N^(6)-methyladenosine modification of CENPK mRNA by ZC3H13 promotes cervical cancer stemness and chemoresistance

Background:Stemness and chemoresistance contribute to cervical cancer recurrence and metastasis.In the current study,we determined the relevant players and role of N^(6)-methyladenine(m^(6)A)RNA methylation in cervical cancer progression.Methods:The roles of m^(6)A RNA methylation and centromere protein K(CENPK)in cervical cancer were analyzed using bioinformatics analysis.Methylated RNA immunoprecipitation was adopted to detect m^(6)A modification of CENPK mRNA.Human cervical cancer clinical samples,cell lines,and xenografts were used for analyzing gene expression and function.Immunofluorescence staining and the tumorsphere formation,clonogenic,MTT,and EdU assays were performed to determine cell stemness,chemoresistance,migration,invasion,and proliferation in HeLa and SiHa cells,respectively.Western blot analysis,co-immunoprecipitation,chromatin immunoprecipitation,and luciferase reporter,cycloheximide chase,and cell fractionation assays were performed to elucidate the underlying mechanism.Results:Bioinformatics analysis of public cancer datasets revealed firm links between m^(6)A modification patterns and cervical cancer prognosis,especially through ZC3H13-mediated m^(6)A modification of CENPK mRNA.CENPK expression was elevated in cervical cancer,associated with cancer recurrence,and independently predicts poor patient prognosis[hazard ratio=1.413,95%confidence interval=1.078−1.853,P=0.012].Silencing of CENPK prolonged the overall survival time of cervical cancer-bearing mice and improved the response of cervical cancer tumors to chemotherapy in vivo(P<0.001).We also showed that CENPK was directly bound to SOX6 and disrupted the interactions of CENPK withβ-catenin,which promotedβ-catenin expression and nuclear translocation,facilitated p53 ubiquitination,and led to activation of Wnt/β-catenin signaling,but suppression of the p53 pathway.This dysregulation ultimately enhanced the tumorigenic pathways required for cell stemness,DNA damage repair pathways necessary for cisplatin/carboplatin resistance,epithelial-mesenchymal transition involved in metastasis,and DNA replication that drove tumor cell proliferation.Conclusions:CENPK was shown to have an oncogenic role in cervical cancer and can thus serve as a prognostic indicator and novel target for cervical cancer treatment.

Human Papillomavirus 16E6 Oncogene Mutation in Cervical Cancer

Objective： Cervical cancer （CC） is the second most common type of cancer in women worldwide, after breast cancer. High-risk human papillomaviruses （HR-HPVs） are considered to be the major causes of cervical cancer. HPV16 is the most common type of HR-HPVs and HPV16 E6 gene is one of the major oncogenes. Specific mutations are considered as dangerous factors causing CC. This study was designed to find mutations of HPV16 E6 and the relationship between the mutations and the happening of CC. Methods： The tissue DNA was extracted from 15 biopsies of CC. Part of HPV16 E6 gene （nucleotide 201-523） was amplified by polymerase chain reaction （PCR） from the CC tissue DNA. The PCR fragments were sequenced and analyzed. Results： The result of PCR showed that the positive rate of HPV16 E6 was 93.33% （14/13）. After sequencing ana analyzing, in the 13 out of 14 PCR fragments, 4 maintained prototype （30.77%）, 8 had a same 350G mutation （61.54%）, and 1 had a 249G mutation （7.69%）. Conclusion： This study suggest that there is a high infection rate of HPV in cervical cancer and most of the HPV16 E6 gene has mutations. Those mutations may have an association with the development of cervical cancer.

m^(6)A modification promotes the proliferation and migration of cervical cancer and regulates the expression of PD-L1

Objective:To explore the effects of N6-methyladenine(m^(6)A)modification-related genes,methyltransferase 14(METTL14),and YTH domain family protein 1(YTHDF1),on the proliferation,migration and apoptosis capabilities of cervical cancer cells and investigate their correlation with programmed cell death-ligand 1(PD-L1)expression.Methods:The expression levels of METTL14,YTHDF1 and PD-L1 in cervical cancer tissues and normal cervical tissues were analyzed using immunohistochemistry.Small interfering RNA(siRNA)was used to knock down the expression of METTL14 and YTHDF1 genes in cervical cancer cells,and the knockdown efficiency was validated by real-time fluorescent quantitative PCR(qPCR).After knockdown of METTL14 and YTHDF1,cell proliferation was assessed by CCK-8 assay,cell migration was examined by Transwell assay,cell apoptosis was detected by flow cytometry,and PD-L1 mRNA and protein expression were evaluated using qPCR and Western blotting,respectively.Results:Immunohistochemistry results demonstrated high expression of METTL14,YTHDF1,and PD-L1 in cervical cancer tissues.Knockdown of METTL14 and YTHDF1 significantly inhibited the proliferation and migration capabilities of cervical cancer cells,increased apoptosis,and downregulated PD-L1 mRNA and protein expression levels.Conclusion:m^(6)A methylation modification can affect the proliferation,migration and apoptosis of cervical cancer cells by regulating the expression of PD-L1 in cervical cancer cells.

