目的探讨宫颈癌p53外显子7突变与p53蛋白高表达的关系。方法采用免疫组织化学、聚合酶链反应(PCR)、限制性酶解片段长度多态性(RFLP)分析等方法对49例宫颈癌组织石蜡包埋标本中p53外显子7的突变与p53蛋白表达进行了检测。结果 p53外显子7的突变率8.2%(4/49)显著低于p53蛋白阳性率49.0%(24/49)(χ2=18.05，P＜0.001)；p53外显子7突变不一定p53蛋白阳性。结论 p53外显子7突变可能是部分宫颈癌变的一个重要因素；大部分宫颈癌可能主要由于高危人乳头状瘤病毒(HPV)感染后，通过E6/p53蛋白复合物的形成使p53蛋白失活所致。%Objective To investigate the relation between p53 (exon 7) mutations and p53 overexpression in human cervical cancer.Methods p53 (exon 7) mutation and p53 overexpression were examined by immunohistochemistry,polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) analysis in 49 cases of cervical cancers on their paraffin-embedded tissue specimens.Results There was significant difference between p53 (exon 7) mutation 4/49 (8.2%) and p53 overexpression 24/49 (49.0%) in cervical cancer (χ2=18.05,P＜0.001);not all cases of p53 mutation had p53 protein positive.Conclusion The p53 (exon 7) mutation is an important factor in part of cervical cancers,but anomalous structure and inactivation of p53 proteins caused by E6/p53 protein complex formed in high risk HPV infection are the significant cause of the greater part of cervical cancers.
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