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Expressions of IGFBP-5, cFLIP in cervical intraepithelial neoplasia, cervical carcinoma and their clinical significances: a molecular pathology.

Hou XJ, Zhang YZ, Liu X, Meng LH, Qiao YB - J. Exp. Clin. Cancer Res. (2009)

Bottom Line: Cellular Fas-associated death domain-like interleukin-1beta-converting enzyme (FLICE)-like inhibitory protein (cFLIP) contains a death effect domain (DED), which blocks death receptor pathway and inhibits apoptosis.The highest expression of IGFBP-5 protein was found in CIN stage II and III tissues, whereas the expression of IGFBP-5 in CC samples was decreased relative to controls.However, the degree of pathological changes correlated with increasing expression of cFLIP protein and mRNA, and significant differences were therefore detected between groups (P < 0.05).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China. qyh88@eyou.com

ABSTRACT

Background: Insulin-like growth factor binding protein (IGFBPs) have been as potential tumor suppressors in the occurrence and development of tumors. Cellular Fas-associated death domain-like interleukin-1beta-converting enzyme (FLICE)-like inhibitory protein (cFLIP) contains a death effect domain (DED), which blocks death receptor pathway and inhibits apoptosis.

Methods: We collected normal cervical tissues from 28 subjects, CIN samples from 37 patients, and cervical cancer tissues from 40 patients. In these samples, we then measured the expression levels of IGFBP-5 and cFLIP via RT-PCR and immunohistochemistry, and we detected the presence of high-risk HPV by Hybrid capture II assays in cervical secretions provided by the subjects.

Results: significant differences in the expression of IGFBP-5 protein among the normal, CIN, and CC tissues (P < 0.05). The highest expression of IGFBP-5 protein was found in CIN stage II and III tissues, whereas the expression of IGFBP-5 in CC samples was decreased relative to controls. The expression level was affected by factors such as clinical stage, pathological differentiation, and lymph node metastasis. Relative to the controls, IGFBP-5 mRNA content was higher in the CC group and lower in the CIN group (P < 0.05). No expression of cFLIP protein or mRNA was detected in normal cervical tissues. However, the degree of pathological changes correlated with increasing expression of cFLIP protein and mRNA, and significant differences were therefore detected between groups (P < 0.05). The HPV infection rates in the CIN and CC groups were much higher than in the normal group (P < 0.05).

Conclusion: IGFBP-5 expression is up-regulated in response to progression of CIN and down-regulated in invasive cervical carcinoma. Detection of IGFBP-5 and cFLIP expression levels, may prove particularly useful for diagnosing and differentiating CIN and CC.

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Immunohistochemical detection of IGFBP-5 and cFLIP in patient tissues. A, Expression of IGFBP-5 in CIN I tissue: ++(×400); B, Expression of IGFBP-5 in CIN II tissue: +++ (×400); C, Expression of cFLIP in cervical cancer tissue: ++ (×400). D, Expression of IGFBP-5 in cervical cancer tissue: - (×200).
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Figure 3: Immunohistochemical detection of IGFBP-5 and cFLIP in patient tissues. A, Expression of IGFBP-5 in CIN I tissue: ++(×400); B, Expression of IGFBP-5 in CIN II tissue: +++ (×400); C, Expression of cFLIP in cervical cancer tissue: ++ (×400). D, Expression of IGFBP-5 in cervical cancer tissue: - (×200).

Mentions: The intensity (gray level) ratios of IGFBP-5/β-actin and cFLIP/β-actin were determined so as to represent the expression levels of IGFBP-5 and cFLIP mRNA. Larger ratios correlated with higher levels of expression of the target gene. Expression of IGFBP-5 were highest in the CIN stage II and III groups (1.0500 ± 0.0875), which were 4.94-fold higher than the relative expression levels of the normal group (0.2124 ± 0.0795) and 2.92-fold higher than those of the CC group (0.3600 ± 0.0575). The expression level in the CC group was in turn significantly higher than that of the normal group (P < 0.05) (Fig. 1). The highest expression of cFLIP mRNA was observed in the CC group (6.8874 ± 0.6663), which was 2.26-fold higher than that of the CIN stage II and III groups (3.0426 ± 0.0819). The lowest expression level was detected in the normal group (0.0246 ± 0.0100; P < 0.05) (Fig. 2 and Fig. 3).