HPV16 E6 gene mutation promotes the proliferation of cervical cancer cells by regulating the expression of BDNF/TrKB

Objective:Study on the mechanism of HPV16 E6 gene mutation promoting the proliferation of cervical cancer cells by influencing the expression of BDNF/TrkB.Methods:The expression levels of HPV16 E6 T350G,BDNF,TrkB and p53 mRNA in cervical cancer tissue samples and CINII cervical tissues were detected by Real-time PCR.HPV16 E6 T350G lentivirus(pLV5-HPV16 E6 T350G)and empty vector(pLV5-vector)were designed and constructed,and transfected with HCerEpiC cells,the expression levels of HPV16 E6 T350G,BDNF,TrKB and p53 mRNA were detected by Real-time PCR,and the expression levels of BDNF,TrKB,PI3K,pPI3K,AKT and pAKT protein were detected by western blot;cell proliferation was detected by MTT experiments.Results:Compared with cinii cervical tissue,HPV16 E6 T350G,BDNF and TrkB mRNA expression levels were all positive,while p53 mRNA expression was negative.After overexpression of HPV16 E6 T350G in HCerEpiC cells,it can up-regulate the expression levels of BDNF and TrKB protein and mRNA,and activate the PI3K/AKT signaling pathway which is the downstream of BDNF/TrKB,and reduce p53 protein expression levels;HPV16 E6 T350G overexpression can enhance the proliferation capacity of HCerEpiC cells.Conclusion:Overexpression of HPV16 E6 T350G can promote the proliferation of cervical cancer cells,which may be related to the upregulation of BDNF/TrKB expression,the activation of PI3K/AKT signaling pathway,and the decrease of p53 expression.

Detection of Human Papillomavirus DNA and E6/E7 mRNA from HPV Genotypes 16, 18, 31 and 33 in Histologically Confirmed Cases of Cervical Cancer and Precancerous Lesions in Burkina Faso

Introduction: Cervical cancer, caused by persistent high-risk human papillomavirus (HPV) infection, remains a global public health problem. The cellular transformation and maintenance of the malignant phenotype of these HPVs are attributed to the viral oncoproteins E6 and E7. Objective: This study aims to detect the presence of human papillomavirus DNA and E6/E7 oncoprotein mRNA of HPV genotypes 16, 18, 31 and 33 in cases of cervical cancer and precancerous lesions, histologically confirmed in Burkina Faso. Methods: This descriptive cross-sectional study focused on cases of cervical cancer and high-grade intraepithelial neoplasia (CIN) and was conducted from June to December 2022. One hundred (100) samples of fixed and paraffin-embedded tissues were collected from the pathological anatomy and cytology laboratories of hospitals in the capital of Burkina Faso. High-risk human papillomavirus (HR-HPV) DNA was detected using multiplex real-time PCR, while the presence of E6 and E7 mRNA in cervical cancer and high-grade CIN samples was determined using real-time Reverse Transcriptase-PCR (RT-PCR) with TaqMan probes. Results: The mean age of women diagnosed with cervical cancer and high-grade CIN was 50.81 ± 13.65 years, ranging from 22 to 82 years. Cervical cancer and high-grade CIN were positive for at least one high-risk human papillomavirus (HR-HPV) in 80% of cases. The most prevalent genotypes observed were HPV16, 18, 31, and 33, collectively accounting for 70.08% of cases. Of the 89 samples that tested positive for HR-HPV genotypes 16, 18, 31, and 33, 88 (98.88%;95% CI: [94.58 - 99.94]) were also positive for the presence of mRNA encoding the E6 and E7 oncoproteins of HPV16, 18, 31, and 33. Conclusion: In the presence of HPV DNA, testing for E6 and E7 oncoprotein mRNA could serve as a promising biomarker and valuable tool for improved assessment of the progression to cervical cancer.

