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HPV E6/E7mRNA在不同级别上皮内瘤变中的表达及与临床病理因素、预后的关系研究 被引量:1
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作者 周朋 沈需 +2 位作者 吉晓霞 贺研 刘亚萍 《临床和实验医学杂志》 2022年第11期1188-1192,共5页
目的探讨在不同上皮瘤变(CIN)疾病患者宫颈组织中人乳头瘤变病毒(HPV)E6/E7 mRNA检出率差异及对CIN进展及诊断的影响作用。方法回顾性选取2018年1月至2020年10月运城市中心医院妇科门诊接受宫颈脱落细胞学检查发现HPV感染的妇女200例作... 目的探讨在不同上皮瘤变(CIN)疾病患者宫颈组织中人乳头瘤变病毒(HPV)E6/E7 mRNA检出率差异及对CIN进展及诊断的影响作用。方法回顾性选取2018年1月至2020年10月运城市中心医院妇科门诊接受宫颈脱落细胞学检查发现HPV感染的妇女200例作为研究对象。根据阴道镜检及宫颈病理学检查将患者分为CINⅠ级98例、CINⅡ级63例、CINⅢ级30例、浸润性鳞癌及腺癌组9例。对比不同组别患者的HPV E6/E7 mRNA、HPV(PCR-反向点杂交)阳性表达率差异;观察不同HPV E6/E7 mRNA表达水平的CINⅠ级患者随访1年后疾病进展情况;采用单因素及多因素方法分析影响不典型鳞状上皮细胞诊断为高级别上皮瘤变的相关因素。结果CINⅠ级组患者的HPV(PCR-反向点杂交)、HPV E6/E7 mRNA的阳性表达率均低于CINⅡ级、CINⅢ级、浸润性鳞癌及腺癌组患者,差异均有统计学意义(P<0.05);CINⅡ级、CINⅢ级、浸润性鳞癌及腺癌组患者的HPV(PCR-反向点杂交)、HPV E6/E7 mRNA的阳性表达率差异无统计学意义(P>0.05)。HPV(PCR-反向点杂交)诊断CINⅡ级的灵敏度为74.78%,特异度为70.66%,曲线下面积(AUC)值为0.714;HPV E6/E7 mRNA的诊断CINⅡ级的灵敏度为83.69%,特异度为78.53%,AUC值为0.789;Logistic多因素模型,结果显示:HPV(PCR-反向点杂交)阳性率、HPV E6/E7 mRNA阳性率是诊断CINⅡ级的独立危险因素(P<0.05)。HPV E6/E7 mRNA阳性表达的CINⅠ级患者发展为CINⅡ级患者的发生率为52.00%,显著高于HPV E6/E7 mRNA阴性表达患者(23.29%),差异有统计学意义(P<0.05)。HPV E6/E7 mRNA阳性表达的CINⅠ级患者发展为CINⅡ级患者的中位时间为显著短于HPV E6/E7 mRNA阴性表达患者(P<0.05)。结论HPV E6/E7 mRNA、HPV(PCR-反向点杂交)阳性表达与CIN分级疾病进展具有密切的关系,是CIN高级别病变的独立危险因素。 展开更多
关键词 宫颈上皮 人乳头瘤变病毒 宫颈癌 宫颈脱落细胞学检查
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宫颈癌前病变和宫颈鳞状细胞癌中HPV16/18感染与P16INK4A表达的临床意义 被引量:2
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作者 应香岚 杨幼萍 +3 位作者 瞿海江 林军 应亚君 应敏建 《浙江临床医学》 2010年第7期684-686,共3页
目的探讨P16INK4A在宫颈鳞状细胞癌及癌前病变中的表达规律及其与人乳头状瘤病毒(HPV)感染之间的关系。方法采用免疫组织化学supervision二步法和原位杂交HPV16/18DNA检测,在60例慢性宫颈炎,58例宫颈低级别上皮内瘤变,62例高级别... 目的探讨P16INK4A在宫颈鳞状细胞癌及癌前病变中的表达规律及其与人乳头状瘤病毒(HPV)感染之间的关系。方法采用免疫组织化学supervision二步法和原位杂交HPV16/18DNA检测,在60例慢性宫颈炎,58例宫颈低级别上皮内瘤变,62例高级别上皮内瘤变和62例宫颈鳞状细胞癌中的表达。结果P16INK4A在慢性宫颈炎中呈阴性,与宫颈低级别上皮内瘤变(阳性表达率为13.79%,8/58)之间差异无统计学意义(P〉0.05)。随着上皮病变级别升高,表达也逐渐增强,在宫颈鳞状细胞癌中表达更强;HPV16/18DNA在四组中阳性表达率,除高级别上皮内瘤变和宫颈鳞状细胞癌两组间差异无统计学意义外(均为96.77%),其余各组之间差异均有统计学意义(P〈0.01);在宫颈低级别上皮内瘤变中P16INK4A蛋白表达和HPV感染相关无统计学意义,但在高级别上皮内瘤变和宫颈鳞状细胞癌两组中均呈正相关(r高级别=0.373,r鳞癌=0.416,P〈0.05)。结论P16INK4A过表达及HPV16/18感染在宫颈鳞状细胞癌形成的中晚期起作用,提示两者均可作为一个早期诊断恶性病变的指标。 展开更多
关键词 宫颈鳞状细胞癌宫颈上皮内人乳头病毒P16INK4A
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抗HPV生物蛋白敷料联合干扰素α-2b治疗CINⅢ合并高危型HPV阳性患者的效果探讨 被引量:2
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作者 李清 《中国现代药物应用》 2021年第8期115-117,共3页
目的探讨抗人乳头瘤病毒(HPV)生物蛋白敷料联合干扰素α-2b治疗宫颈上皮内瘤变(CIN)Ⅲ合并高危型HPV阳性患者的临床效果。方法72例CINⅢ合并高危型HPV阳性患者,随机分为对照组和实验组,各36例。对照组患者选择常规宫颈锥切术进行治疗,... 目的探讨抗人乳头瘤病毒(HPV)生物蛋白敷料联合干扰素α-2b治疗宫颈上皮内瘤变(CIN)Ⅲ合并高危型HPV阳性患者的临床效果。方法72例CINⅢ合并高危型HPV阳性患者,随机分为对照组和实验组,各36例。对照组患者选择常规宫颈锥切术进行治疗,实验组患者在对照组基础上选择抗HPV生物蛋白敷料联合干扰素α-2b进行治疗。比较两组患者的治疗效果及Rsfl、Piwil2、TOPL和LRIG3、SARI、IEX-1。结果实验组患者治疗总有效率为94.44%,高于对照组的72.22%,差异具有统计学意义(P<0.05)。实验组患者Rsfl(0.32±0.05)、Piwil2(0.25±0.06)、TOPL(0.46±0.09)均明显低于对照组的(1.06±0.15)、(1.02±0.12)、(0.98±0.12),差异具有统计学意义(P<0.05)。实验组患者LRIG3、SARI、IEX-1高于对照组,差异具有统计学意义(P<0.05)。结论对CINⅢ合并高危型HPV阳性患者采用抗HPV生物蛋白敷料联合干扰素α-2b治疗疗效显著,其能够有效抑制肿瘤细胞的增殖和浸润性生长,是一种安全有效的治疗方案,值得进行进一步的推广与应用。 展开更多
