临床误诊误治2024,Vol.37Issue(15) :35-40.DOI:10.3969/j.issn.1002-3429.2024.15.008

宫颈癌患者血清核苷酸结合寡聚化结构域样受体蛋白3炎症小体和相关细胞因子表达及临床意义

Expression of Serum Nucleotide-Binding Oligomeric Domain-Like Receptor Protein 3 Inflammasome and Related Cytokines in Patients with Cervical Cancer and Its Clinical Significance

钟燕波 朱昀恒
临床误诊误治2024,Vol.37Issue(15) :35-40.DOI:10.3969/j.issn.1002-3429.2024.15.008

宫颈癌患者血清核苷酸结合寡聚化结构域样受体蛋白3炎症小体和相关细胞因子表达及临床意义

Expression of Serum Nucleotide-Binding Oligomeric Domain-Like Receptor Protein 3 Inflammasome and Related Cytokines in Patients with Cervical Cancer and Its Clinical Significance

钟燕波 1朱昀恒1
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作者信息

  • 1. 201199 上海,上海市闵行区中心医院妇产科
  • 折叠

摘要

目的 探究宫颈癌患者血清核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)炎症小体和相关细胞因子的表达水平及临床意义.方法 选取2021 年3 月至2024 年3 月收治的宫颈癌患者 78 例作为癌变组,选取同期宫颈上皮内瘤变患者 78 例作为癌前病变组.比较 2 组血清 NLRP3 炎症小体[NLRP3、凋亡相关斑点样蛋白(ASC)、半胱氨酸天冬氨酸蛋白酶-1(Caspase-1)]、白细胞介素-18(IL-18)和白细胞介素-1β(IL-1β)水平;采用Pearson相关性分析血清NLRP3、ASC、Caspase-1 与IL-18、IL-1β的关系;分析宫颈癌患者相关细胞因子水平和临床病理特征之间的关系.结果 癌变组血清 IL-18、IL-1β、NLRP3、ASC、Caspase-1 水平均高于癌前病变组(P<0.01);Pearson相关性分析结果显示,患者血清NLRP3、ASC、Caspase-1 水平与IL-18 和IL-1β水平均呈正相关(P<0.05,P<0.01).宫颈癌患者肿瘤临床分期越高、分化程度越低,IL-18 和IL-1β水平越高(P<0.01);有淋巴结转移和无淋巴结转移的宫颈癌患者IL-18 和IL-1β水平比较差异无统计学意义(P>0.05).结论 宫颈癌患者血清IL-18、IL-1β水平和血清NLRP3 炎症小体均异常升高,且其水平变化与肿瘤恶性进展有关.

Abstract

Objective To investigate the expression level and clinical significance of serum nucleotide-binding oligo-meric domain-like receptor protein 3(NLRP3)inflammatome and related cytokines in patients with cervical cancer.Methods Seventy-eight patients with cervical cancer admitted from March 2021 to March 2024 were selected as the cancer group,and 78 patients with cervical intraepithelial neoplasia during the same period were selected as the precancer group.The levels of NLRP3 inflammasome[NLRP3,apoptosis-related speck-like protein containing a CARD(ASC),Caspase-1],inter-leukin-18(IL-18)and interleukin-1β(IL-1β)in serum of the two groups were compared.The correlations of serum NLRP3,ASC,Caspase-1 with IL-18 and IL-1β were analyzed by Pearson correlation.The relationship between the levels of related cy-tokines and clinicopathological features in patients with cervical cancer was analyzed.Results The levels of IL-18,IL-1β,NLRP3,ASC,Caspase-1 in cancer group were higher than those in precancer group(P<0.01).The results of Pearson cor-relation analysis showed that serum NLRP3,ASC,and Caspase-1 levels were positively correlated with IL-18 and IL-1β levels(P<0.05,P<0.01).The higher the clinical stage and the lower the differentiation degree,the higher the levels of IL-18 and IL-1β(P<0.01).There was no significant difference in IL-18 and IL-1β levels in cancer patients with and without lymph node metastasis(P>0.05).Conclusion The levels of serum IL-18,IL-1β and NLRP3 inflammasomes are abnor-mally increased in patients with cervical cancer,and their changes are correlated with malignant progression of cancer.

关键词

宫颈肿瘤/宫颈上皮内瘤样病变/核苷酸结合寡聚化结构域样受体蛋白3/凋亡相关斑点样蛋白/半胱氨酸天冬氨酸蛋白酶-1/白细胞介素-18/白细胞介素-1β

Key words

Uterine cervical neoplasms/Cervical intraepithelial neoplasia/Nucleotide-binding oligomeric domain-like receptor protein 3/Apoptosis-related speck-like protein containing a CARD/Caspase-1/Interleukin-18/Interleukin-1β

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基金项目

闵行区自然科学研究课题(2022MHZ070)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
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