Expressions of miRNA29 target genes CCND2 and CDK6 in cervical cancer

Objective: To study the expression of miRNA29 target genes recombinant cyclin D2 (CCND2) and cyclin-dependent kinase 6 (CDK6) in cervical squamous cell carcinoma tissues and their relationship with clinicopathological factors. Methods: Levels of mRNA of CCND2 and CDK6 in cervical squamous cell carcinoma tissues, cervical intraepithelial neoplasia (CIN) tissues and normal cervical tissues were detected by reverse transcription-polymerase chain reaction (RT-PCR). Results: There was a statistical difference in the expression of CCND2 (one of miRNA29 target genes) in normal cervical tissues, CIN tissues and cervical squamous cell carcinoma tissues (H = 29.27, p = .00), but there was no statistical difference in the expression of CDK6 (one of miRNA29 target genes) in them (H = 2.76, p = .25). CCND2 was positively correlated to CDK6 in CIN tissues (r = 0.58, p < .05). Conclusions: CCND2, one of miRNA29 target genes, may be involved in the occurrence and development of cervical cancer, but CDK6 is less relevant to the occurrence and development of cervical cancer;CCND2 and CDK6 may play a synergistic role in the occurrence and development of CIN.

The anti-neoplastic activities of aloperine in HeLa cervical cancer cells are associated with inhibition of the IL-6-JAK1-STAT3 feedback loop

Cervical cancer(CC)is recognized as the most common neoplasm in the female reproductive system worldwide.The lack of chemotherapeutic agents with outstanding effectiveness and safety severely compromises the anti-cipated prognosis of patients.Aloperine(ALO)is a natural quinolizidine alkaloid with marked anti-cancer effects on multiple malignancies as well as favorable activity in relieving inflammation,allergies and infection.However,its therapeutic efficacy and underlying mechanism in CC are still unclear.In the current study,MTT assay was employed to evaluate the viability of HeLa cells exposed to ALO to preliminarily estimate the effectiveness of ALO in CC.Then,the effects of ALO on the proliferation and apoptosis of HeLa cells were further investigated by plate colony formation and flow cytometry,respectively,while the migration and invasion of ALO-treated HeLa cells were evaluated using Transwell assay.Moreover,nude mice were subcutaneously inoculated with HeLa cells to demonstrate the anti-CC properties of ALO in vivo.The molecular mechanisms underlying these effects of ALO were evaluated by Western blot and immunohistochemical analysis.This study experimentally demonstrated that ALO inhibited the proliferation of HeLa cells via G2 phase cell cycle arrest.Simultaneously,ALO promoted an increase in the percentage of apoptotic HeLa cells by increasing the Bax/Bcl-2 ratio.Additionally,the migration and invasion of HeLa cells were attenuated by ALO treatment,which was considered to result from inhibition of epithelial-to-mesenchymal transition.For molecular mechanisms,the expression and activation of the IL-6-JAK1-STAT3 feedback loop were markedly suppressed by ALO treatment.This study indicated that ALO markedly suppresses the proliferation,migration and invasion and enhances the apoptosis of HeLa cells.In addition,these prominent anti-CC properties of ALO are associated with repression of the IL-6-JAK1-STAT3 feedback loop.

The suppression of cervical cancer ferroptosis by macrophages:The attenuation of ALOX15 in cancer cells by macrophages-derived exosomes

Induction of cancer cell ferroptosis has been proposed as a potential treatment in several cancer types.Tumor-associated macrophages(TAMs)play a key role in promoting tumor malignant progression and therapy resistance.However,the roles and mechanisms of TAMs in regulating tumor ferroptosis is still unexplored and remains enigmatic.This study shows ferroptosis inducers has shown therapeutic outcomes in cervical cancer in vitro and in vivo.TAMs have been found to suppress cervical cancer cells ferroptosis.Mechanistically,macrophage-derived miRNA-660-5p packaged into exosomes are transported into cancer cells.In cancer cells,miRNA-660-5p attenuates ALOX15 expression to inhibit ferroptosis.Moreover,the upregulation of miRNA-660-5p in macrophages depends on autocrine IL4/IL13-activated STAT6 pathway.Importantly,in clinical cervical cancer cases,ALOX15 is negatively associated with macrophages infiltration,which also raises the possibility that macrophages reduce ALOX15 levels in cervical cancer.Moreover,both univariate and multivariate Cox analyses show ALOX15 expression is independent prognostic factor and positively associated with good prognosis in cervical cancer.Altogether,this study reveals the potential utility of targeting TAMs in ferroptosis-based treatment and ALOX15 as prognosis indicators for cervical cancer.

