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Over Expressed TKTL1, CIP-2A, and B-MYB Proteins in Uterine Cervix Epithelium Scrapings as Potential Risk Predictive Biomarkers in HR-HPV-Infected LSIL/ASCUS Patients.

作者信息

Chiarini Anna, Liu Daisong, Rassu Mario, Armato Ubaldo, Eccher Claudio, Dal Prà Ilaria

机构信息

Human Histology and Embryology Unit, University of Verona Medical School, Verona, Italy.

Plastic Surgery Department, Xiangya Third Hospital, Central South University, Changsha, China.

出版信息

Front Oncol. 2019 Apr 3;9:213. doi: 10.3389/fonc.2019.00213. eCollection 2019.


DOI:10.3389/fonc.2019.00213
PMID:31001477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6456695/
Abstract

High oncogenic risk human papillomaviruses (HR-HPVs) promote cervical carcinoma development, the fourth most common feminine cancer. A slow oncodevelopmental phase-defined histopathologically as Cervical Intraepithelial Neoplasia (CIN) grades 1-3, or cytologically as Low- or High-grade Squamous Intraepithelial Lesions (LSIL or HSIL)-precedes the malignancy. Cervical carcinoma screenings through HR-HPV genotyping and Pap smears are regularly performed in Western countries. Faulty cytology screening or genotyping or patients' non-compliance with follow-ups can let slip an oncoprogression diagnosis. Novel biomarker tests flanking HR-HPV genotyping and cytology could objectively predict the risk of disease progression thus helping triage LSIL/ASCUS patients. Here, anonymized leftovers of fresh cervical epithelium scrapings from twice (LSIL/ASCUS and HR-HPV DNA)-positive and twice (Pap smear- and HR-HPV DNA)-negative (control) patients in a proteome-preserving solution served to assess the biomarker worth of three cervical carcinoma-related proteins, i.e., B-MYB (or MYBL2), Cancerous Inhibitor of PP2A (CIP-2a), and transketolase-like1 (TKTL1). Leftovers anonymity was strictly kept and storage at -80°C, protein extraction, immunoblotting, and band densitometry were blindly performed. Only after tests completion, the anonymous yet code-corresponding HR-HPV-genotyping and cytology data allowed to assign each sample to the twice-positive or twice-negative group. Descriptive statistics showed that the three proteins levels significantly increased in the twice-positive vs. twice-negative scrapings. Diagnostic ROC curve analysis identified each protein's Optimal Decision Threshold (OTD) showing that TKTL1 and CIP-2a are stronger risk predictive biomarkers (Sensitivity, 0.91-0.93; Specificity, 0.77-0.83) than B-MYB. Logistic Regression coupled with Likelihood-Ratio Tests confirmed that a highly significant relation links increasing TKTL1/CIP-2a/B-MYB protein levels in twice-positive cervical scrapings to the risk of HR-HPV-driven oncoprogression. Finally, a 3 year clinical follow-up showed that 13 patients (50% of total) of the twice-positive group with biomarker values over OTDs compliantly underwent scheduled colposcopy and biopsy. Of these, 11 (i.e., 84.7%) received a positive histological diagnosis, i.e., CIN1 ( = 5; 38.5%) or CIN2/CIN2+ ( = 6; 46,2%). Therefore, TKTL1/CIP-2a/B-MYB protein levels could objectively predict oncoprogression risk in twice (HR-HPV- and Pap smear)-positive women. Further studies will assess the translatability of these findings into clinical settings.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/6bf24d886065/fonc-09-00213-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/1a551f0c39cb/fonc-09-00213-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/845aabd7bbe8/fonc-09-00213-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/b662f1abf4cf/fonc-09-00213-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/51e6840d0dd0/fonc-09-00213-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/6bf24d886065/fonc-09-00213-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/1a551f0c39cb/fonc-09-00213-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/845aabd7bbe8/fonc-09-00213-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/b662f1abf4cf/fonc-09-00213-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/51e6840d0dd0/fonc-09-00213-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdf7/6456695/6bf24d886065/fonc-09-00213-g0005.jpg

相似文献

[1]
Over Expressed TKTL1, CIP-2A, and B-MYB Proteins in Uterine Cervix Epithelium Scrapings as Potential Risk Predictive Biomarkers in HR-HPV-Infected LSIL/ASCUS Patients.