关键词 宫颈锥切术 干扰素Α-2B 宫颈上皮内Ⅲ合并高危型人乳头病毒阳性 恶性分子表达 临床分析 治疗方案
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Transforming Activity of a Novel Mutant of HPV16 E6E7 Fusion Gene
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作者 Qiang Xie Zhi-xiang Zhou Ze-lin Li Yi Zeng 《Virologica Sinica》 SCIE CAS CSCD 2011年第3期206-213,共8页
An optimized recombinant HPV16 E6E7 fusion gene (HPV16 ofE6E7) was constructed according to codon usage for mammalian cell expression, and a mutant of HPV16 ofE6E7 fusion gene (HPV16 omfE6E7) was generated by site-dir... An optimized recombinant HPV16 E6E7 fusion gene (HPV16 ofE6E7) was constructed according to codon usage for mammalian cell expression, and a mutant of HPV16 ofE6E7 fusion gene (HPV16 omfE6E7) was generated by site-directed mutagenesis at L57G, C113R for the E6 protein and C24G, E26G for the E7 protein for HPV16 ofE6E7 [patent pending (CN 101100672)]. The HPV16 omfE6E7 gene constructed in this work not only lost the transformation capability to NIH 3T3 cells and tumorigenicity in SCID mice, but also maintained very good stability and antigenicity. These results suggests that the HPV16 omfE6E7 gene should undergo further study for application as a safe antigen-specific therapeutic vaccine for HPV16-associated tumors. 展开更多
关键词 Human papillomavirus (HPV) E6 E7 Gene optimization Gene mutation Transformation
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Down-Modulation of Notch1 Expression in Cervical Cancer Is Associated with HPV-Induced Carcinogenesis
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作者 Li Sun Yongmei Song +3 位作者 Tong Tong Lingying Wu Wenhua Zhang Qimin Zhan 《Clinical oncology and cancer researeh》 CAS CSCD 2009年第6期401-405,共5页
OBJECTIVE Notch1 signaling has been implicated intumorigenesis. The purpose of this study was to investigate theputative role of the Notch1 receptor in carcinogenesis and in theprogression of the cervical cancer. Sinc... OBJECTIVE Notch1 signaling has been implicated intumorigenesis. The purpose of this study was to investigate theputative role of the Notch1 receptor in carcinogenesis and in theprogression of the cervical cancer. Since human papillomavirus(HPV) is a causative agent in cervical carcinoma, the interactionbetween Notch1 and HPV infection was examined.METHODS Forty cervical cancer samples and 30 normalcervical tissue specimens were examined using Western blot andRT-PCR to detect Notch1 protein and mRNA levels. HPV16 DNAwas examined in all samples using PCR.RESULTS The level of Notch1 protein expression wassignificantly lower in cervical cancer tissue than in normal tissue.Levels of Notch1 mRNA were found to be substantially