中国校医2024,Vol.38Issue(6) :462-464,479.DOI:10.20161/j.cnki.32-1199/R.202406128

乳腺癌患者HPV感染的临床病理特征及与p53蛋白表达的相关性研究

Clinicopathological characteristics of HPV infection and their correla-tions with p53 protein in patients with breast cancer

关津京 崔珂珂 张绍星 薛小青
中国校医2024,Vol.38Issue(6) :462-464,479.DOI:10.20161/j.cnki.32-1199/R.202406128

乳腺癌患者HPV感染的临床病理特征及与p53蛋白表达的相关性研究

Clinicopathological characteristics of HPV infection and their correla-tions with p53 protein in patients with breast cancer

关津京 1崔珂珂 2张绍星 3薛小青1
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作者信息

  • 1. 平顶山市妇幼保健院病理科,河南平顶山 467000
  • 2. 襄城县人民医院病理科,河南襄城 452670
  • 3. 平顶山市第一人民医院病理科,河南 平顶山 467000
  • 折叠

摘要

目的 观察乳腺癌患者人乳头状瘤病毒(HPV)感染的临床病理特征及与p53蛋白表达的相关性.方法 选取180例乳腺癌患者,根据其是否感染HPV分为感染组(n=91)和未感染组(n=89),比较2组患者癌组织和癌旁组织的p53蛋白表达水平、临床病理特征、生存情况,以及2组不同临床病理特征的p53蛋白表达水平.结果 感染组组织学分级、病理分期与未感染组相比,差异均有统计学意义(P均<0.05);感染组淋巴结转移占65.93%,高于未感染组的43.82%(x2=8.890,P<0.01).感染组累积生存率、无进展生存率分别为82.26%、66.13%,低于未感染组的95.16%、90.32%,差异均有统计学意义(log-rankx2=5.766、13.220,P均<0.001).感染组患者癌组织及癌旁组织的p53蛋白表达水平分别为0.58(0.45~0.60)、0.24(0.21~0.28),未感染组分别为0.42(0.35~0.46)、0.21(0.18~0.25),差异均有统计学意义(Z=8.525、2.923,P均<0.01).感染组与未感染组在肿瘤直径、组织学分级、病理分期、有无淋巴结转移的p53蛋白表达水平比较,差异均有统计学意义(P均<0.05).结论 乳腺癌患者HPV感染率较高,HPV感染可能促使p53蛋白突变,促进乳腺癌恶性发展.

Abstract

Objective This study was aimed at observing the clinicopathological characteristics of human papillo-ma virus(HPV)infection and their correlations with p53 protein expression in patients with breast cancer.Methods A total of 180 patients with breast cancer were enrolled and divided into an infection group(n=91)and non-infection group(n=89),according to the presence or absence of HPV infection.The expression of p53 protein in cancer tissues and para-carcinoma tissues,clinicopathological data,survival,and clinicopathological characteristics were compared between groups.Results Significant differences in histological grading and pathological staging were observed between groups(both P<0.05);lymph node metastasis was observed in 65.93%of the infection group and 43.82%non-infection group(x2=8.890,P<0.01).The cu-mulative survival rate and progression-free survival rate in the infection group were 82.26%and 66.13%,respectively,and were significantly lower than those in the non-infection group(95.16%,90.32%)(log-rank x2=5.766,13.220,both P<0.001).The expression levels of p53 protein in cancer tissues and para-carcinoma tissues in the infection group were 0.58(0.45-0.60)and 0.24(0.21-0.28),whereas those in the non-infection group were 0.42(0.35-0.46)and 0.21(0.18-0.25);the differences between groups were statistically significant(Z=8.525,2.923,both P<0.01).Significant differences in p53 pro-tein expression were observed among patients according to tumor diameter,histological grading,pathological staging,and lymph node metastasis between the infection group and non-infection group(all P<0.05).Conclusion The inci-dence of HPV infection was elevated in patients with breast cancer,HPV infection may promote the mutation of p53 protein and the malignant development of breast cancer.

关键词

乳腺肿瘤/人乳头状瘤病毒感染/临床病理特征/p53

Key words

Breast neoplasms/Human papilloma virus infection/Clinicopathological characteristics/p53

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出版年

2024
中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
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