口咽鱗癌中HPV感染與血管生成的關(guān)系
本文選題:口咽癌 + 鱗狀細(xì)胞癌。 參考:《現(xiàn)代腫瘤醫(yī)學(xué)》2016年04期
【摘要】:目的:研究口咽鱗癌(oropharyngeal squamous cell carcinomas,OSCC)中人乳頭瘤病毒(human papillomavirus,HPV)感染與血管內(nèi)皮生長(zhǎng)因子(vascular endothelial growth factor,VEGF)、CD31標(biāo)記的微血管密度(microvessel density,MVD)表達(dá)的關(guān)系,探討它們?cè)诳谘树[癌發(fā)生中的相互關(guān)系。方法:采用多重實(shí)時(shí)熒光定量聚合酶鏈反應(yīng)(multiplex real-time polymerase chain reaction,MT-PCR)檢測(cè)60例口咽鱗癌HPV DNA及型別,通過(guò)HPV DNA分析進(jìn)行HPV感染狀況的測(cè)定;同時(shí)采用半定量免疫組化檢測(cè)HPV(+)組和HPV(-)組中VEGF、CD31(MVD標(biāo)志)蛋白表達(dá)情況。結(jié)果:口咽鱗癌中HPV感染率36.7%(22/60),HPV-16型占所有感染者的比例86.4%(19/22),明顯高于其他型別;VEGF高度表達(dá)者出現(xiàn)MVD15個(gè)/高倍視野的幾率較VEGF低度表達(dá)者高(P=0.001);MVD15個(gè)/高倍視野的腫瘤為低分化的可能性較高(P=0.004);VEGF和MVD表達(dá)與患者年齡、性別、TNM分期、HPV感染狀況之間無(wú)相關(guān)性。結(jié)論:HPV感染與口咽鱗癌的發(fā)生存在相關(guān)性?谘树[癌中HPV感染狀況和VEGF之間無(wú)相關(guān)性。
[Abstract]:Objective: to investigate the relationship between human papillomavirus infection and the expression of CD31 labeled microvessel density in oropharyngeal squamous cell carcinoma (OSCC), and to explore the relationship between human papillomavirus infection and CD31 labeled microvessel density in oropharyngeal squamous cell carcinoma (OSCC). Methods: multiplex real-time fluorescent quantitative polymerase chain reaction (MT-PCR) was used to detect HPVDNA and its types in 60 patients with oropharyngeal squamous cell carcinoma (OSCC). The expression of VEGF CD31 (MVD marker) in HPV (-) and HPV (-) groups was detected by semi-quantitative immunohistochemistry. Results: in oropharyngeal squamous cell carcinoma, HPV infection rate was 36.7% (22 / 60) and HPV-16 accounted for 86.4% (19 / 22) of all infected patients, which was significantly higher than that of other types of high expression VEGF with 15 MVD15 / high power visual fields than those with low VEGF expression (P0. 001). The expression of VEGF and MVD was more likely to be differentiated (P0. 004) and the expression of VEGF and MVD was associated with the age of the patients. There was no correlation between sex TNM staging and HPV infection. Conclusion there is a correlation between the infection of human papillomavirus (HPV) and the occurrence of oropharyngeal squamous cell carcinoma. There was no correlation between HPV infection and VEGF in oropharyngeal squamous cell carcinoma.
【作者單位】: 昆明醫(yī)科大學(xué)第三附屬醫(yī)院云南省腫瘤醫(yī)院頭頸外科;昆明醫(yī)科大學(xué);昆明醫(yī)科大學(xué)第三附屬醫(yī)院云南省腫瘤醫(yī)院病理科;
【基金】:留學(xué)人員科技活動(dòng)項(xiàng)目擇優(yōu)資助基金資助項(xiàng)目(云南省2010年度啟動(dòng)類)
【分類號(hào)】:R739.63
【共引文獻(xiàn)】
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