任占平, 石喆, 杜娟, 陈蔚麟, 唐德艳, 戴文斌. 乳腺癌组织中HPV16 18E6及p53 MCM7蛋白的表达及意义[J]. 中国肿瘤临床, 2008, 35(6): 327-331.
引用本文: 任占平, 石喆, 杜娟, 陈蔚麟, 唐德艳, 戴文斌. 乳腺癌组织中HPV16 18E6及p53 MCM7蛋白的表达及意义[J]. 中国肿瘤临床, 2008, 35(6): 327-331.
REN Zhan-ping, SHI Zhe, DU Juan, CHEN Wei-lin, TANG De-yan, DAI Wen-bin. Expression of HPV16, 18E6, p53 and MCM7 Proteins in Breast Carcinoma and Its Significance[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(6): 327-331.
Citation: REN Zhan-ping, SHI Zhe, DU Juan, CHEN Wei-lin, TANG De-yan, DAI Wen-bin. Expression of HPV16, 18E6, p53 and MCM7 Proteins in Breast Carcinoma and Its Significance[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(6): 327-331.

乳腺癌组织中HPV16 18E6及p53 MCM7蛋白的表达及意义

Expression of HPV16, 18E6, p53 and MCM7 Proteins in Breast Carcinoma and Its Significance

  • 摘要: 目的: 探讨人乳腺癌及乳腺良性病变中高危型HPV16、18感染和细胞周期复制调控蛋白p53、MCM7异常表达与人乳腺癌发生、发展的关系。 方法: 采用免疫组织化学SP法,检测30例正常乳腺、30例乳腺腺病,55例乳腺癌、5例导管原位癌及其癌旁组织中HPV16、18E6,p53和MCM7蛋白的表达。 结果: 55例乳腺癌组织中HPV16、18E6,p53和MCM7蛋白的阳性表达率分别为58.18%、38.18%和96.36%,均显著高于正常组和腺病组(P<0.01、P<0.001、P<0.05)。浸润性导管癌HPV16、18E6阳性组中p53蛋白的阳性表达率显著低于HPV16、18E6阴性组(P<0.01)。HPV16、18E6与p53蛋白的表达呈负相关(r=-0.5769;P<0.001),而与MCM7蛋白表达呈正相关(r=0.5442;P<0.001)。MCM7蛋白的阳性表达率与浸润性导管癌组织学分级、淋巴结转移和肿块直径有关(P<0.01、P<0.03、P<0.01)。 结论: 高危型HPV16、18E6感染后p53功能的失活和MCM7蛋白的高表达导致细胞周期复制调控异常,可能涉及了HPV感染后乳腺癌的发生、发展过程。MCM7的高表达与乳腺癌细胞的增殖、侵袭和转移有关。二者联合检测可作为评价HPV感染后乳腺上皮细胞的增殖状态、早期诊断和预测肿瘤生物学行为的重要指标。

     

    Abstract: Objective: To investigate the correlation between high risk HPV16 and HPV 18 infection and disorderof p53, MCM7 protein expression in breast cancer and benign breast diseases; and to explore the mechanisms involved inthe carcinogenesis and progression of breast cancer. Methods: We employed SP immunohistochemistry to detect the ex-pression of HPV16, 18E6, p53 and MCM7 in 55 cases of breast cancer, 5 cases of ductal carcinoma in situ and its cor-responding adjacent breast tissues, 30 cases of breast adenosis and 30 cases of normal breast tissues. Results: The ex-pression of HPV16, 18E6, p53 and MCM7 in the 55 cases of breast cancer were 58.18%, 38.18% and 96.36%, respec-tively, higher than those in normal breast tissues and breast adenosis (P<0.01, P<0.001, P<0.05). The expression of p53in groups with expression of HPV16 and 18E6 was lower than that in groups without HPV16 and 18E6 expression (P<0.001). The expression of HPV16 and 18E6 was negatively correlated with the expression of p53 (r=0.5769, P<0.001),but positively correlated with the expression of MCM7 (r=0.5442, P<0.001). In the group of invasive ductal carcinoma, theexpression MCM7 protein was associated with histological grading, axillary lymph node metastasis, and tumor size (P<0.01,P<0.03, P<0.01). Conclusion: High risk HPV16 and HPV 18 infection causes inactivation of p53 protein and high ex-pression of MCM7 protein, leading to disorder of cell cycle replication regulation, which may play an important role in thepathogenesis and progression of breast cancer. The high expression of MCM7 was associated with cell proliferation, inva-siveness and metastasis of invasive ductal carcinoma. The combined detection of HPV16, 18E6 and MCM7 protein is help-ful for evaluation of the epithelial proliferation and early diagnosis. It can also serve as a useful predictor for biological be-haviors and prognosis of breast cancer.

     

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