Yang Y H, Lin C
Department of Otolaryngology,the First Hospital of Fujian Medical University,Fuzhou,350005,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jul 5;30(13):1029-1033. doi: 10.13201/j.issn.1001-1781.2016.13.006.
To explore the relationship between human papilloma virus infection,TGF-β,IL-10,IFN-γand nasal inverted papilloma.To explore the relat-ionship between human papilloma virus infection,TGF-β,IL-10,IFN-γand nasal squamous cell carcinoma.Thirty cases of NIP(including 7 cases of recurrent NIP),23 cases of NSCC,19 cases of NP were collected.In situ hybridization(ISH) was used to detect the infection of HPV6/11,HPV16/18.Immunohistochemical technique(EnVision) was used to detect the expression of TGF-β,IL-10,IFN-γ.The HPV infection rates of 30 cases of NIP,23 cases of NSCC were 43.33%,52.17%.None of the NP cases was infected with HPV.Nine out of 23 cases of primary NIP were positive in HPV infection (39.13%).Three out of 7 cases of recurrent NIP were positive in HPV infection (42.86%).There were significant differences in the HPV infection rate between NIP and NP as well as between NSCC and NP(<0.05).No significant difference of HPV infection rate was observed between NIP and NSCC or between recurrent NIP and primary NIP(>0.05).TGF-β,IL-10,IFN-γwere expressed in NSCC,NIP and NP.The expression of TGF-βwas significantly different among NIP,NSCC and NP(<0.01).The expression of TGF-βin NIP group was higher than that in NP and NSCC group.There was no significant difference of TGF-βexpression between NSCC and NP group .The expression of IL-10 was significantly different among NIP,NSCC and NP(<0.01).The expression of IL-10 in NIP group was lower than that in NP group.There was no significant difference in IL-10 expression between NIP and NSCC or between NSCC and NP.No significant differences of IFN-γexpression was observed among NIP,NSCC and NP(>0.05).There was no correlation between the expression of TGF-β,IL-10,IFN-γand HPV infection in NIP and NSCC(>0.05).HPV infection is related to the pathogenesis of some NIP and NSCC cases.The relationship of between HPV infection and malignance of NIP is not clear.HPV infection is not related to the recurrence of NIP.Abnormal expression TGF-βand IL-10 may be involved in the pathogenesis of NIP.There is no relationship between IFN-γand the pathogenesis and development of NIP.HPV infection is not related with the expression of TGF-β,IL-10,IFN-γin NIP and NSCC.
探讨人乳头瘤病毒感染、转化生长因子-β(TGF-β)、白细胞介素-10(IL-10)、干扰素-γ(IFN-γ)与鼻内翻性乳头状瘤的关系。探讨人乳头瘤病毒感染、TGF-β、IL-10、IFN-γ与鼻鳞状细胞癌的关系。收集30例鼻内翻性乳头状瘤(包括7例复发性鼻内翻性乳头状瘤)、23例鼻鳞状细胞癌、19例鼻息肉。采用原位杂交(ISH)检测人乳头瘤病毒6/11型、16/18型感染情况。采用免疫组织化学技术(EnVision法)检测TGF-β、IL-10、IFN-γ的表达。30例鼻内翻性乳头状瘤、23例鼻鳞状细胞癌的人乳头瘤病毒感染率分别为43.33%、52.17%。鼻息肉病例均无人乳头瘤病毒感染。23例原发性鼻内翻性乳头状瘤中有9例人乳头瘤病毒感染阳性(39.13%)。7例复发性鼻内翻性乳头状瘤中有3例人乳头瘤病毒感染阳性(42.86%)。鼻内翻性乳头状瘤与鼻息肉以及鼻鳞状细胞癌与鼻息肉之间的人乳头瘤病毒感染率差异有统计学意义(<0.05)。鼻内翻性乳头状瘤与鼻鳞状细胞癌之间以及复发性鼻内翻性乳头状瘤与原发性鼻内翻性乳头状瘤之间的人乳头瘤病毒感染率差异无统计学意义(>0.05)。TGF-β、IL-10、IFN-γ在鼻鳞状细胞癌、鼻内翻性乳头状瘤和鼻息肉中均有表达。TGF-β在鼻内翻性乳头状瘤、鼻鳞状细胞癌和鼻息肉中的表达差异有统计学意义(<0.01)。鼻内翻性乳头状瘤组TGF-β的表达高于鼻息肉组和鼻鳞状细胞癌组。鼻鳞状细胞癌组与鼻息肉组TGF-β表达差异无统计学意义。IL-10在鼻内翻性乳头状瘤、鼻鳞状细胞癌和鼻息肉中的表达差异有统计学意义(<0.01)。鼻内翻性乳头状瘤组IL-10的表达低于鼻息肉组。鼻内翻性乳头状瘤与鼻鳞状细胞癌之间以及鼻鳞状细胞癌与鼻息肉之间IL-10表达差异无统计学意义。IFN-γ在鼻内翻性乳头状瘤、鼻鳞状细胞癌和鼻息肉中的表达差异无统计学意义(>0.05)。鼻内翻性乳头状瘤和鼻鳞状细胞癌中TGF-β、IL-10、IFN-γ的表达与HPV感染无相关性(>0.05)。人乳头瘤病毒感染与部分鼻内翻性乳头状瘤和鼻鳞状细胞癌病例的发病机制有关。人乳头瘤病毒感染与鼻内翻性乳头状瘤恶性程度的关系不明确。人乳头瘤病毒感染与鼻内翻性乳头状瘤的复发无关。TGF-β和IL-10的异常表达可能参与鼻内翻性乳头状瘤的发病机制。IFN-γ与鼻内翻性乳头状瘤的发病机制及发展无关。人乳头瘤病毒感染与鼻内翻性乳头状瘤和鼻鳞状细胞癌中TGF-β、IL-10、IFN-γ的表达无关。