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HPV16 E6/E7mRNA 在小细胞肺癌患者支气管刷检和 TBNA 细胞中的表达及意义。

Expression and Significance of HPV16 E6/E7 mRNAs in the Bronchial Brush and TBNA Cells of Patients With Small Cell Lung Cancer.

机构信息

Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical University, Shenyang, China.

Department of Radiology, The First Hospital of China Medical University, Shenyang, China.

出版信息

Technol Cancer Res Treat. 2021 Jan-Dec;20:15330338211019505. doi: 10.1177/15330338211019505.

Abstract

BACKGROUND AND OBJECTIVE

Small cell lung cancer (SCLC) is characterized by rapid growth, strong invasion, and early metastasis. However, the cause of its occurrence remains unclear. High-risk HPV infection is closely related to the occurrence of non-small cell lung cancer and cervical small cell neuroendocrine carcinoma.

METHODS

The expression levels of E6 mRNA and E7 mRNA in HPV16 were detected by qRT-PCR in the bronchial brushing and transbronchial needle aspiration (TBNA) of 310 patients with lung cancer and with benign lung diseases. To make the design of this experiment scientific and reasonable, the expression levels in lung squamous cell carcinoma were taken as positive controls, while those in benign cells were taken as negative controls.

RESULTS

The expression levels of E6 mRNA and E7 mRNA in SCLC group were significantly higher than those in benign cell group and slight higher than those in squamous cell carcinoma group. The expression levels of E6 mRNA and E7 mRNA in the central type of SCLC were significantly higher than those in the peripheral type of SCLC.

CONCLUSIONS

We speculate that the occurrence of some small cell carcinoma is the same as that of some squamous cell carcinoma, which is closely related to HPV16 infection. The overexpression of E6 mRNA and E7 mRNA is in some benign lesion cells, which may be related to HPV transient infection.

摘要

背景与目的

小细胞肺癌(SCLC)的生长迅速、侵袭性强、早期转移。然而,其发生的原因尚不清楚。高危型 HPV 感染与非小细胞肺癌和宫颈小细胞神经内分泌癌的发生密切相关。

方法

采用 qRT-PCR 检测 310 例肺癌患者和良性肺部疾病患者支气管刷检和经支气管针吸活检(TBNA)中 HPV16 的 E6mRNA 和 E7mRNA 的表达水平。为了使实验设计科学合理,将肺鳞癌的表达水平作为阳性对照,良性细胞的表达水平作为阴性对照。

结果

SCLC 组 E6mRNA 和 E7mRNA 的表达水平明显高于良性细胞组,略高于鳞癌组。中央型 SCLC 的 E6mRNA 和 E7mRNA 的表达水平明显高于周围型 SCLC。

结论

我们推测部分小细胞癌的发生与部分鳞癌相同,与 HPV16 感染密切相关。E6mRNA 和 E7mRNA 的过度表达存在于某些良性病变细胞中,可能与 HPV 一过性感染有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f47a/8155753/79317ce3ba3b/10.1177_15330338211019505-fig1.jpg

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