摘要
目的:研究缺氧诱导因子-1α(HIF-1α)及肿瘤坏死因子相关的凋亡诱导配体(TRAIL)受体在宫颈癌组织中的表达变化,及与放疗敏感性的关系。方法:收集2003年7月至2005年1月宫颈癌活检组织45例,用原位杂交组织化学法检测宫颈癌组织中HIF-1αmRNA及TRAIL-DR4mRNA水平。结果:(1)在45例宫颈癌组织中27例(60%) HIF-1αmRNA呈阳性表达,Ⅰ/Ⅱ期肿瘤HIF-1αmRNA的表达显著低于Ⅲ/Ⅳ期肿瘤的表达(X^2=9.07,P<0.05),随着组织分化的降低,HIF-1αmRNA的表达增强(X^2=8.03,P<0.05),放疗敏感患者中HIF-1αmRNA表达明显低于放疗不敏感患者(X^2=10.37,P<0.05);(2)TRAIL-DR4mRNA阳性表达率为57.8%。Ⅰ/Ⅱ期肿瘤DR4mRNA的表达显著高于Ⅲ/Ⅳ期肿瘤的表达(X^2=9.01,P<0.05),中高分化宫颈癌的表达明显高于低分化宫颈癌(X^2=18.18,P<0.05),放疗敏感患者中TRAIL-DR4mRNA表达明显高于放疗不敏感患者(X^2=6.91,PP<0.05)。结论:HIF-1αmRNA及TRAIL-DR4mRNA与宫颈癌的放疗敏感有相关性。
Objective: To study the expressions of hypoxia-inducible factor -1α and TNF related apoptosis inducing ligand receptor in cervical cancer tissue and their relationships with radiosensitivity. Method:Forty-five samples from patients with cervical cancer were assessed for HIF-1 α and TRAIL-DR4 mRNA expression by in situ hybridization histochemistry (ISHH). Rusult: ( 1 ) HIF-1α mRNA was over expressed in 27 samples (60%). The level of expression in early stages( Ⅰ and Ⅱ )cases was lower than that in advanced stages ( Ⅲ and Ⅳ ) cases ( X^2 = 9.07, P 〈 0.05 ). The expression of HIF-1α elevated as the pathologic grade decreased ( X^2 = 8.03, P 〈 0.05 ). Patients who had complete response to radiotherapy were found to have lower HIF-1α tmRNA expression than those who were not sensitive to radiotherapy( X^2 = 10.37,P 〈0.05). (2)The positive rate of DR4mRNA was 57.8%. The level of expression in early stages( Ⅰ andⅡ )cases was higher than that in advanced stages( Ⅲ and Ⅳ )cases (X^2 = 9.01 ,P 〈0.05 ). The positive rate of DR4 mRNA expression in well-differentiated cases was significantly higher than that in poorly differentiated cases. (X^2 = 18.18, P 〈 0.05 ). Patients who showed complete response to radiotherapy were found to have higher DR4mRNA expression, than those who showed incomplete response to radiotherapy ( X^2 = 6.91, P 〈 0.05 ). Conclusion:The expression of HIF-1α and TRAIL-DR4 are related to radiosensitivity.
出处
《现代妇产科进展》
CSCD
北大核心
2007年第1期21-24,I0003,共5页
Progress in Obstetrics and Gynecology