P-JAK2/P-STAT3 与突变型 p53 蛋白在宫颈病变中的表达及临床意义.

Objective To investigate the expression and prognostic significance of P-JAK2, P-STAT3 and mutant p53 in cervical lesions. Methods A total of 153 cervical biopsies of patients from Gynecology Department, The Second Hospital of Tianjin Medical University were recruited during December 2013 to June 2015. Fifty-seven cases of squamous carcinoma of cervix (SCC), 36 cases of low grade intraepithelial neoplasia (LSIL), 30 patients with high grade intraepithelial neoplasia (HSIL) and 30 cases of normal cervix (NC) were included in the study. Gene chip method was used to detect high-risk human papillpmavirus（HR-HPV）infection. Hematoxylin-eosin staining was used to make pathological diagnosis. Immunohistochemical assay was used for the detection of P-JAK2, P-STAT3 and mutant type p53 protein expression in cervical le⁃ sions. Results (1) HR-HPV infection rate and P-JAK2 expression were significantly higher in SCC group than those of HSIL group, LSIL group and NC group (P < 0.05). (2) The expression of P-STAT3 and mutant type p53 were significantly higher in SCC group than those of LSIL group and NC group (P＜0.05). However, there was no significant difference between SCC group and HSIL group. (3) The positive expressions of P-JAK2 and P-STAT3 showed significant differences in different FIGO stages, histopathological grade, lymph node metastasis and HR-HPV infection in SCC group, respectively (P < 0.05). There were significant differences in the positive expression of mutant type p53 between different FIGO stages and HR-HPV infection (P＜0.05). (4) There was positive correlation between P-JAK2, P-STAT3, positive expression of mutant type p53 and HR-HPV infection in SCC tissues (P＜0.05). There was a positive correlation between P-STAT3, p53 expression and HR-HPV infection (P < 0.05). There was a positive correlation between mutant p53 expression and HR-HPV infection (P < 0.05). Conclusion P-JAK2, P-STAT3 and mutant p53 protein expression rates are high in SCC group than those of NC and SIL groups, which may be associated with HR-HPV infection, cervical cancer occurrence and progression. [ABSTRACT FROM AUTHOR]