Journal of International Obstetrics and Gynecology ›› 2015, Vol. 42 ›› Issue (2): 194-196.

• 论著 • Previous Articles     Next Articles

Expression and Clinical Significance of CD147,MCT1 and MCT4 in Cervical Lesions

ZHANG Bao-yue,QU Quan-xin,GU An-kang   

  1. CNOOC General Hospital,Tianjin 300452,China(ZHANG Bao-yue);Tianjin First Center Hospital,Tianjin 300192,China(QU Quan-xin); Department of Pathology,Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin 300120,China(GU An-kang)
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-04-15 Online:2015-04-15
  • Contact: QU Quan-xin

Abstract: Objective: To study the expression and clinical significance of CD147, monocarboxylate transporters 1 (MCT1) and MCT4 in cervical lesions and cervical cancer. Methods:Choose 92 patients with cervical lesions, including 43 cases of carcinoma of the cervix (cervical cancer group), 34 cases with CIN(CIN group, 12 cases of CINⅠ, 11 cases of CINⅡ,11 cases of CINⅢ), 15 cases of normal cervical as controls (control group). Immunohistochemistry was used to test and analyze the expression of CD147, MCT1 and MCT4. Results:The positive expression rates of CD147, MCT1 and MCT4 in cervical cancer group was higher than that in CIN group (all P<0.05) and control group (all P<0.05). CIN group was higher than control group(all P<0.05), CINⅡ-Ⅲ group was higher than CINⅠ group (all P<0.05). In cervical carcinoma group, the positive expression rates of CD147 and MCT1 in age≤35 years old group was lower than that in the group of age>35 years old group, that of stage Ⅰ-Ⅱ group is lower than stage Ⅲ-Ⅳ, and that of high differentiation group was lower than that in low differentiation group (all P<0.05). In cervical carcinoma group, the positive expression rates of MCT4 in aged≤35 years old group was lower than that in the group of age>35 years old group, and that of high differentiation group was lower than that in low differentiation group (all P<0.05). Differences between stage Ⅰ-Ⅱ group and stage Ⅲ-Ⅳ group had no statistical significance. There was statistically significant consistency between the expression of MCT1 and CD147 (weighted Kappa=0.774,Z=10.126,P<0.001). There was statistically significant consistency between MCT4 and CD147 (weighted Kappa=0.909,Z=11.628,P<0.001). There was statistically significant consistency between MCT1 and MCT1 (weighted Kappa=0.797,Z=10.383,P<0.001). Conclusions:The expression of CD147, MCT1, MCT4 were consistently higher level in cervical lesions and play important roles in the development of CIN and cervical carcinoma. They can be accepted as the objectively high risk indexes in progression from low level to high level of CIN and cervical cancer. Low and high level CIN with high expression of CD147, MCT1 and MCT4 should be given active treatment and followed-up.

Key words: Uterine cervical neoplasms, Cervical intraepithelial neoplasia, Immunohistochemistry, Antigens, CD147, Monocarboxylate transporter