LncRNA AFAP1-AS1/miR-27b-3p/VEGF-C axis modulates stemness characteristics in cervical cancer cells

Background:Long non-coding RNA(lncRNA)actin filament-associated protein 1 antisense RNA 1(AFAP1-AS1)functions as a competing endogenous RNA to regulate target genes expression by sponging microRNAs(miRs)to play cancer-promoting roles in cancer stem cells.However,the regulatory mechanism of AFAP1-AS1 in cervical cancer(CC)stem cells is unknown.The present study aimed to provide a new therapeutic target for the clinical treatment of CC.Methods:Hyaluronic acid receptor cluster of differentiation 44 variant exon 6(CD44v6)(+)CC cells were isolated by flow cytometry(FCM).Small interfering RNAs of AFAP1-AS1(siAFAP1-AS1)were transfected into the(CD44v6)(+)cells.The levels of AFAP1-AS1 were measured by quantitative real-time PCR(qRT-PCR).Sphere formation assay,cell cycle analysis,and Western blotting were used to detect the effect of siAFAP1-AS1.RNA pull-down and luciferase reporter assay were used to verify the relationship between miR-27b-3p and AFAP1-AS1 or vascular endothelial growth factor(VEGF)-C.Results:CD44v6(+)CCcells had remarkable stemness and a high level ofAFAP1-AS1.However,AFAP1-AS1knockdownwithsiAFAP1-AS1suppressed the cell cycle transitionofG(1)/S phase and inhibited self-renewal ofCD44v6(+)CCcells,the levels of the stemnessmarkers octamer-binding transcription factor 4(OCT4),osteopontin(OPN),and cluster of differentiation 133(CD133),and the epithelialmesenchymal transition(EMT)-related proteins Twist1,matrix metalloprotease(MMP)-9,and VEGF-C.In the mechanism study,miR-27b-3p/VEGF-C signaling was demonstrated to be a key downstream of AFAP1-AS1 in the CD44v6(+)CC cells.Conclusions:LncRNA AFAP1-AS1 knockdown inhibits the CC cell stemness by upregulating miR-27b-3p to suppress VEGF-C.

Correlation analysis of human papillomavirus E6/E7 mRNA detection with diagnosis,prognosis and recurrence risk in patients with cervical epithelioma

BACKGROUND Cervical intraepithelial neoplasia(CIN)is an important precursor of cervical cancer.Early detection and treatment can reduce the incidence of cervical cancer.AIM To investigate the detection rate of human papillomavirus(HPV)E6/E7 mRNA in cervical tissue of patients with different types of epithelial cell neoplasia(CIN)and its relationship with CIN progression and diagnosis.METHODS One hundred women with HPV infection detected by cervical exfoliation cytology between January 2022 and January 2023 were retrospectively selected.These patients were graded CIN based on colposcopy and cervical pathology.The positive expression rates of HPV E6/E7 mRNA and HPV[polymerase chain reaction(PCR)-reverse dot crossing]were compared among all groups.Patients with HPV E6/E7 mRNA expression in the grade 1 CIN group were followed up for 1 yr.The relationship between atypical squamous epithelium and high malignant epithelial neoplasia was investigated by univariate and multivariate analysis.RESULTS The diagnostic sensitivity,specificity,and sensitivity of PCR-reverse point hybrid ization technology for secondary CIN were 70.41%,70.66%,and 0.714,respectively.Sensitivity and specificity for secondary CIN were 752%and 7853%,respectively,the area under the curve value was 0.789.Logistic Multifactorial model analysis revealed that the HPV positive rates and the HPV E6/E7 mRNA positive rates were independent risk factors of CIN grade I(P<0.05).In CIN grade I patients with positive for HPV E6/E7 mRNA,in its orientation to grade CIN patients,in its orientation to grade CIN patients,at 69.2%,compared with patients negative for HPV E6/E7 mRNA(30.8%),significant difference(P<0.05).CONCLUSION HPV E6/E7 mRNA and HPV(PCR-reverse dot hybrid)positive expression have a close relationship with CINgrade disease progression and is an independent risk factor for high-grade CIN lesions.

