郑兴征, 杨安强, 潘晓琳, 郑莉莉, 李洪安, 李锋, 陆天才. HPV16感染p53及MDM2蛋白表达在宫颈癌中的意义[J]. 中国肿瘤临床, 2007, 34(18): 1029-1032.
引用本文: 郑兴征, 杨安强, 潘晓琳, 郑莉莉, 李洪安, 李锋, 陆天才. HPV16感染p53及MDM2蛋白表达在宫颈癌中的意义[J]. 中国肿瘤临床, 2007, 34(18): 1029-1032.
Zheng Xingzheng, Yang Anqiang, Pan Xiaolin, Zheng Lili, Li Hongan, Li Feng Lu Tiancai, . HPV16 Infection and Expression of p53 and MDM2 Protein in Cervical Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(18): 1029-1032.
Citation: Zheng Xingzheng, Yang Anqiang, Pan Xiaolin, Zheng Lili, Li Hongan, Li Feng Lu Tiancai, . HPV16 Infection and Expression of p53 and MDM2 Protein in Cervical Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(18): 1029-1032.

HPV16感染p53及MDM2蛋白表达在宫颈癌中的意义

HPV16 Infection and Expression of p53 and MDM2 Protein in Cervical Carcinoma

  • 摘要: 目的 :检测新疆维吾尔族(维族)宫颈癌中HPV16感染、p53和MDM2蛋白表达情况,探讨三者在宫颈癌致癌机制中的相互作用及意义。 方法 :应用半巢式PCR及免疫组化方法检测79例宫颈鳞癌(实验组)、40例正常宫颈组织(对照组)中HPV16DNA和p53、MDM2蛋白表达。 结果 :1)实验组中HPV16DNA检出率为81.0%(64/79),高于对照组7.5%(3/40),两组比较有显著性差异(χ2=58.328,P=0.000)。2)实验组中p53蛋白表达率为68.4%(54/79),高于对照组12.5%(5/40),两组比较有显著性差异(χ2=33.140,P=0.000)。3)实验组中MDM2蛋白表达率为39.2%(31/79),高于对照组10.0%(4/40),差异有显著性(χ2=10.936,P=0.001)。 结论 :对HPV感染和p53、MDM2蛋白表达关系的分析显示,在大多数HPV阳性的宫颈癌中p53和MDM2蛋白表达一致,其相互作用在宫颈癌的发生、发展中具有重要意义;在HPV阴性的宫颈癌中,可能主要由MDM2基因通过p53依赖和p53非依赖两条途径发挥致癌作用。另外,HPV、p53和MDM2也可能各自具有独立的致癌作用。

     

    Abstract: Objective :To investigate the status of HPV16 infection, the expression of p53 and MDM2 proteins and to explore the contribution of these factors to the development of cervical carcino-ma among Uigur women. Methods :HPV16 DNA was detected with semi-nested PCR in cervical tis-sues obtained from 79 patients with squamous cervical carcinoma and 40 control patients with normalcervical tissue. MDM2 and p53 protein expression was assessed by immunohistochemistry with the samesample set. Results :1) HPV16 DNA was detected in 64 cervical carcinoma samples (81.0%) and 3 nor-mal tissues (7.5%). The positive rate of HPV16 was significantly higher in patients with cervical carci-noma than in the control group (χ2 =58.328, P=0.000). 2) Expression of p53 protein was detected in 54squamous cervical carcinoma samples (68.4%) and its level was higher in those samples than in thecontrol group (5 positives, 12.5%, χ2 =33.140, P=0.000). 3) The expression of MDM2 protein was ob-served in 31 squamous cervical carcinoma samples (39.2%) and its level was significantly higher thanthat found in the control group (4 positives, 10.0%, χ2 =10.936, P=0.001). Conclusion :The associationbetween HPV infection and protein expression of p53 and MDM2 reveals that the interaction betweenthe three is important in the development of HPV-positive cervical carcinoma. With regard to the de-velopment of HPV-negative cervical carcinoma, MDM2 may play a role through a p53-dependent orp53-independent pathway. In addition, HPV, p53 and MDM2 may be independently associated with thecarcinogenesis of cervical carcinoma.

     

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