p53表达与人乳头瘤病毒在口腔白斑中的组织病理学及免疫组织化学特征的相关性
Correlation of p53 Expression with Histopathological and Immunohistochemical Features of Human Papillomavirus in Oral Leukoplakia.
作者信息
Sirur Dhirendra Gururaj, Tamgadge Avinash, Tamgadge Sandhya, Bhalerao Sudhir, Gujjar Pavan Kumar
机构信息
Department of Oral Pathology, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
Department of Oral and Maxillofacial Pathology and Microbiology, D.Y Patil Deemed to be University School of Dentistry Nerul, Navi Mumbai, Sector 7, Nerul, Navi Mumbai, Maharashtra, India.
出版信息
J Microsc Ultrastruct. 2020 Sep 10;8(3):81-88. doi: 10.4103/JMAU.JMAU_44_19. eCollection 2020 Jul-Sep.
BACKGROUND
Oral cancer is strongly associated with the habit of tobacco chewing, alcohol, and betel quid consumption in India. However, sometimes, majority of the population develop oral cancer without exposure to these risk factors and are sometimes cautious about their fitness, suggesting that additional causes such as genetic predisposition, diet, and viral agents may be associated which need to explored.
AIMS AND OBJECTIVES
The aim of this study was to establish a possible correlation between clinical types of leukoplakia with their histopathological features of high-risk human papillomavirus (HPV) infection and the presence or absence of HPV and expression of p53through immunohistochemistry (IHC).
MATERIALS AND METHODS
Sample comprised of 40 cases of leukoplakia and 10 cases as control group. Three sections were prepared from each biopsy and subjected to IHC and hematoxylin and eosin (H and E) stain, respectively. IHC-stained slides were used to evaluate the expression of p53 and HPV and then correlated with the features of HPV infection using H and E staining. Chi-square test with a statistical analysis software package (SPSS software Version 20.0) was used.
OBSERVATION AND RESULTS
The value for p53 against HPV (IHC) was 0.012, which indicates a significant difference between positivity proportion of P53 and HPV (IHC), whereas the value for koilocyte and HPV (IHC) is 0.311, which is nonsignificant and indicates no significance of difference between proportion of positivity between koilocyte and HPV (IHC).
CONCLUSION
The expression of p53 was proportionally significant to the expression of positivity of HPV, but there was no significant association between koilocyte and p53 expression.
背景
在印度,口腔癌与嚼烟、饮酒和食用槟榔的习惯密切相关。然而,有时大多数人在未接触这些风险因素的情况下也会患口腔癌,而且他们有时对自身健康很谨慎,这表明可能存在其他相关病因,如遗传易感性、饮食和病毒因素等,需要进行探索。
目的
本研究旨在通过免疫组织化学(IHC)确定白斑临床类型与其高危人乳头瘤病毒(HPV)感染的组织病理学特征以及HPV的存在与否和p53表达之间的可能相关性。
材料与方法
样本包括40例白斑病例和10例作为对照组。从每例活检组织制备三张切片,分别进行免疫组织化学和苏木精-伊红(H&E)染色。使用免疫组织化学染色的玻片评估p53和HPV的表达,然后通过H&E染色将其与HPV感染特征相关联。使用统计分析软件包(SPSS软件版本20.0)进行卡方检验。
观察与结果
p53与HPV(免疫组织化学)的P值为0.012,这表明P53和HPV(免疫组织化学)阳性比例之间存在显著差异,而挖空细胞与HPV(免疫组织化学)的P值为0.311,无统计学意义,表明挖空细胞与HPV(免疫组织化学)阳性比例之间无显著差异。
结论
p53的表达与HPV阳性表达呈比例显著相关,但挖空细胞与p53表达之间无显著关联。