核转录因子 κB、多肿瘤抑制基因与宫颈癌临床特征及放疗敏感性的关系
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R711.74

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吴阶平医学基金会科研专项资助基金(320.6750.2024-03-4)


Relationship between nuclear factor-kappaB, multiple tumor suppressor gene and clinical features of cervical cancer and sensitivity to radiotherapy
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    摘要:

    目的:探讨核转录因子κB(NF-κB)、多肿瘤抑制基因(P16)与宫颈癌临床特征及放疗敏感性的关系。方法:选 取119例宫颈癌患者为研究对象,检测宫颈癌组织细胞中 NF-κB、P16阳性表达情况,分析其与临床特征、放疗敏感性的关系。 结果:119例标本中 NF-κB阳性者88例(73.95%)、P16阳性者97例(81.51%)。不同分化程度、淋巴结转移患者 NF-κB、 P16阳性表达率比较,差异有统计学意义(P<0.05)。Spearman相关性分析显示,NF-κB阳性表达率与分化程度、淋巴结转移 均呈正相关关系(P<0.05);P16阳性表达率与分化程度、淋巴结转移均呈负相关关系(P<0.05)。单因素及多因素 Logistic 回归分析显示,淋巴结转移、NF-κB阳性为放疗不敏感的独立危险因素,P16阳性为放疗不敏感的独立保护因素(P<0.05)。 结论:NF-κB、P16与宫颈癌分化程度、淋巴结转移关系密切,NF-κB阳性和 P16阳性表达是放疗不敏感的影响因素。

    Abstract:

    Objective: To investigate the relationship between nuclear factor-kappaB (NF-κB), multiple tumor suppressor gene (P16) and clinical features of cervical cancer as well as sensitivity to radiotherapy. Methods: Retrospective collection of clinical data from 119 patients with cervical cancer. All patients were tested for the positive expression of NF-κB and P16 in cervical cancer cells. The relationship between their expression and clinical features as well as sensitivity to radiotherapy was analyzed. Results: Among the 119 specimens, 88 (73.95%) were positive for NF-κB and 97 (81.51%) were positive for P16. The positive expression rates of NF-κB and P16 showed significant differences between patients with varying degrees of differentiation and patients with/without lymph node metastasis (P<0.05). Spearman correlation analysis revealed that the positive expression rate of NF-κB was positively correlated with the degree of differentiation and lymph node metastasis (P<0.05), whereas the positive expression rate of P16 was negatively correlated with these clinical features (P<0.05). Univariate and multivariate Logistic regression analyses indicated that lymph node metastasis and NF-κB positivity were independent risk factors for insensitivity to radiotherapy, whereas P16 positivity was an independent protective factor against (P <0.05). Conclusion: NF-κB and P16 are closely related to the degree of differentiation and lymph node metastasis in cervical cancer. The positive expression of NF-κB and the positive expression of P16 are influencing factors for insensitivity to radiotherapy.

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侯跃;高宇;闫文明.核转录因子 κB、多肿瘤抑制基因与宫颈癌临床特征及放疗敏感性的关系[J].川北医学院学报,2026,41(8):943-947.

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  • 在线发布日期: 2026-07-22
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