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分析 HPV 感染相关的皮肤损伤和宫颈癌中分子标志物的表达。

Analysis of molecular marker expression in cutaneous lesions and cervical carcinoma associated with HPV infection.

机构信息

Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.

Department of Preclinical Discipline, Apollonia University, Iasi, Romania.

出版信息

J Med Life. 2024 Jun;17(6):634-638. doi: 10.25122/jml-2023-0329.

Abstract

The study sought to systematically compare the expression of molecular markers in benign cutaneous lesions and squamous cell cervical carcinoma associated with HPV infection to better understand the pathophysiological mechanisms involved in HPV-related lesions and their progression to malignancy. We included 200 patients recruited from a gynecological clinic divided into two groups: 100 patients with positive HPV tests presenting with cutaneous lesions and 100 patients diagnosed with squamous cell cervical carcinoma and testing positive for HPV. The participants were selected to ensure diverse ethnic and demographic representation. The study utilized different statistical analyses, including Chi-square tests to assess associations between categorical variables and logistic regression to evaluate factors influencing lesion progression and compare marker expressions across different lesion types. The results indicated significant differences in the expression of specific molecular markers between cutaneous lesions and cervical carcinomas, highlighting distinct molecular pathways involved in HPV-related lesion development. Notably, markers such as p16, p53, and E-cadherin showed varying expression, suggesting their potential role in distinguishing between benign and malignant lesions. The findings emphasize the significance of molecular marker profiling in improving diagnostic and therapeutic strategies for HPV-related lesions. The differential expression of molecular markers can offer valuable insights into the pathogenesis of HPV-induced lesions and help develop targeted interventions to prevent malignant transformation. Further research is necessary to validate these markers in larger cohorts and diverse populations.

摘要

本研究旨在系统比较良性皮肤病变和 HPV 感染相关的鳞状细胞宫颈癌中分子标志物的表达,以更好地了解 HPV 相关病变及其恶化为恶性肿瘤的病理生理机制。我们纳入了 200 名从妇科诊所招募的患者,将其分为两组:100 名 HPV 检测呈阳性且出现皮肤病变的患者和 100 名 HPV 检测呈阳性且被诊断为鳞状细胞宫颈癌的患者。选择这些参与者以确保不同的种族和人口统计学代表性。该研究采用了不同的统计分析方法,包括卡方检验来评估分类变量之间的关联和逻辑回归来评估影响病变进展的因素,并比较不同病变类型的标志物表达。结果表明,皮肤病变和宫颈癌之间特定分子标志物的表达存在显著差异,突出了 HPV 相关病变发展中涉及的不同分子途径。值得注意的是,p16、p53 和 E-钙黏蛋白等标志物的表达存在差异,表明它们在区分良性和恶性病变方面可能具有潜在作用。这些发现强调了在 HPV 相关病变中进行分子标志物分析的重要性,有助于改善诊断和治疗策略。分子标志物的差异表达可为 HPV 诱导的病变发病机制提供有价值的见解,并有助于开发针对恶性转化的靶向干预措施。需要进一步的研究来在更大的队列和不同的人群中验证这些标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f12/11407498/c47e06504093/JMedLife-17-634-g001.jpg

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