Abstract:Objective To quantify the expression of Shh and Ptch proteins in cervical carcinoma and to examine their role in metastasis. Methods The expression of Shh and Ptch in 32 specimens of normal cervical tissue, 43 specimens of moderate-severe cervical intraepithelial neoplasia, and 80 specimens of cervical carcinoma was measured by real-time quantitative PCR and immunohistochemistry. The correlation between Shh and Ptch proteins in cervical carcinoma was analyzed; the correlation of the 2 proteins with pelvic lymph node metastasis was also evaluated. Results The positive expression rates in cervical carcinoma and CIN II-III were 79.0% and 82.5% for Shh, and 69.7% and 80.0% for Ptch, respectively. These rates were significantly higher than those of the normal cervical tissue. Shh expression was positively correlated to Ptch expression (r=0.672, P<0.05). The single factor comparative analysis between metastasis group and none-metastasis group showed that the expression of Shh and Ptch, histological differentiation, vascular invasion, and muscle invasion depth were associated with cervical carcinoma pelvic lymph node metastasis. Logistic regression analysis showed that Shh expression and muscle invasion depth were independent risk factors for cervical carcinoma pelvic lymph node metastasis. Conclusion Deregulation of Shh and Ptch may synergistically participate in the malignant progression of cervical carcinoma. The expression of Shh is an independent risk factor for cervical carcinoma pelvic lymph node metastasis.
朱明玥, 陈帆, 李华, 古扎丽努尔·阿不力孜, 唐努尔. Hedgehog信号通路中Shh、Ptch在维吾尔族妇女宫颈癌中的表达及其关系[J]. 中国生育健康杂志, 2015, 26(6): 518-524.
ZHU Mingyue, CHEN Fan, LI Hua, GUZHALINUER·Abulizi, Tangnuer. Expression of Shh and Ptch proteins in cervical carcinoma and their correlations with pelvic lymph node metastasis. Chinese Journal of Reproductive Health, 2015, 26(6): 518-524.
1 Nussle-Volhard C,Wieschaus E.Mutations affecting segment number and polarity in Drosophila.Nature,1980,287:795-801. 2 Cohen MM Jr.The hedgehog signalling network.Am J Med Genet A,2003,123A:5-28. 3 Gupta S,Takebe N,Lorusso P,Targeting the Hedhehog pathway in cancer,Ther Adv Med Oncol,2010,2:237-250. 4 Theunissen JW,de Sauvage FJ.Paracrine Hedgehog signaling in cancer.Cancer Res,2009,69:6007-6010. 5 曹泽义,主编.中华妇产科学.第2版,北京:人民卫生出版社,2004,11:2010-1061. 6 张克松,李克.Hedgehog 信号途径与肿瘤.中华肿瘤防治杂志,2006,13:1031-1034. 7 Bhattacharya R,Kwon J,Ali B,et al.Role of hedgehog signaling in ovarian cancer.Clin Cancer Res,2008,14:7659-7666. 8 Fujii K,Miyashita T.Hedgehog signaling pathway and human disorders.No To Hattatsu,2009,41:247-252. 9 Berman DM,Karhadkar SS,Maitra A,et al.Widespread requirement for Hedgehog ligand stimulation in growth of digestive tract tumours,Nature,2003,425:846-851. 10 Watkins DN,Berman DM,Burkhohter SG,et al.Hedgehog signalling within airway epithelial progenitors and in small-cell lung cancer.Nature,2003,422:313-317. 11 Ma X,Sheng T,Zhang Y,et al.Hedgehog signaling is activated in subsets of esophageal cancels.Int J Cancer,2006,118:139-148. 12 Nishimaki H,Kasai K,Kozaki K,et a1.A role of activated Sonic hedgehog signaling for the cellular proliferation of oral squamous cell carcinoma cell line.Biochem Biophys Res Commun,2004,314:313-320. 13 邓欢,李政,李文超,等.314例I B~ⅡA期官颈癌预后及淋巴结转移危险因素研究.中国肿瘤临床,2012,10:711-714. 14 张平,喻文人.Shh和Ptch在结肠癌、腺瘤性息肉中的表达及意义.海南医学院学报,2011,17:600-603. 15 林贞花.子宫及卵巢肿瘤病理基础研究中的几个问题.中华病理学杂志,2007,36:508-510. 16 Lin Z,Liu M,Li Z,et al.DeltaNp63 protein expression in uterine cervical and endometrial cancers.J Cancer Res Clin Oncol,2006,132:811-816. 17 Duman-Scheel M,Weng L,Xin S,et al.Hedge regulates cell growth and proliferationg by inducing Cyclin E.Nature,2002,417:299-304.