miR-519b-3p调控IL-6/STAT3通路对宫颈癌细胞凋亡、迁移、侵袭的影响

目的探讨miR-519b-3p调控IL-6/信号转导和转录激活因子3(STAT3)通路对宫颈癌细胞(SiHa)凋亡、迁移、侵袭的影响。方法qRT-PCR检测miR-519b-3p在宫颈癌组织中的表达。SiHa细胞分为miR-NC组、miR-519b-3p组、miR-NC+RhIL-6组、miR-519b-3p+RhIL-6组。流式细胞术评估SiHa细胞凋亡率,Transwell实验检测细胞迁移和侵袭情况。Western blotting检测B细胞淋巴瘤-2基因(Bcl-2)、E-钙黏蛋白(E-cadherin)、N-cadherin、Bcl相关x蛋白(Bax)、STAT3和p-STAT3蛋白水平。结果与癌旁组织比较,宫颈癌组织miR-519b-3p表达下调(P<0.05)。SiHa细胞凋亡率、Bax和E-cadherin蛋白水平miR-519b-3p组高于miR-NC组,miR-NC+RhIL-6组低于miR-NC组,miR-519b-3p+RhIL-6组低于miR-519b-3p组(P<0.05)。SiHa细胞迁移数、侵袭数、Bcl-2、N-cadherin、p-STAT3蛋白水平miR-519b-3p组低于miR-NC组,miR-NC+RhIL-6组高于miR-NC组,miR-519b-3p+RhIL-6组高于miR-519b-3p组(P<0.05)。结论miR-519b-3p通过抑制IL-6/STAT3通路来抑制宫颈癌细胞迁移和侵袭,并增加细胞凋亡。

miR-216a和CAPN6基因过表达人宫颈癌细胞系HeLa增殖迁移侵袭变化及靶向关系

目的观察微小RNA-216a(miR-216a)和钙蛋白酶6(CAPN6)基因过表达的人宫颈癌细胞系HeLa增殖、迁移、侵袭变化及靶向关系,探讨miR-216a对HeLa细胞增殖迁移侵袭影响的作用机制。方法取对数生长期HeLa细胞,分为一、二、三、四、五组,一组转染miR-216a mimic,二组转染pcDNA3.1-CAPN6质粒,三组顺序转染miR-216a mimic、pcDNA3.1-CAPN6,四组转染pcDNA3.1,五组转染miR-216a mimic NC,培养48 h时分别采用CCK-8法、划痕愈合实验、Transwell试验观察各组细胞的增殖迁移侵袭情况,培养24 h时采用qRT-PCR法检测各组细胞miR-216a、采用WesternBlotting法检测各组细胞CAPN6及信号转导子与激活子3(STAT3)蛋白。取对数生长期HeLa细胞分为四组:A组细胞顺序转染miR-216a mimic、pGL3-CAPN6-WT质粒,B组细胞顺序转染miR-216a mimic、pGL3-CAPN6-MUT质粒,C组细胞顺序转染miR-216amimicNC、pGL3-CAPN6-WT,D组细胞顺序转染miR-216amimicNC、pGL3-CAPN6-MUT,培养36 h时收集各组细胞,采用双荧光素酶报告基因检测试剂盒测算各组细胞相对荧光素酶活性。结果与五组相比,培养48 h时一组细胞增殖活性及划痕前缘迁移距离百分比低、侵袭细胞数少(P均<0.01);与四组相比,二组细胞增殖活性及划痕前缘迁移距离百分比高、侵袭细胞数多(P均<0.01);与一组相比,三组细胞增殖活性及划痕前缘迁移距离百分比高、侵袭细胞数多(P均<0.01);与二组相比,三组细胞增殖活性及划痕前缘迁移距离百分比低、侵袭细胞数少(P均<0.01)。与五组相比,一组细胞miR-216a相对表达量高(P<0.01)。与四组相比,培养24 h时二组细胞CAPN6蛋白、p-STAT3/STAT3相对表达量高,三组细胞表达CAPN6蛋白、p-STAT3/STAT3相对表达量低;与五组相比,一组细胞CAPN6蛋白、p-STAT3/STAT3相对表达量低;与一组相比,三组细胞CAPN6蛋白、p-STAT3/STAT3相对表达量高。与B组相比,A组细胞荧光素酶活性低(P<0.05)。结论miR-216a过表达可抑制HeLa细胞的增殖侵袭和迁移。HeLa细胞中miR-216a与CAPN6基因存在靶向关系。miR-216a可能通过调控CAPN6基因表达,抑制HeLa的增殖、迁移及侵袭。

雄黄对宫颈癌细胞增殖、凋亡及对HPVE6/IL-6/STAT3通路的影响

目的探讨雄黄对宫颈癌细胞增殖、凋亡的影响,并研究其与E6和IL-6/STAT3通路的关系。方法采用CCK8法检测不同浓度(0、25μg/mL、50μg/mL、75μg/mL、100μg/mL)的雄黄对宫颈癌HeLa、Caski细胞增殖的影响,流式细胞术检测HeLa、Caski细胞凋亡情况。Western blot检测不同浓度的雄黄对两种细胞中STAT3和p-STAT3蛋白表达的影响,qPCR法检测E6、IL-6、PARP、Bcl-xL基因表达水平。结果雄黄对上述2种宫颈癌细胞的增殖有显著的抑制作用,并促进凋亡,且呈现一定的浓度依赖性。Western blot和qPCR结果显示STAT3、p-STAT3、E6、IL-6、PARP、Bcl-xL表达均下调(P<0.05),并呈一定的浓度依赖性。结论雄黄可以抑制HeLa和Caski细胞的增殖,促进凋亡,且可能与通过E6介导的IL-6/STAT3通路有关。

