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p16、微型染色体维持蛋白 2、Ki-67 在宫颈鳞状 上皮内病变的表达与意义
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R737.33

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基金项目:吉安市科技计划项目 [ 吉安市科计字(2019)8 号 -89]。


Expression and significance of p16, mini-chromosome maintenance protein 2 and Ki-67 in cervical squamous intraepithelial lesions
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    摘要:

    目的 检测子宫颈鳞状上皮内病变(SIL)组织中p16、微型染色体维持蛋白2(MCM2)、Ki-67的表达,分析三者阳性表达的关系, 为疾病的临床诊断与治疗提供依据。方法 回顾性分析吉安市妇幼保健院 2017 年 7 月至 2019 年 10 月收治的 240 例宫颈上皮内瘤变(CIN) 患者(CIN Ⅰ级患者 130 例,CIN Ⅱ ~ Ⅲ级 110 例患者)、50 例慢性宫颈炎患者及 20 例宫颈浸润性鳞癌患者的临床资料。采集各患者 宫颈活检组织,进行 SP 法免疫组织化学染色,检测各患者子宫颈病理组织 p16、MCM2、Ki-67 的表达情况,分析 p16、MCM2、Ki-67 阳性表达的相关性。结果 CIN Ⅰ级、CIN Ⅱ ~ Ⅲ级、浸润性鳞癌患者病理组织中 p16、MCM2、Ki-67 阳性表达率均显著高于慢性宫颈 炎患者,且 CIN Ⅱ ~ Ⅲ级、浸润性鳞癌患者显著高于 CIN Ⅰ级患者;Spearman 相关性分析显示,p16 与 MCM2 阳性表达呈正相关关系 (r = 0.691);p16 与 Ki-67 阳性表达呈正相关(r = 0.556 );MCM2 与 Ki-67 阳性表达呈正相关(r = 0.676)(均P < 0.05)。结论 在 慢性宫颈炎患者、CIN 患者及浸润性鳞癌患者宫颈组织中 p16、MCM2、Ki-67 均异常高表达,且三者阳性表达与疾病严重程度正相关, p16、MCM2、Ki-67 三者阳性表达也具有显著正相关性,可将其作为 SIL 诊断的分子标志物。

    Abstract:

    Objective To detect the expression of p16, mini-chromosome maintenance protein 2 (MCM2) and Ki-67 in cervical squamous intraepithelial lesion (SIL) tissue, and analyze the relationship between the positive expressions among the three, provide basis for clinical diagnosis and treatment of diseases. Methods Retrospectively analysed of the clinical datas of the 240 cases patients with cervical intraepithelial neoplasia (CIN) (130 patients with CIN Ⅰ grade, 110 patients with CIN Ⅱ?~Ⅲgrade), 50 patients with chronic cervicitis and 20 patients with invasive squamous cell carcinoma of cervix, who admitted to Ji'an Maternity and Child Health Hospital from July 2017 to October 2019. The cervical biopsy tissues of each patient were collected and subjected to SP immunohistochemical staining, the expression of p16, MCM2, and Ki-67 in the cervical pathological tissues of each patient were detected, and analyze the correlation of the positive expression of p16, MCM2, and Ki-67. Results The positive expression rates of p16, MCM2, and Ki-67 in the pathological tissues of patients with CIN grade Ⅰ, CIN grade Ⅱ?~Ⅲ, and invasive squamous cell carcinoma of cervix were significantly higher than those of chronic cervix inflammation patients, and patients with CIN grade Ⅱ?~ Ⅲ , invasive squamous cell carcinoma of cervix were significantly higher than patients with CIN grade Ⅰ ; Spearman correlation analysis showed that, the positive expression of p16 and MCM2 were positively correlated (r =0.691); the positive expression of p16 and Ki-67 were positively correlated (r =0.556); the positive expression of MCM2 and Ki-67 were positively correlated (r =0.676) (all P <0.05). Conclusion p16, MCM2, and Ki-67 in patients with chronic cervicitis, CIN patients and patients with invasive squamous cell carcinoma of cervix are all abnormally highly expressed, and the positive expression of p16, MCM2, and Ki-67 positively correlated with the severity of the disease, p16, MCM2, and Ki-67 positive expression also has a significant positive correlation, which can be used as the molecular markers for SIL diagnosis.

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  • 在线发布日期: 2022-08-23
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