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山东大学学报(医学版)

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IGFBP-5及cFLIP在宫颈上皮内瘤变及宫颈癌组织中的表达及意义

侯雪晶,刘 昕,乔云波,张友忠   

  1. 山东大学齐鲁医院妇产科, 济南 250012
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-07-16 发布日期:2008-07-16
  • 通讯作者: 张友忠

Expressions of IGFBP-5 and cFLIP in cervical intraepithelial neoplasia and cervical carcinoma and their clinical significances

HOU Xue-jing, LIU Xin, QIAO Yun-bo, ZHANG You-zhong   

  1. Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-07-16 Published:2008-07-16
  • Contact: ZHANG You-zhong

摘要:

目的〓〖HTK〗研究胰岛素样生长因子结合蛋白-5 (IGFBP-5)、细胞型Fas相关死亡结构域蛋白样白介素-1β转换酶抑制蛋白(cFLIP)及高危型人乳头瘤病毒(HPV)在宫颈癌和宫颈上内瘤变(CIN)组织中的表达,并探讨其临床意义。〖HTW〗方法〓〖HTK〗采用RT-PCR及免疫组织化学SP法检测28例正常宫颈组织、37例CIN、40例宫颈癌组织中IGFBP-5、cFLIP表达,二代杂交捕获法检测上述患者宫颈分泌物中高危型HPV DNA。〖HTW〗结果〓〖HTK〗IGFBP-5蛋白在正常组织、CIN、宫颈癌中表达差异有统计学意义(P<0.05),在CINⅡ/Ⅲ组达高峰,在宫颈浸润癌中IGFBP-5表达下降,且与临床分期、病理分化程度及淋巴结转移有关。IGFBP-5 mRNA在宫颈癌中高于正常织,但低于CIN组(P<0.05)。cFLIP蛋白及mRNA在正常组织未见表达,在CIN及宫颈癌中随病变程度加深而表达量增加,各组表达差异有统计学意义(P<0.05)。HPV阳性率在CIN及宫颈癌中高于正常组(P<0.05)。〖HTW〗结论〓〖HTK〗IGFBP-5及cFLIP与宫颈病变的发展有关,可用于判断患者病情变化及预后。

关键词: 宫颈上皮内瘤样病变, 细胞型Fas相关死亡结构域蛋白样白介素-1β转换酶抑制蛋白, 宫颈肿瘤, 胰岛素样生长因子结合蛋白-5

Abstract:

Objective〓〖WTBZ〗To investigate the expression of insulin-like growth binding protein 5 (IGFBP-5), cellular fasassociated death domain-like interleukin-1β-converting enzyme-like inhibitory protein (cFLIP), and high risk-HPV in cervical intraepithelial neoplasia(CIN)and cervical carcinoma(CC)and to evaluate their clinical significances. 〖WTHZ〗Methods〓〖WTBZ〗Immunohistochemistry (SP) was used to determine the expressions of IGFBP-5 and cFLIP proteins in 28 normal cervical tissues, 37 CIN and 40 CC tissues, RT -PCR was used to determine the mRNA, and hybrid capture Ⅱ assay was usedto determine the high-risk HPV DNA. 〖WTHZ〗Results〓〖WTBZ〗IGFBP-5 protein significantly expressed in normal tissues, CIN and CC tissues, and it was the highest in CINⅡ/Ⅲ but it was decreased in CC tissues (P<0.05). IGFBP-5 protein expression had relationships with the clinical stage, cell differentiation and lymph node metastasis. However, IGFBP-5 mRNA expression was higher in the CC group than that in the control group but was lower than that in the CINⅡ/Ⅲ groups. cFLIP expression was not found in normal cervical tissues, but was gradually increased in the CIN and CC groups with an increase of pathological degree (P<0.05). 〖WTHZ〗Conclusion〓〖WTBZ〗IGFBP-5, cFLIP and HR-HPV play potential roles in CIN and CC, and could be used to evaluate the progression and prognosis.

Key words: Insulin-like growth binding protein 5, Cellular Fas-associated death domain-like interleukin-1β-converting enzyme -like inhibitory protein,
Cervix neoplasms,
Cervical intraepithelial neoplasia

中图分类号: 

  • R717.33
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