文章摘要

客家人非小细胞肺癌HPV16型感染与p27Kip1蛋白表达的关系

作者: 1张锦丰, 1李亮, 2邓国明, 1杨权烈, 3朱文标, 1吴静娜
1 梅州市人民医院化疗科,广东 梅州 514031
2 梅州市人民医院肝胆外科,广东 梅州 514031
3 梅州市人民医院 病理科,广东 梅州 514031
通讯: 张锦丰 Email: w179h7@163.com
DOI: 10.3978/j.issn.2095-6959. 2018.12.004

摘要

目的:探讨客家人非小细胞肺癌(non-small cell lung cancer,NSCLC)HPV16型(HPV-16)感染与p27Kip1蛋白表达的关系。方法:收集2004年3月至2008年12月梅州市人民医院(中山大学附属梅州医院)外科手术切除并经病理确诊的43例NSCLC标本,其中鳞癌20例,腺癌23例,另选取同一时期肺良性病变27例作为对照组。应用免疫组织化学技术(SABC法)检测以上标本中HPV-16和p27Kip1蛋白的表达情况,并用Spearman等级相关检验对两种蛋白在NSCLC中的表达进行相关性分析。 结果:HPV-16在NSCLC组织中细胞质阳性率(39.5%)高于肺良性病变的细胞质表达(7.4%),差异有统计学意义(P<0.01);p27Kip1蛋白表达可见于NSCLC组织细胞核或细胞质,细胞核表达阳性率为9.3%,显著低于肺良性病变组织细胞核表达(44.4%,P<0.05);细胞质表达丰富,阳性率为48.8%,显著高于肺良性病变组织细胞质表达(7.4%,P<0.05);p27Kip1蛋白细胞核表达与细胞质表达呈负相关,差异有统计学意义(P>0.05);HPV感染和p27Kip1蛋白在NSCLC组织中表达的相关性分析发现HPV-16在NSCLC中的表达与p27Kip1蛋白细胞质表达呈正相关,差异有统计学意义(P<0.05),与p27Kip1蛋白细胞核表达有负相关的趋势(P=0.094)。结论:从HPV,p27Kip1在NSCLC组织和肺良性病变表达的结果中,推测HPV-16可能通过调控p27Kip1蛋白从细胞核泄漏到细胞质,并滞留在细胞质,使p27Kip1蛋白不能发挥其在细胞核中的抑瘤作用,进而促进NSCLC的发生发展。
关键词: 非小细胞肺癌;p27Kip1蛋白;人乳头瘤病毒

Relationship between HPV16 infection and p27Kip1 protein expression in non-small cell lung cancer of hakka

Authors: 1ZHANG Jinfeng, 1LI Liang, 2DENG Quoming, 1YANG Quanlie, 3ZHU Wenbiao, 1WU Jingna
1 Department of Chemotherapy, Meizhou People’s Hospital, Meizhou Guangdong 514031, China
2 Department of Hepatobiliary Surgery, Meizhou People’s Hospital, Meizhou Guangdong 514031, China
3 Department of Pathology, Meizhou People’s Hospital, Meizhou Guangdong 514031, China

CorrespondingAuthor: ZHANG Jinfeng Email: w179h7@163.com

DOI: 10.3978/j.issn.2095-6959. 2018.12.004

Abstract

Objective: To explore the relationship between the expression of human papillomavirus type16 (HPV-16) infection and p27Kip1 in non-small cell lung cancer (NSCLC) of hakka. Methods: We collected 43 cases of NSCLC specimens by surgical removal and pathological diagnosis from Meizhou People’s Hospital (Meizhou Hospital Affiliated to Sun Yat-sen University) in March 2004 to December 2008, including 20 cases squamous carcinoma and 23 cases of adenocarcinoma; 27 cases of lung benign lesions during the same period were selected as a control group. The expression of HPV-16 and p27Kip1 in the above specimens was detected by immunohistochemistry (SABC), and the correlation analysis of two proteins in NSCLC was conducted with Spearman rank correlation test. Results: The cytoplasmic positive rate (39.5%) of HPV-16 in NSCLC tissues was higher than that in lung benign lesions (7.4%), and statistical analysis showed significant difference (P<0.01); p27Kip1 protein expression was observed in NSCLC tissue cell nucleus or cytoplasm, and the positive rate of cell nuclear expression was 9.3%, which was significantly lower than that of lung benign lesions (44.4%; P<0.05); and cytoplasm expression was abundant and positive rate was 48.8%, which was significantly higher than that of pulmonary benign lesions cytoplasm expression (7.4%, P<0.05); p27Kip1 protein nuclear expression was negatively correlated with cytoplasmic expression, which was statistically significant. HPV-16 expression and cytoplasm p27Kip1 protein expression in NSCLC were positively correlated, with statistical significance (P<0.05) and p27Kip1 protein nucleus expression had a tendency of negative correlation (P=0.094). Conclusion: From the results of HPV-16 and p27Kip1 expression in NSCLC tissues and pulmonary benign lesions, we speculate that HPV-16 may leakage from nucleus to cytoplasm and stranded in cytoplasm through regulating p27Kip1 protein, making p27Kip1 protein not play its role in nuclei of tumor suppression, thus promoting the development of NSCLC.
Keywords: non-small cell lung cancer; p27Kip1 protein; human papillomavirus

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