Abstract
Introduction:
Human papillomavirus infection (HPV-16) and expression of HPV E6 protein are the major
risk factors of cervical cancer. Studies reported that expression of E6 protein adversely
affect the function of p53 and thus involved in tumor progression. In the present
study, we made an attempt to analyze the prevalence of HPV-16 association, E6 and
p53 expression in cervical cancer tissues.
Methods:
Uterine cervical cancer (n=10) and corresponding normal epithelium tissues (n=10)
were collected at the time of surgery. The HPV-16 integration and E6 expression were
analyzed by PCR and immunohistostaining. Further, p53 and Ki67 expression were analyzed
by immunohistostaining. Telomerase was detected using a modified TRAP (telomerase
repeat amplification protocol) assay.
Results:
We have found that almost 90% of the collected cervical cancer DNA samples showed
positivity to HPV-16 and more than 60% of DNA samples were E6 positive. Further, these
tissues were highly positive to p53 and Ki67 protein which contribute to apoptosis
resistance and increased cell proliferation. We also found elevated level of telomerase
expression in cancer tissues compared to control.
Conclusions:
The association of HPV infection and E6 expression increases the risk of cervical
cancer. Further, E6 expression is the cause for inactivation of p53 in tumor tissues
and deregulated cell proliferation and thus favors for tumor invasion.
Key words
cervix - human papillomavirus - cell proliferation - apoptosis - tumor progression