核因子E2相关因子/血红素加氧酶1及血栓素B2T/6-酮-前列腺素F1α信号通路在宫颈癌根治术后发生深静脉血栓大鼠模型中的作用机制

目的:本研究旨在探讨核因子E2相关因子(Nrf2)/血红素加氧酶1(HO-1)及血栓素B2(TXB2)/6-酮-前列腺素F1α(6-Keto-PGF1α)信号通路在宫颈癌根治术后发生深静脉血栓大鼠模型中的作用机制。方法:购买60只4~6周龄裸鼠,体重(180±20)g,随机将60只大鼠分为空白对照组、模型组及深静脉血栓组各20只。其中空白组正常饲养1周;模型组及深静脉血栓组均建立宫颈癌动物模型,模型组造模成功后,正常饲养;深静脉血栓组给予宫颈癌根治术治疗,正常饲养。观察宫颈癌根治术后发生深静脉血栓HE染色切片,原位末端标记法(TUNEL)检测各组大鼠血管组织内皮细胞凋亡情况,全自动凝血分析仪检测各组大鼠凝血指标,酶联免疫吸附法测定TXB2/6-Keto-PGF1α水平,免疫印迹检测Nrf2/HO-1信号通路。结果:实验过程中,三组大鼠均未出现意外死亡,存活率均为100%。模型组未形成血栓,深静脉血栓组造模后1、3、7、14 d成栓率依次为50.00%(10/20)、95.00%(19/20)、100%(20/20)。大鼠下腔静脉产生的血栓尾部为红色血栓、中间为混合血栓、头部为白色血栓。深静脉血栓组血管内皮凋亡率高于模型组(P<0.05)。深静脉血栓组凝血酶时间、凝血酶原时间、活化部分凝血活酶时间低于模型组及空白对照组,D-二聚体高于模型组及空白对照组(均P<0.05);模型组凝血酶时间、凝血酶原时间、活化部分凝血活酶时间低于空白对照组,D-二聚体高于空白对照组(均P<0.05)。深静脉血栓组TXB2、TXB2/6-Keto-PGF1α高于模型组及空白对照组,6-Keto-PGF1α低于模型组及空白对照组(均P<0.05);模型组TXB2、TXB2/6-Keto-PGF1α高于空白对照组,6-Keto-PGF1α低于空白对照组(均P<0.05)。深静脉血栓组Nrf2、HO-1低于模型组及空白对照组,模型组Nrf2/HO-1低于空白对照组(均P<0.05)。结论:TXB2/6-Keto-PGF1α、Nrf2/HO-1信号通路在宫颈癌根治术后深静脉血栓大鼠中异常表达,也是宫颈癌根治术后深静脉血栓形成的作用机制之一。

STIL基因通过调控IL-6/STAT3通路影响宫颈癌细胞增殖和凋亡

目的:探讨STIL基因对宫颈癌增殖和凋亡的影响并研究其机制。方法:RT-qPCR和Western blot检测STIL mRNA和蛋白在宫颈癌组织、癌旁组织、宫颈癌细胞系HeLa、SiHa、caski、人正常宫颈上皮细胞HUCEC中的表达。将HeLa细胞分为对照(NC)组、si-NC组、si-STIL组、si-STIL+IL-6组。CCK-8和平板克隆实验检测各组细胞增殖和克隆能力,流式细胞术检测各组细胞凋亡率。Western blot检测各组细胞IL-6、IL-6R和p-STAT3蛋白表达。将稳定转染sh-STIL的HeLa细胞注射到裸鼠背部,研究抑制STIL表达对肿瘤形成的影响。结果:宫颈癌组织中STIL mRNA和蛋白表达显著高于癌旁组织(P<0.05)。HeLa、SiHa、caski细胞中STIL mRNA和蛋白表达显著高于HUCEC细胞(P<0.05)。与si-NC组比较,si-STIL组细胞吸光度、克隆数及IL-6、IL-6R和p-STAT3蛋白水平显著降低(P<0.05),凋亡率显著升高(P<0.05)。与si-STIL组比较,si-STIL+IL-6组细胞吸光度、克隆数及IL-6、IL-6R和p-STAT3蛋白水平显著升高(P<0.05),凋亡率显著降低(P<0.05)。抑制STIL表达显著抑制体内肿瘤生长(P<0.05)。结论:STIL基因在宫颈癌中表达上调,抑制STIL表达通过抑制IL-6/STAT3通路抑制宫颈癌细胞增殖并诱导凋亡。