Front Oncol. 2019-4-3

[2]

2013-2-16

[3]
The utility of high-risk HPV testing in the management of women 30 to 64 years of age with low-grade squamous intraepithelial lesions on cervical cytology.

J Am Soc Cytopathol. 2015

[4]
Use of extended HR-HPV Genotyping in improving the Triage Strategy of 2019 ASCCP recommendations in Women with positive HR-HPV diagnosis and Simultaneous LSIL Cytology Results.

J Cancer. 2021-5-19

[5]
Comparison of HPV test versus conventional and automation-assisted Pap screening as potential screening tools for preventing cervical cancer.

BJOG. 2004-8

[6]
High-risk human papillomavirus detection in women with low-grade squamous intraepithelial lesions or higher-grade cytology using the Cervista HPV HR test.

J Low Genit Tract Dis. 2013-1

[7]
Evidence regarding human papillomavirus testing in secondary prevention of cervical cancer.

Vaccine. 2012-11-20

[8]
Predicting absolute risk of CIN3 during post-colposcopic follow-up: results from the ASCUS-LSIL Triage Study (ALTS).

Am J Obstet Gynecol. 2006-8

[9]
Risk detection for high-grade cervical disease using Onclarity HPV extended genotyping in women, ≥21 years of age, with ASC-US or LSIL cytology.

Gynecol Oncol. 2019-5-31

[10]
Cytology and high risk HPV testing in cervical cancer screening program: Outcome of 3-year follow-up in an academic institute.

Diagn Cytopathol. 2018-1

引用本文的文献

[1]
Transforming Properties of E6/E7 Oncogenes from Beta-2 HPV80 in Primary Human Fibroblasts.

Int J Mol Sci. 2025-6-2

[2]
Epidemiologic evaluation of human papillomavirus type competition in unvaccinated women from Xiamen, China.

Front Microbiol. 2025-4-4

[3]
TKTL1 participated in malignant progression of cervical cancer cells via regulating AKT signal mediated PFKFB3 and thus regulating glycolysis.

Cancer Cell Int. 2021-12-18

[4]
Changes in the Proteome in the Development of Chronic Human Papillomavirus Infection-A Prospective Study in HIV Positive and HIV Negative Rwandan Women.

Cancers (Basel). 2021-11-28

本文引用的文献

[1]
Epidemiology and prevention of Human Papillomavirus.

Ann Ig. 2018

[2]
Human Papillomavirus Correlates With Histologic Anal High-Grade Squamous Intraepithelial Lesions in Hispanics With HIV.

J Low Genit Tract Dis. 2018-10

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Ann Diagn Pathol. 2018-10

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Atypical Squamous Cells: Cytopathological Findings and Correlation with HPV Genotype and Histopathology.

Acta Cytol. 2018

[5]
CIP2A facilitates the G1/S cell cycle transition via B-Myb in human papillomavirus 16 oncoprotein E6-expressing cells.

J Cell Mol Med. 2018-6-12

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Host chemokine signature as a biomarker for the detection of pre-cancerous cervical lesions.

Oncotarget. 2018-4-6

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Arch Pharm Res. 2018-2-28

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Int J Cancer. 2018-3-30

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A prospective study of women with ASCUS or LSIL pap smears at baseline and HPV E6/E7 mRNA positive: a 3-year follow-up.

Epidemiol Infect. 2018-2-21

[10]
Use of autoantibodies against tumor-associated antigens as serum biomarkers for primary screening of cervical cancer.

Oncotarget. 2017-11-1

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