CXCR3和CXCL10在宫颈病变组织中的表达及其临床意义

    Expression and clinical significance of CXCR3 and CXCL10 in cervical lesions

    • 摘要:
      目的 探究趋化因子受体3(CXCR3)和趋化因子配体10(CXCL10) 在宫颈低级别上皮内病变组织、宫颈高级别上皮内病变组织以及宫颈癌组织中的表达与临床意义。
      方法 收集68例宫颈癌病人的宫颈蜡块标本、50例宫颈上皮内病变病人(其中高级别病变28例和低级别病变22例)的宫颈蜡块标本及12例正常宫颈的蜡块标本, 对以上所有宫颈组织的CXCR3、CXCL10进行免疫组织化学染色, 比较二者在宫颈低级别上皮内病变、宫颈高级别上皮内病变及宫颈癌组织和正常宫颈组织的表达差异, 并分析宫颈癌组织中CXCR3、CXCL10的表达情况与病人临床病理特征的关系及相关性。
      结果 CXCR3、CXCL10在宫颈组织中的表达均随着宫颈病变程度的加重而呈现上升趋势(P < 0.05);FIGO分期高、分化程度低以及有淋巴结转移宫颈癌组织中CXCR3与CXCL10的阳性表达率较高(P < 0.05~P < 0.01), 病人的年龄、病理类型与二者阳性表达率的关系无统计学意义(P>0.05);宫颈癌组织中, CXCR3和CXCL10的表达呈正相关(r=0.790, P < 0.05)。
      结论 CXCR3、CXCL10之间可能存在协同作用, 并可促进宫颈病变的发生、发展及宫颈癌的进展、侵袭和转移。

       

      Abstract:
      Objective To explore the expression and clinical significance of chemokine receptor 3 (CXCR3) and chemokine ligand 10(CXCL10) in low-grade cervical intraepithelial lesions, high-grade cervical lesions and cervical cancer.
      Methods Cervical wax block specimens from 68 patients with cervical cancer, 50 patients with cervical intraepithelial lesions (including 28 patients with high-grade lesions and 22 patients with low-grade lesions) and 12 normal cervical wax block specimens were collected.Immunohistochemical staining was performed to detect the expression of CXCR3 and CXCL10 in the above cervical tissues, and the expression differences among them were compared in low-grade cervical intraepithelial lesions, high-grade cervical intraepithelial lesions, cervical cancer tissues and normal cervical tissues.The relationship and correlation between the expression of CXCR3 and CXCL10 in cervical cancer tissue and the clinical pathological characteristics of patients were analyzed.
      Results The expression of CXCR3 and CXCL10 in cervical tissues was increased with the severity of cervical lesions (P < 0.05).The positive expression rates of CXCR3 and CXCL10 were higher in cervical cancer tissues with high FIGO stage, low differentiation and lymph node metastasis (P < 0.05 to P < 0.01).There was no statistically significant relationship between the positive expression rates of CXCR3 and CXCL10 and the patients' age and pathological type (P>0.05).The expression of CXCR3 and CXCL10 was positively correlated with cervical cancer (r=0.790, P < 0.05).
      Conclusions The interaction between CXCR3 and CXCL10 may promote the occurrence and development of cervical lesions, as well as the progression, invasion and metastasis of cervical cancer.

       

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