated by immunohistochemistry in 20 non-tumor tissues, 30 low-grade cervical intraepithelial neoplasias, 70 high-grade cervical intraepithelial neoplasias, and 80 cervical cancers. Results The positive rate of ER was 75% in non-tumor tissues; this rate decreased with disease severity (χ2=24.266, P < 0.01). The overexpression of ER protein was remarkably lower in cervical intraepithelial neoplasias (CIN) Ⅱ-Ⅲ and carcinomas than in non-tumorous cervices. Differences were not significant between CINⅠ and non-tumorous cervices (χ2=0.751, P=0.386). Furthermore, ER expression was not correlated with histological type and tumor grade. The positive rate of Bcl-2 was 75.38% in squamous cell carcinoma. This rate increased with disease severity (χ2=27.715, P < 0.01). The Bcl-2 protein overexpression was remarkably higher in CINⅠ, CIN Ⅱ-Ⅲ, and carcinomas than in non-tumorous cervices. Bcl-2 expression was also not correlated with histological type (P=0.500); by comparison, Bcl-2 expression was correlated with tumor pathological grade (χ2=4.862, P=0.027). The co-expression of ER and Bcl-2 was 38.57% and 15.38% in CIN Ⅱ-Ⅲand squamous cell carcinoma, respectively; the differences between these two values were significant (χ2=9.108, P=0.003). A correlation between ER and Bcl-2 was observed in CIN Ⅱ-Ⅲ (r=0.506, P < 0.01); no correlation was observed between other groups. Conclusion ER expression was inversely correlated with Bcl-2 in cervical cancer progression. The co-expression of these markers may have an important function in the course of high-grade cervical intraepithelial neoplasia. -
Key words:
- cervical cancer /
- cervical intraepithelial neoplasm /
- estrogen receptor /
- Bcl-2 protein
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图 1 ER和Bcl-2蛋白在不同宫颈病变组织中的表达（ISH×200）
A-F：ER expression in different degrees of cervical lesions. A：Normal cervical tissue；B：CINⅠ；C：CINⅢ；D：Carcinoma in situ with glandular involvement；E：squamous cell carcinoma of uterine cervix；F：Adenocarcinoma of cervix；J：normal cervical tissue；H：Bcl-2 expression in squamous cell carcinoma of uterine cervix
Figure 1. ER and Bcl-2 expressions in different degrees of cervical lesions(ISH×200)
表 1 ER和Bcl-2在不同宫颈病变组织中的表达
Table 1. ER and Bcl-2 expression among different degrees of cervical lesions
表 2 ER和Bcl-2在不同类型宫颈癌组织中的表达
Table 2. ER and Bcl-2 expression among different degrees of cervical cancer lesions
表 3 ER与Bcl-2在不同宫颈病变组织中阳性表达的相关比较
Table 3. Comparison of ER and Bcl-2 expression among different degrees of cervical lesions
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