人脐带间充质干细胞通过STAT3和AMPK信号通路调节白介素-6诱导的HeLa细胞的生物活性

宫颈癌是全球第4大常见的女性癌症,目前,手术和放疗仍然是治疗非转移性宫颈癌的主要方法,然而,复发性和转移性宫颈癌尚无有效治疗手段。寻找新的更加有效的宫颈癌治疗靶点就显得尤为重要。已知白介素-6(interleukine-6,IL-6)作为肿瘤促进因子在宫颈癌的发展和转移过程中发挥着十分重要的作用。已有报道显示,间充质干细胞在多种肿瘤中发挥抑癌作用,但对于其内在机制的报道较少;且在宫颈癌的发展过程通常伴随着IL-6表达的增加。在IL-6存在的炎症病理条件下,MSCs对于宫颈癌细胞的增殖和迁移是否仍具有抑制作用仍未可知。本研究通过检测人脐带间充质干细胞(human umbilical cord mesenchymal stem cells,HUC-MSCs)对IL-6诱导的HeLa细胞增殖、迁移、侵袭以及STAT3/Bcl-2、AMPK/mTOR信号通路的调节作用,探讨其对宫颈癌Hela细胞生物活性的影响及其分子机制。集落形成实验、细胞划痕实验以及Transwell侵袭结果证明,炎症因子IL-6显著促进HeLa细胞增殖、迁移和侵袭(P<0.05)。而20%和50%MSCs条件培养基显著抑制IL-6诱导的HeLa增殖(P<0.0001)、迁移(P<0.01)和侵袭能力(P<0.0001)。进一步的机制研究结果显示,炎症因子IL-6显著上调抗凋亡信号通路中STAT 3和Bcl-2的mRNA(P<0.0001)和蛋白质(P<0.01)含量;同时下调AMPK、TSC 1和TSC 2等基因的表达(P<0.001),最终上调细胞代谢相关基因mTOR的表达(P<0.01)和蛋白质磷酸化水平(P<0.05)。20%MSCs条件培养基显著抑制HeLa细胞中STAT3/Bcl-2信号通路(P<0.05)。50%MSCs条件培养基显著抑制HeLa细胞中STAT3/Bcl-2信号通路(P<0.01)同时激活AMPK/mTOR信号通路(P<0.05),诱导细胞周期阻滞(P<0.0001)。综上所述,MSCs条件培养基通过下调STAT3信号通路和上调AMPK信号通路抑制白介素-6诱导的HeLa细胞的增殖、迁移与侵袭。本研究结果有助于进一步阐释IL-6在宫颈癌中发生发展的作用和机制,为寻找宫颈癌治疗的新研究方向提供实验依据。

PFKFB4、CXCL8与宫颈癌临床病理特征的关系及在预后评估中的临床价值

目的 探讨6-磷酸果糖-2-激酶/果糖-2,6-二磷酸酶4(PFKFB4)及CXC趋化因子配体8(CXCL8)在宫颈癌(CESC)组织中的表达,构建CESC不良预后预测模型并分析其临床应用价值。方法 选取2018年1月至2019年12在南京医科大学附属妇产医院接受根治性手术的62例CESC患者作为研究对象。采用免疫组织化学法检测组织中PFKFB4、CXCL8水平,并分析其与CESC临床病理特征的关系,Kaplan-Merier生存曲线分析PFKFB4、CXCL8表达对CESC生存情况的影响,多因素Logistic回归模型评估CESC不良预后的危险因素,并由此构建风险预测模型并转化为风险评分体系,采用受试者工作特征(ROC)曲线评价模型预测CESC不良预后的效能。结果 CESC组织中PFKFB4和CXCL8表达水平高于正常对照组织,差异有统计学意义(P<0.05),并且PFKFB4和CXCL8表达水平升高,患者的生存率降低(Log-rank P=0.028、1.5×10^(-5));PFKFB4、CXCL8表达水平在不同TNM分期、肿瘤分化程度、宫颈浸润深度及淋巴结转移的患者中比较,差异均有统计学意义(P<0.05)。Logistic回归分析显示,TNMⅡa期、肿瘤低分化程度、宫颈浸润深度≥2/3、有淋巴结转移,以及PFKFB4、CXCL8高表达是CESC患者不良预后的危险因素(P<0.05)。由此构建的预测模型曲线下面积为0.872,灵敏度为0.925 9,特异度为0.828 6。结论 构建的模型对CESC不良预后的预测具有较好的参考价值,可为临床筛选CESC不良预后高风险人群提供评价依据。

