Expression of protein associated with PI3K/Akt/mTOR signaling pathway in cervical cancer and its relationship with clinicopathological characteristics and prognosis
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Expression of protein associated with PI3K/Akt/mTOR signaling pathway in cervical cancer and its relationship with clinicopathological characteristics and prognosis
Journal of Chongqing Medical UniversityVol. 46, Issue 6, Pages: 675-680(2021)
Mou Daying. Expression of protein associated with PI3K/Akt/mTOR signaling pathway in cervical cancer and its relationship with clinicopathological characteristics and prognosis. [J]. Journal of Chongqing Medical University 46(6):675-680(2021)
DOI:
Mou Daying. Expression of protein associated with PI3K/Akt/mTOR signaling pathway in cervical cancer and its relationship with clinicopathological characteristics and prognosis. [J]. Journal of Chongqing Medical University 46(6):675-680(2021) DOI: 10.13406/j.cnki.cyxb.002830.
Expression of protein associated with PI3K/Akt/mTOR signaling pathway in cervical cancer and its relationship with clinicopathological characteristics and prognosis
Objective: To explore the expression of protein associated with phosphatidylinositol 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) signaling pathway in the pathological tissues of patients with cervical cancer
and to analyze the relationship between its expression level and clinical pathological parameters and prognosis of patients. Methods: The biopsy and surgical cervical cancer specimens of 61 patients with cervical cancer who were treated in The First People's Hospital of Zunyi from January 2016 to January 2018 were collected. The expression of PI3K
p-Akt
and p-mTOR was detected by immunohistochemistry. The relationship between the expressions of PI3K
Akt
mTOR and clinicopathological characteristics of patients with cervical cancer was analyzed by multivariate logistic regression model
and the relationship between the expressions of PI3K
Akt
mTOR and prognosis of patients with cervical cancer was analyzed by Kaplan-Meier survival curve. Results: The positive rates of PI3K
p-Akt and p-mTOR in cervical cancer tissues were higher than those in para-cancerous tissues (χ2=64.050
P=0.000; χ2=58.607
P=0.000; χ2=56.637
P=0.000). The expressions of mTOR in cervical cancer patients aged≥45 years were higher than those in patients aged<45 years (χ2=4.163
P=0.041). The expressions of PI3K
Akt
and mTOR in cervical cancer patients with clinical stagesⅢandⅣwere higher than those in patients with clinical stagesⅠandⅡ (χ2=5.610
P=0.018; χ2=5.450
P=0.020; χ2=8.606
P=0.003). The expressions of PI3K
Akt
and mTOR in cervical cancer patients with low-degree of differentiation were higher than those in patients with medium and high-degree of differentiation (χ2=7.062
P=0.029; χ2=10.526
P=0.005; χ2=7.714
P=0.021). The expressions of PI3K
Akt and mTOR in cervical cancer patients with lymph node metastasis were higher than those in patients without lymph node metastasis (χ2=5.643
P=0.018; χ2=6.336
P=0.012; χ2=5.030
P=0.025). There was no statistical difference in the expression levels of PI3K
Akt
and mTOR in cervical cancer patients with different body mass index
menstrual status
tumor diameter
and histological classification (P>0.05). Multivariate logistic analysis showed that the clinical stage
degree of differentiation
and lymph node metastasis of patients with cervical cancer were all independent factors influencing the expression of PI3K
Akt
and mTOR (P<0.05). The median survival time of PI3K
p-Akt
and p-mTOR positive patients were all lower than that of negative patients (P<0.05). Conclusion: There are high expressions of PI3K
Akt
and mTOR in patients with cervical cancer. Clinical stage
degree of differentiation
and lymph node metastasis are all independent factors influencing the expression of PI3K
Akt
mTOR
and the prognosis of patients with high expression is poor.
关键词
宫颈癌磷脂酰肌醇-3-激酶蛋白激酶B雷帕霉素靶体蛋白临床病理特征预后
Keywords
cervical cancerphosphatidylinositol 3-kinaseprotein kinase Bmammalian target of rapamycinclinicopathological characteristicsprognosis