Correlation among P16INK4a expression,human papilloma virus infection,and cervical intraepithelial neoplasia progression
10.12007/j.issn.0258-4646.2024.09.002
- VernacularTitle:P16INK4a与人乳头瘤病毒感染及宫颈上皮内瘤变进展的相关性
- Author:
Xiahui CHEN
1
;
Xiangwei MA
;
Dongmei HAO
;
Yuexin YU
Author Information
1. 中国人民解放军北部战区总医院生殖医学科,沈阳 110003
- Keywords:
P16INK4a;
human papilloma virus;
cervical intraepithelial neoplasia;
relativity
- From:
Journal of China Medical University
2024;53(9):777-781
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation among P16INK4a expression,human papilloma virus(HPV)infection,and cervical intraepithelial neoplasia(CIN).Methods A total of 197 patients with CIN who visited our hospital between February 2020 and May 2023 were selected,including 62 with CIN1,89 with CIN2,and 46 with CIN3.At the same time,50 patients who underwent total hyste-rectomy and had normal cervical tissue confirmed by postoperative pathology were selected as the control group.P16INK4a expression and HPV infection were detected in each patient.Results The positive P16INK4a expression and HPV infection rates of the control group were 10.00% and 0.00%,respectively,significantly lower than those of patients with CIN(72.08% and 45.69%,respectively)(P<0.05).The positive P16INK4a expression rates of patients with CIN2 and CIN3 were 80.90% and 91.30%,respectively,significantly higher than that of patients with CIN1(45.16% )(P<0.05).The HPV infection rate among patients with CIN3 was 63.04%,significantly higher than those of patients with CIN1(33.87% )and CIN2(44.94% )(P<0.05).The positive P16INK4a expression rate of patients with CIN and HPV infec-tion was 93.33%,significantly higher than that of patients with CIN but without HPV infection(54.21% )(P<0.05).The positive P16INK4a expression rate of patients with HPV16/18 infection was 100.00%,significantly higher than that of patients with HPV31/33/53 infection(85.00% )(P<0.05).There was no statistically significant difference in the positive P16INK4a expression rate among patients with CIN by clinical characteristics such as age and body mass index(P>0.05).Conclusion The P16INK4a expression rate among patients with CIN is significantly increased and correlated with lesion degree and HPV infection status.