downregulatedin cancer tissue. Notch1 protein expression levelswere significantly higher in carcinomas without HPV DNAthan that in carcinomas with HPV infection (55.5% vs. 3.3%, P <0.05). Down-modulation of Notch1 mRNA levels in carcinomawas demonstrated to be associated with HPVE6 transcription.Moreover, levels of Notch1 expression were shown to besignificantly higher in early stage disease than in advanced stagedisease (P = 0.001).CONCLUSION Down-modulation of Notch1 expressionprobably plays an important role in the late stages of HPVinducedcervical cancer. 展开更多
关键词 cervical cancer NOTCH1 human papillomavirus (HPV).
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Prognostic value of human papillomavirus 16/18 genotyping in low-grade cervical lesions preceded by mildly abnormal cytology 被引量:7
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作者 Jing YE Bei CHENG +4 位作者 Yi-fan CHENG Ye-li YAO Xing XIE Wei-guo LU Xiao-dong CHENG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2017年第3期249-255,共7页
Histological low-grade squamous intraepithelial lesion/cervical intraepithelial neoplasia grade 1 (LSIL/CIN1) preceded by normal or mildly abnormal cytology is recommended for conservative follow-up, with no separat... Histological low-grade squamous intraepithelial lesion/cervical intraepithelial neoplasia grade 1 (LSIL/CIN1) preceded by normal or mildly abnormal cytology is recommended for conservative follow-up, with no separated management. In this study, we assessed the triage value of human papillomavirus (HPV) 16/18 genotyping in 273 patients with LSIL/CINI. HPV16/18 genotyping was performed at baseline and follow-up was at 6-monthly intervals for up to 2 years. At each follow-up, women positive for cytology or high-risk HPV (hrHPV) were referred for colposcopy. Enrollment cytology, HPV16/18 genotyping, and questionnaire-obtained factors were linked to the 2-year cumulative progression rate. Univariate and multivariate analyses were performed taking into account time-to-event with Cox proportional hazard regression. The results showed that 190 cases (69.6%) regressed, 37 (13.6%) persisted, and 46 (16.8%) progressed. HPV16/18 positivity (hazard ratio (HR), 2.708; 95% confidence interval (CI), 1.432-5.121; P=-0.002) is significantly associated with higher 2-year cumulative progression rate. Sub-analysis by enrollment cytology and age restricted the positive association among patients preceded by mildly abnormal cytology and aged 30 years or older. Immediate treatment is a rational recommendation for the high-risk subgroup, when good compliance is not assured. 展开更多
关键词 Low-grade squamous intraepithelial lesion (LSIL) Cervical intraepithelial neoplasia grade 1 (CIN1) Human papillomavirus (HPV) HPV16/18 genotyping Prognostic value Prospective study
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