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宫颈癌组织HER2、LDOC1、COX2蛋白表达及其与患者预后关系研究OA

Expression of HER2,LDOC1 and COX2 proteins in cervical cancer tissues and their relationship with prognosis of patients

中文摘要英文摘要

目的 探讨宫颈癌组织人表皮生长因子受体2(HER2)、癌亮氨酸拉链下调节因子1(LDOC1)和环氧化酶2(COX2)蛋白的表达情况,并分析其与患者预后的关系.方法 回顾性选取2020年1月至2023年5月义乌市中心医院收治的Ⅰ b~Ⅱa期宫颈癌患者100例.所有患者均接受腹腔镜下广泛性子宫切除术联合淋巴结清扫术,并完成2年随访.患者根据随访结束时预后情况分为死亡组32例和存活组68例.比较两组患者临床特征,采用多因素logistic回归分析宫颈癌患者预后的影响因素.结果 死亡组患者分化程度中高者比例、HER2蛋白表达阳性率、COX2蛋白表达阳性率均高于存活组(均P<0.05),LDOC1蛋白表达阳性率低于存活组(P<0.05).HER2、COX2蛋白表达阳性均是宫颈癌患者预后不良的独立危险因素(P<0.05),LDOC1蛋白表达阳性为保护因素(P<0.05).结论 宫颈癌组织HER2、COX2蛋白表达上调,其表达阳性是患者预后不良的危险因素;LDOC1蛋白表达下调,其表达阳性是保护因素.

Objective To investigate the expression of human epidermal growth factor receptor 2(HER2),tumor suppressor gene leucine zipper down-regulated protein 1(LDOC1),and cyclooxygenase 2(COX2)proteins in cervical cancer tissues,and to analyze their relationship with patient prognosis.Methods Retrospectively selected 100 patients with stage Ⅰb to Ⅱa cervical cancer treated at Yiwu Central Hospital from January 2020 to May 2023.All patients underwent laparoscopic radical hysterectomy with lymphadenectomy and completed a 2-year follow-up.The patients were divided into the death group(32 cases)and the survival group(68 cases)in the long term.The clinical characteristics of the two groups of patients were compared,and multivariate logistic regression analysis were used to explore the influencing factors of the prognosis of cervical cancer patients.Results The proportion of patients with high differentiation degree,the positive rate of HER2 protein expression,and the positive rate of COX2 protein expression in the death group were all higher than those in the survival group(all P<0.05),while the positive rate of LDOC1 protein expression was lower than that in the survival group(P<0.05).Positive expression of HER2 and COX2 proteins are both independent risk factors for poor prognosis in cervical cancer patients(P<0.05),while LDOC1 is a protective factor(P<0.05).Conclusion The expressions of HER2 and COX2 proteins in cervical cancer tissues were upregulated,and the positive expression of these proteins was a risk factor for poor prognosis of the patients;the expression of LDOC1 protein was downregulated,and the positive expression of this protein was a protective factor.

周铃霞;曹阳;姚彩云

322000 义乌市中心医院病理科322000 义乌市中心医院病理科322000 义乌市中心医院病理科

宫颈癌人表皮生长因子受体2癌亮氨酸拉链下调节因子1环氧化酶2预后相关性

Cervical cancerHuman epidermal growth factor receptor 2Tumor suppressor gene leucine zipper repressor 1Cyclooxygenase 2PrognosisCorrelation

《浙江医学》 2026 (17)

1843-1846,4

10.12056/j.issn.1006-2785.2026.48.17.2025-1877

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