Furuya H, Yabushita H, Noguchi M, Nakanishi M
Department of Obstetrics and Gynecology, Aichi Medical University.
Nihon Sanka Fujinka Gakkai Zasshi. 1995 Feb;47(2):141-8.
To assess the transformation of cellular characteristics during a neoplastic change in uterine cervical epithelium, the populations of cells in apoptosis as well as proliferating cycle were examined in normal cervical epithelium, dysplastic change, carcinoma in situ and invasive carcinoma. The percentage of apoptotic cells (%DNA Fr.) decreased with the neoplastic change and was significantly lower in the carcinoma in situ group than in the dysplasia group. Conversely, the percentage of cells in the proliferating cycle (%GF) increased with the neoplastic change and was significantly higher in the dysplasia group than in the normal group. The ratio of %DNA Fr. to % GF was more than 1.0 in the normal group and dysplasia group, but it was less than 1.0 in the carcinoma in situ group and invasive carcinoma group. No significant correlation between %DNA Fr. and %GF was found. These results suggested to us that the decrease in apoptosis may reflect the atypical change in cervical epithelial cells during their neoplastic change, and the proliferative activity in neoplastic lesion was found when the cervical epithelium with dysplastic change was transformed to the carcinoma in situ.
为评估子宫颈上皮肿瘤性改变过程中细胞特性的变化,对正常宫颈上皮、发育异常改变、原位癌和浸润癌中凋亡细胞群体以及增殖周期进行了检测。凋亡细胞百分比(%DNA Fr.)随肿瘤性改变而降低,原位癌组明显低于发育异常组。相反,增殖周期中细胞百分比(%GF)随肿瘤性改变而增加,发育异常组明显高于正常组。正常组和发育异常组中%DNA Fr.与%GF的比值大于1.0,但原位癌组和浸润癌组中该比值小于1.0。未发现%DNA Fr.与%GF之间存在显著相关性。这些结果提示,凋亡减少可能反映宫颈上皮细胞肿瘤性改变过程中的非典型变化,并且当伴有发育异常改变的宫颈上皮转变为原位癌时,肿瘤病变中出现了增殖活性。