[Association between expression of survivin and high-risk human papillomavirus infection in cervical cancer and precancerous tissues].

Yan Lang, Yong-yan Xiong, Hui-zhen Chen
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Abstract

Objective: To investigate the expression of survivin and its association with high-risk human papillomavirus (HPV) infection in cervical cancer and precancerous tissues.

Methods: In 76 patients with cervical intraepithelial neoplasia (CIN) or cervical carcinoma, the expression of survivin was detected by immunohistochemistry and the infection rates of high-risk HPV including HPV16, 18, 31, 33, 52, and 58 were assayed by touch-down PCR, with 10 cases of normal cervical specimens serving as the control.

Results: Survivin expression tended to increase along with the tumor progression (P<0.05), and was associated with the histological grade of invasive carcinoma (P<0.05) but not with the patients' age, clinical stage or histological classification (P>0.05). The positivity rate of high-risk HPV increased only in association with tumor progression (P<0.05) but not with the patients' age, clinical stage or histological classification (P>0.05). Positive correlation between the expression of survivin and high-risk HPV infection was observed in cervical carcinoma.

Conclusion: Survivin might play an important role in the occurrence and development of cervical carcinoma in coordination with high-risk HPV.

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[survivin表达与宫颈癌和癌前组织中高危人乳头瘤病毒感染的关系]。
目的:探讨survivin在宫颈癌及癌前组织中的表达及其与高危人乳头瘤病毒(HPV)感染的关系。方法:采用免疫组化方法检测76例宫颈上皮内瘤变(CIN)或宫颈癌患者的survivin表达,并采用触地式PCR法检测HPV16、18、31、33、52、58高危型HPV的感染率,同时以10例宫颈正常标本为对照。结果:Survivin表达随肿瘤进展呈升高趋势(P0.05)。高危HPV阳性率仅与肿瘤进展相关(P0.05)。survivin的表达与宫颈癌高危HPV感染呈正相关。结论:Survivin可能在宫颈癌的发生发展中与高危HPV协同发挥重要作用。
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