Association of Helicobacter pylori infection with expressions of Ki67,CDX-2 and p53 protein in gastric cancer patients
10.11816/cn.ni.2025-240938
- VernacularTitle:胃癌患者幽门螺杆菌感染状况及其与Ki67、CDX-2、p53蛋白表达的关系
- Author:
Hailing ZHANG
1
;
Yuxue LI
;
Xin LIU
;
Pei GU
Author Information
1. 石家庄市人民医院消化内科,河北石家庄 050000
- Publication Type:Journal Article
- Keywords:
Helicobacter pylori;
Gastric mucosa;
Gastric cancer;
Ki67;
Caudal type homeobox transcription fac-tor 2;
p53 protein
- From:
Chinese Journal of Nosocomiology
2025;35(9):1327-1331
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the association of Helicobacter pylori infection with the expression levels of Ki67,caudal type homeobox transcription factor 2(CDX-2)and p53 protein in the gastric cancer patients so as to provide bases for improvement of prognosis of the gastric cancer patients.METHODS Totally 113 patients who were diagnosed with gastric cancer by gastroscopic examination and were treated in Shijiazhuang People's Hospital from Jan.2020 to Jan.2024 were assigned as the gastric cancer group,84 of whom were complicated with H.py-lori infection(the Hp-positive group),and 29 were negative for Hp(the Hp-negative group).Meanwhile,125 patients who had chronic atrophic gastritis were assigned as the non-gastric cancer group.The gastric mucosa tis-sue specimens were collected through gastroscopy,and the expression levels of Ki67,CDX-2 and p53 protein were detected.RESULTS The positive rate of H.pylori infection of the gastric cancer group was 74.34%,higher than 54.40%of the non-gastric cancer group(P<0.05).The positive rate of H.pylori was higher in the gastric canc-er patients with lymphatic metastasis,infiltration depth of T3 to T4 and TNM stage of Ⅲ to Ⅳ stage than in the gastric cancer patients without lymphatic metastasis,infiltration depth of T1 to T2 and TNM stage of Ⅰ to Ⅱ stage(P<0.05).The positive expression rates of gastric mucosa tissue Ki67,CDX-2 and p53 protein of the gastric cancer group were respectively 69.91%,52.21%and 79.65%,higher than 47.20%,0 and 24.00%of the non-gastric cancer group,there were significant differences(P<0.05).The positive expression rates of gastric mucosa tissue Ki67,CDX-2 and p53 protein of the Hp-positive group were higher than those of the Hp-negative group(P<0.05).CONCLUSION The gastric cancer is associated with the H.pylori infection and the expressions of Ki67,CDX-2 and p53.The H.pylori infection may lead to the abnormal expressions of Ki67,CDX-2 and p53 in gastric mucosa tissues of the gastric cancer patients,which is also associated with the clinicopathologic features.