IEX-1在宮頸癌中的表達(dá)及其與HPV感染的相關(guān)性
[Abstract]:BACKGROUND AND OBJECTIVE Cervical cancer is one of the most common malignant tumors in the female reproductive system. The incidence of cervical cancer is the third in female cancers worldwide, next only to lung cancer and gastric cancer. About 90% of cervical cancer deaths occur in developing countries, which seriously threaten women's life and health. Squamous cell carcinoma (SCC) and adenocarcinoma (ADCA), cervical squamous cell carcinoma (SCC) account for about 80%, the incidence of cervical adenocarcinoma in recent years is increasing. Persistent high-risk human papilloma virus (HR-HPV) infection is the most important carcinogen of cervical cancer, HPV16 and HPV18 are the most common HR-HPV. Type. E6 and E7 are the major cancer proteins of HR-HPV. E6 can hydrolyze P53 by ubiquitination, leading to loss of apoptosis and/or senescence in P53-dependent cells. E7 binding to P RB leads to cell cycle disorders. Therefore, HR-HPV infection can lead to malignant transformation and tumor development. Charles et al. found in mouse fibroblasts in 1993 Immediate early response gene X-1 (IEX-1), as a member of immediate early gene (IEG), can be expressed briefly and rapidly under a variety of stimulation conditions. These stimulating factors include growth factors, cytokines, ionizing radiation, virus infection and other types of cell stress factors. IEX-1 plays a complex role in regulating cell cycle and apoptosis. Although the expression of IEX-1 has been proved to be out of balance in many human malignant tumors, there is little research on IEX-1 in cervical cancer and IEX-1 in cervical cancer. The expression of IEX-1 in cervical cancer, cervical intraepithelial neoplasia (CIN) and normal cervical tissues was analyzed by immunohistochemistry. The relationship between IEX-1 expression and clinical pathology of cervical cancer was analyzed. To determine the role of IEX-1 in the development of cervical cancer, real-time fluorescence quantitative PRC (RT-q PCR) and Western Blot were used to analyze the expression of IEX-1 in cervical cancer cells with different HPV infection status. Homologous m RNA degrades efficiently and specifically. RNAi method has high sequence specificity. Specific gene silencing can be achieved by transient transfection of Si RNA into cells. Material and Methods 1. Human cervical cancer cell lines Si Ha (HPV16 +), He La (HPV18 +), C-33a (HPV -) were given by Huazhong University of Science and Technology. From January 2010 to October 2014, 132 cervical specimens (124 surgical specimens and 8 biopsy specimens) were collected from the Department of Pathology, First Affiliated Hospital of Zhengzhou University. Among them, 29 cases were normal cervix, aged 32-61 years; 46 cases of CIN (19 cases of grade I, 17 cases of grade II, 10 cases of grade III), aged 29-58 years; 57 cases of cervical cancer (35 cases of squamous cell carcinoma, 22 cases of adenocarcinoma), aged 27-65 years. According to FIGO clinical staging, 23 cases of cervical cancer were stage I, 26 cases of stage II, 6 cases of stage III and 2 cases of stage IV. Differentiation grade: 13 cases were well-differentiated, 18 cases were moderately differentiated and 26 cases were poorly differentiated. The expression of IEX-1 in Si Ha, He La, C-33a cervical cancer cell lines was detected by Western Blot method, and the expression of IEX-1 protein in Si Ha, He La, C-33a cervical cancer cell lines was detected by Western Blot method. Statistical analysis showed that the expression of IEX-1 in normal cervical tissues, CIN tissues and cervical cancer tissues decreased in turn. The expression of IEX-1 in cervical cancer tissues was not correlated with age, pathological type and FIGO stage (all P 0.05). The expression of IEX-1 was correlated with the degree of differentiation and the depth of myometrial invasion. The lower the degree of differentiation, the lower the positive expression rate of IEX-1 protein (c 2 = 6.642, P = 0.0090.05). The positive expression rate of IEX-1 protein in deep myometrial infiltrators was significantly lower than that in superficial myometrial infiltrators only (c2 = 5.076, P = 0.0250.05). 2. Detection of IEX-1 m RNA expression in Si Ha cells, He La cells and C-33a cells by RT-q PCR showed that the expression of IEX-1 m RNA in C-33a cells (21.652 + 9.020) was higher than that in Si Ha cells (1.006 + 0.027) and He La cells (1.742 + 0.027). 854 (PSi Ha-C-33a = 0.0030.05, PHe La-C-33a = 0.0030.05). There was no significant difference in IEX-1m RNA expression between Si Ha cells and He La cells (PSi Ha-He La = 0.8680.05). 3. Western Blot assay of IEX-1 protein expression in Si Ha cells, He La cells and C-33a cells showed that IEX-1 protein expression in C-33a cells was higher than that in Si Ha cells (18.017 + 1.351). There was no significant difference in IEX-1 protein expression between Si Ha cells and He La cells (PSi Ha-C-33a 0.001, PHe La-C-33a 0.001). 4. Si Ha cells were divided into interference group, negative control group and blank control group. The interference group was transfected into E6-specific Si RNA sequence, negative pair. After transfection, the expression levels of E6 m RNA and IEX-1 m RNA in the negative control group and blank control group were detected by RT-q PCR respectively. The expression levels of E6 m RNA and IEX-1 m RNA in the interference group (0.218 +0.106) were significantly lower than those in the negative control group (1.031 +0.072) and blank control group (1.031 +0.072). There was no significant difference in the expression of E6 m RNA between the negative control group and the blank control group (P-negative control = 0.2070.05). The expression of IEX-1m RNA in the interference group (20.083 + 0.672) was significantly higher than that in the negative control group (1.613 + 0.408) and the blank control group (0.001). There was no significant difference in the expression of IEX-1 m RNA between negative control group and blank control group (P-negative control = 0.3040.05). 5. Western Blot method was used to detect the expression of E6 and IEX-1 protein in interference group, negative control group and blank control group respectively. The level of E6 protein expression in the interference group (0.184+0.274) was significantly lower than that in the negative control group (0.692+0.133) and the blank control group (0.783+0.097) (P interference-negative control 0.001, P interference-blank control 0.001), and there was no significant difference between the negative control group and the blank control group (P negative control-blank control = 0.001). 1840.05). The expression level of IEX-1 protein in the interference group (0.672.135) was significantly higher than that in the negative control group (0.137.071) and the blank control group (0.081.009) (P interference-negative control = 0.0010.05, P interference-blank control 0.001). There was no significant difference in the expression level of IEX-1 protein between the negative control group and blank control group (P negative control-blank control-blank control). Conclusion 1. The expression of IEX-1 in cervical cancer tissues decreased, and its expression level was negatively correlated with the malignant degree of cervical cancer. The decrease or deletion of IEX-1 expression in cervical epithelial cells may be involved in the occurrence and development of cervical cancer. 2. The expression level of IEX-1 in cervical cancer cells was negatively correlated with HPV infection and H infection. IEX-1 and HPV may play an opposite role in cervical carcinogenesis. 3. E6-specific Si RNA can silence the expression of E6 protein in cervical cancer cell lines. After HPV E6 silencing, the expression of IEX-1 is up-regulated, and HPV may down-regulate the expression of IEX-1 through E6 oncoprotein.
【學(xué)位授予單位】:鄭州大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R737.33
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