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    自噬相关蛋白ULK1与Raptor、Rictor在不同宫颈组织的表达及临床意义

    Expression of autophagy-related proteins ULK1, Raptor and Rictor in different cervical tissues and its clinical significance

    • 摘要: 目的 研究不同宫颈组织中丝氨酸/苏氨酸蛋白激酶ULK1与Raptor、Rictor蛋白表达水平,并探讨其意义。方法 选取宫颈癌组织95例、宫颈鳞状上皮高级别病变(HSIL)组织30例、宫颈鳞状上皮低级别病变(LSIL)组织30例和慢性宫颈炎组织30例。采用免疫组织化学方法检测各组宫颈组织中ULK1与Raptor、Rictor的表达情况,并分析该指标与宫颈癌临床病理参数的关系。结果 ULK1与Raptor、Rictor在不同宫颈组织中表达,差异有统计学意义(P<0.05)。ULK1与Raptor、Rictor在宫颈癌组织中表达水平呈负相关(r=-0.640、-0.687,P<0.05)。ULK1、Raptor、Rictor表达与组织分化程度、FIGO分期、组织类型有关(P<0.05)。ULK1阴性表达患者的总生存率短于阳性表达患者,Raptor与Rictor 阳性表达患者的总生存率短于阴性表达患者(P<0.05)。FIGO分期、组织类型、组织分化程度及ULK1、Raptor、Rictor阳性表达是宫颈癌患者预后影响因素(P<0.05),组织分化程度、淋巴结转移及Rictor是宫颈癌预后危险因素,ULK1是宫颈癌预后的独立保护因素(P<0.05)。结论 ULK1与Raptor、Rictor表达与不同宫颈病变的发生、发展及预后有关,有望成为宫颈病变进展和预后的有效预测指标。

       

      Abstract: Objective To investigate the expression of serine/threonine protein kinase ULK1, Raptor, and Rictor protein in different cervical tissues and explore its significance. Methods A total of 95 patients with cervical cancer, 30 patients with high-grade squamous intraepithelial lesion (HSIL), 30 patients with low-grade squamous intraepithelial lesion (LSIL) and 30 patients with chronic cervicitis were selected. The expression of ULK1, Raptor, and Rictor in cervical tissue was detected by immunohistochemistry. The relationship between these three indicators and the clinicopathological features of cervical cancer was analyzed. Results The expression of ULK1, Raptor and Rictor in different cervical tissues were statistically different(P<0.05).ULK1 was negatively related with the expression of Raptor and Rictor in cervical cancer tissues (r=-0.640 and -0.687, P<0.05). The expression of ULK1, Raptor, and Rictor was related with the degree of tissue differentiation, FIGO stage, and tissue type (P<0.05). Patients with negative ULK1 expression showed shorter overall survival than those with positive expression, while patient with positive Raptor and Rictor expression showed shorter overall survival than those with negative expression (P<0.05). FIGO stage, tissue type, degree of tissue differentiation and positive expression of ULK1, Raptor and Rictor were the factors influencing the prognosis of patients with cervical cancer (P<0.05). The degree of tissue differentiation, lymph node metastasis and Rictor were risk factors for cervical cancer prognosis, while ULK1 was an independent protective factor for the prognosis of cervical cancer (P<0.05). Conclusions The expression of ULK1, Raptor, and Rictor are associated with the occurrence, progression and prognosis of different cervical lesions and can be used as effective predictors of cervical lesion progression and prognosis.

       

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