人类疱疹病毒6型和人乳头瘤病毒在宫颈癌患者中的表达及临床检测意义

目的探讨人类疱疹病毒6型(HHV-6)和人乳头瘤病毒(HPV)在宫颈癌患者中的表达及临床检测意义。方法选择86例疑似宫颈癌患者,检测其HHV-6与HPV表达情况。以阴道镜病理活检结果为金标准,分析HPV-DNA与HHV-6DNA检测诊断宫颈癌的一致性。比较HPV-DNA与HHV-6 DNA检测对宫颈癌的诊断效能。结果86例疑似宫颈癌患者经阴道镜病理活检确诊71例。κ检验分析结果显示,HPV-DNA、HHV-6 DNA检测诊断宫颈癌与阴道镜病理活检结果存在高度一致性(P<0.05)。HPV-DNA、HHV-6 DNA检测诊断宫颈癌的灵敏度(91.55%vs.88.73%)、特异度(86.67%vs.80.00%)与准确度(90.70%vs.87.21%)比较均无统计学差异(P>0.05)。结论HHV-6与HPV在宫颈癌患者宫颈组织中多呈现阳性表达,对宫颈癌患者行HHV-6与HPV检测可提高疾病筛查准确率。

电压门控钠离子通道表达对宫颈癌细胞增殖侵袭转移作用的研究

目的:探讨电压门控钠离子通道(voltage-gated sodium channels,VGSCs)在宫颈癌细胞中的表达、分布及其对该细胞增殖、侵袭能力的影响。方法:用Western blot了解VGSCs在不同宫颈癌细胞株中表达水平,采用免疫荧光检测VGSCs蛋白在细胞中的定位。分别用MTT法和Matrigel法检测VGSCs对宫颈癌细胞的增生和侵袭作用。以半定量RT-PCR和RNAi方法确认宫颈癌细胞中VGSC表达亚型及其功能。结果:在检测的4种宫颈癌细胞株中,ME180细胞表达较高水平VGSCs蛋白,其存在于细胞膜和细胞质中。VGSCs抑制剂-河豚毒素(TTX)对ME180细胞增生无影响(P>0.05),但呈浓度依赖性抑制细胞的Matrigel侵袭(P<0.05)。在ME180细胞中检测到Nav 1.2、Nav 1.6和Nav 1.7三种VGSCs亚型,其中Nav 1.6 mRNA占总mRNA的78%,RNAi抑制Nav 1.6mRNA表达后可降低细胞侵袭达52%(P<0.05)。结论:VCSCs在宫颈癌ME180细胞株高表达,Nav 1.6为其主要表达亚型,增加了体外癌细胞的侵袭转移。

p16/Ki-67双染在宫颈癌及癌前病变初筛中的应用价值研究

目的:评价采用p16/Ki-67双染检测技术作为宫颈癌及癌前病变初筛方法的效果及应用价值。方法:对重庆市万州区982例年龄35~64岁有性生活的妇女进行宫颈癌筛查。每位妇女均接受了人乳头瘤病毒DNA(HPV DNA)检测、Thin Prep液基细胞学检查、p16/Ki-67双染检测,对结果异常者进行阴道镜检查,阴道镜下在可见病变处直接取活检,无可见病变时,行宫颈管搔刮术(ECC)。比较3种方法分别作为初筛手段识别宫颈癌前病变(高级别鳞状上皮内病变)及浸润癌的灵敏度、特异度、阳性预测值和阴性预测值等指标,以受试者工作特征(ROC)曲线下面积(AUC)综合分析3种方法作为宫颈癌初筛手段的应用价值。结果:最终966例妇女进入研究,共检出高级别鳞状上皮内病变及浸润癌患者42例。HPV DNA检测、液基细胞学检查和p16/Ki-67检测对宫颈癌及癌前病变患者的灵敏度分别为97.6%、88.1%、92.9%;特异度分别为84.1%、78.8%、82.8%;阳性预测值分别为21.8%、15.9%、19.7%;阴性预测值分别为99.9%、99.3%、99.6%。p16/Ki-67检测的AUC分别与HPV DNA检测、液基细胞学检查相比,差异均无统计学意义(P>0.05)。结论:p16/Ki-67双染检测初筛宫颈癌及癌前病变的效果与HPV DNA检测及液基细胞学检查相似,因其具有简便、客观、高效、易于重复的特点,p16/Ki-67双染检测为宫颈癌及癌前病变的有效初筛提供了一种新选择。