Expressions of IGFBP-5, cFLIP in cervical intraepithelial neoplasia, cervical carcinoma and their clinical significances: a molecular pathology.

Hou XJ, Zhang YZ, Liu X, Meng LH, Qiao YB - J. Exp. Clin. Cancer Res. (2009)

Immunohistochemical detection of IGFBP-5 and cFLIP in patient tissues. A, Expression of IGFBP-5 in CIN I tissue: ++(×400); B, Expression of IGFBP-5 in CIN II tissue: +++ (×400); C, Expression of cFLIP in cervical cancer tissue: ++ (×400). D, Expression of IGFBP-5 in cervical cancer tissue: - (×200).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2698862&req=5

Figure 3: Immunohistochemical detection of IGFBP-5 and cFLIP in patient tissues. A, Expression of IGFBP-5 in CIN I tissue: ++(×400); B, Expression of IGFBP-5 in CIN II tissue: +++ (×400); C, Expression of cFLIP in cervical cancer tissue: ++ (×400). D, Expression of IGFBP-5 in cervical cancer tissue: - (×200).
Mentions: The intensity (gray level) ratios of IGFBP-5/β-actin and cFLIP/β-actin were determined so as to represent the expression levels of IGFBP-5 and cFLIP mRNA. Larger ratios correlated with higher levels of expression of the target gene. Expression of IGFBP-5 were highest in the CIN stage II and III groups (1.0500 ± 0.0875), which were 4.94-fold higher than the relative expression levels of the normal group (0.2124 ± 0.0795) and 2.92-fold higher than those of the CC group (0.3600 ± 0.0575). The expression level in the CC group was in turn significantly higher than that of the normal group (P < 0.05) (Fig. 1). The highest expression of cFLIP mRNA was observed in the CC group (6.8874 ± 0.6663), which was 2.26-fold higher than that of the CIN stage II and III groups (3.0426 ± 0.0819). The lowest expression level was detected in the normal group (0.0246 ± 0.0100; P < 0.05) (Fig. 2 and Fig. 3).

Bottom Line: Cellular Fas-associated death domain-like interleukin-1beta-converting enzyme (FLICE)-like inhibitory protein (cFLIP) contains a death effect domain (DED), which blocks death receptor pathway and inhibits apoptosis.The highest expression of IGFBP-5 protein was found in CIN stage II and III tissues, whereas the expression of IGFBP-5 in CC samples was decreased relative to controls.However, the degree of pathological changes correlated with increasing expression of cFLIP protein and mRNA, and significant differences were therefore detected between groups (P < 0.05).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong, PR China. qyh88@eyou.com

ABSTRACT

Background: Insulin-like growth factor binding protein (IGFBPs) have been as potential tumor suppressors in the occurrence and development of tumors. Cellular Fas-associated death domain-like interleukin-1beta-converting enzyme (FLICE)-like inhibitory protein (cFLIP) contains a death effect domain (DED), which blocks death receptor pathway and inhibits apoptosis.

Methods: We collected normal cervical tissues from 28 subjects, CIN samples from 37 patients, and cervical cancer tissues from 40 patients. In these samples, we then measured the expression levels of IGFBP-5 and cFLIP via RT-PCR and immunohistochemistry, and we detected the presence of high-risk HPV by Hybrid capture II assays in cervical secretions provided by the subjects.

Results: significant differences in the expression of IGFBP-5 protein among the normal, CIN, and CC tissues (P < 0.05). The highest expression of IGFBP-5 protein was found in CIN stage II and III tissues, whereas the expression of IGFBP-5 in CC samples was decreased relative to controls. The expression level was affected by factors such as clinical stage, pathological differentiation, and lymph node metastasis. Relative to the controls, IGFBP-5 mRNA content was higher in the CC group and lower in the CIN group (P < 0.05). No expression of cFLIP protein or mRNA was detected in normal cervical tissues. However, the degree of pathological changes correlated with increasing expression of cFLIP protein and mRNA, and significant differences were therefore detected between groups (P < 0.05). The HPV infection rates in the CIN and CC groups were much higher than in the normal group (P < 0.05).

Conclusion: IGFBP-5 expression is up-regulated in response to progression of CIN and down-regulated in invasive cervical carcinoma. Detection of IGFBP-5 and cFLIP expression levels, may prove particularly useful for diagnosing and differentiating CIN and CC.

Show MeSH
Related in: MedlinePlus