Expression of Bmi-1,P16,and CD44v6 in Uterine Cervical Carcinoma and Its Clinical Significance

Objective Bmi-1,a putative proto-oncogene,is a core member of the polycomb gene family,which is expressed in many human tumors.The pl6 protein negatively regulated cell proliferation,whereas CD44v6 is associated with proliferation as an important protein.Additionally,CD44v6 is an important nuclear antigen closely correlated to tumor metastasis.The present study aims to investigate the expression and significance of Bmi-1,pl6,and CD44v6 in uterine cervical carcinoma(UCC). Methods A total of 62 UCC,30 cervical neoplasic,and 20 normal cervical mucosal tissues were used in the current study.The expression of Bmi-1,pl6,and CD44v6 in these tissues was determined using immunohistochemical assay.The relationships among the expression of these indices,the clinicopathologic features of UCC,and the survival rate of UCC patients were also discussed.The correlation between Bmi-1 protein expression and pl6 or CD44v6 protein in UCC was analyzed. Results The expression of Bmi-1,p16,and CD44v6 was significantly high in cervical carcinoma compared with that in the cervical neoplasia and normal colorectal mucosa(P<0.05).The over-expression of Bmi-1 protein in UCC was apparently related to the distant metastasis(P<0.01) and the tumor,nodes and metastasis-classification,i.e.the TNM staging,World Health Organization(P<0.05). Nevertheless,the positive expression of pl6 protein in UCC was not significantly associated with the clinicopathologic features (P>0.05).The Kaplan-Meier survival analysis showed that the over-expression of Bmi-1 significantly decreased the survival rate of UCC patients(P<0.05).A strong correlation indicated that there was statistical significance between the expression of Bmi-1 and CD44V6 proteins in UCC(r=0.419,P<0.001). Conclusions The over-expression of Bmi-1 and CD44v6 protein closely correlate to the tumorigenesis,metastasis,and prognosis of UCC.Bmi-1 and CD44v6 may be used to predict the prognosis of cervical carcinoma.Bmi-1 may indirectly regulate the expression of CD44v6 in UCC patients.The positive expression of p16 protein is possibly associated with the tumorigenesis,but not with the metastasis or prognosis of UCC.

Clinical Significance of CENP-H Expression in Uterine Cervical Cancer

Objective This work aims to investigate the expression pattern and clinicopathologic significance of centromere protein H(CENP-H) in uterine cervical cancer(UCC). Methods The level of CENP-H expression in the paraffin sections of 62 UCC cases was determined by the SP immunohistochemical method,with complete clinicopathologic data in all cases.Statistical analysis was conducted to evaluate the prognostic and diagnostic significance of CENP-H using SPSS13.0 software package. Results Immunohistochemical assay showed strong CENP-H expression in 61.29% (38/62) of the paraffin-embedded cervical cancer tissues.Statistical analysis revealed a strong correlation between the CENP-H expression and the clinical classification(P=0.038) of the cervical carcinoma.The expression increased with rise of the stages.The analysis of Cox proportional hazards regression model suggested that CENP-H expression(P=0.002) and tumor stage(P=0.001) were independent prognostic markers for the survival of UCC patients.The survival analysis showed that the survival rate was significantly lower in patients with high expression of CENP-H than in those with low expression of CENP-H(P=0.001). Conclusions CENP-H is likely to be a valuable marker for carcinogenesis and progression of UCC.It might be used as the important diagnostic and prognostic marker for cervical carcinoma patients,especially for those at early stage.