首页> 外文期刊>Histopathology: Official Journal of the British Division of the International Academy of Pathology >Comparative evaluation of nm23 and p16 expression as biomarkers of high-risk human papillomavirus infection and cervical intraepithelial neoplasia 2(+) lesions of the uterine cervix.
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Comparative evaluation of nm23 and p16 expression as biomarkers of high-risk human papillomavirus infection and cervical intraepithelial neoplasia 2(+) lesions of the uterine cervix.

机译:nm23和p16表达作为高危型人乳头瘤病毒感染和子宫颈宫颈上皮内瘤样变2(+)病变的生物标志物的比较评估。

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AIMS: To investigate the clinical role of nm23 expression in identifying both high-risk human papillomavirus (HR-HPV) and high-grade cervical lesions or carcinomas [cervical intraepithelial neoplasia 2(+) (CIN2(+) )], and to compare it with p16 overexpression, as this latter biomarker has already been reported widely in HR-HPV infected cervical lesions. METHODS AND RESULTS: Immunohistochemical evaluation of nm23 and p16 in 143 cervical biopsy specimens including negative, low- and high-grade lesions and squamous carcinomas (SC). HR-HPV testing by Digene hybrid capture 2 (HC2) and polymerase chain reaction (PCR) on the cervico-vaginal samples of the same patients. In detecting CIN2(+) , p16 was significantly more sensitive and specific than nm23 (96.3% versus 81.8% and 66% versus 36.4%, respectively, both P < 0.0001). Concerning HR-HPV detection by HC2, p16 showed a significantly higher specificity than nm23 (82% versus 47%, P <0.0001), although the sensitivities were comparable (71% versus 76%). We found a significantly direct correlation between nm23 and HC2 findings. However, nm23 expression did not correlate with HPV16/18 infection. In contrast, we observed a significant association between p16 overexpression and HPV16/18 genotypes. CONCLUSIONS: We confirm the diagnostic value of p16 overexpression. Moreover, despite in vitro data regarding the interaction with the HPV-E7 protein, nm23 does not appear to be a more useful biomarker than p16 in identifying CIN2(+) or HR-HPV infection.
机译:目的:探讨nm23表达在鉴定高危型人乳头瘤病毒(HR-HPV)和高级别宫颈病变或癌[宫颈上皮内瘤变2(+)(CIN2(+))]中的临床作用,并进行比较它具有p16过度表达,因为后者已被广泛报道在HR-HPV感染的宫颈病变中。方法和结果:143份宫颈活检标本中nm23和p16的免疫组织化学评估,包括阴性,低度和高度病变以及鳞癌(SC)。通过Digene Hybrid Capture 2(HC2)和聚合酶链反应(PCR)对同一患者的宫颈阴道样品进行HR-HPV检测。在检测CIN2(+)时,p16的灵敏度和特异性比nm23高得多(分别为96.3%对81.8%和66%对36.4%,两者均P <0.0001)。关于通过HC2检测HR-HPV,p16的特异性明显高于nm23(82%对47%,P <0.0001),尽管敏感性相当(71%对76%)。我们发现nm23和HC2发现之间存在明显的直接相关性。但是,nm23表达与HPV16 / 18感染无关。相反,我们观察到p16过表达与HPV16 / 18基因型之间存在显着关联。结论:我们证实了p16过表达的诊断价值。而且,尽管有关于与HPV-E7蛋白相互作用的体外数据,nm23在鉴定CIN2(+)或HR-HPV感染方面似乎没有比p16更有用的生物标记。

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