成年人咽、喉乳头状瘤的临床特征与人乳头状瘤病毒、缺氧诱导因子、血管内皮生长因子表达的相关性  

Correlation between clinical features and expression of HPV,HIF and VEGF in adult pharyngeal and laryngeal papilloma

作　　者：郭奕荟 马丽晶[1] 肖洋[1] 王军[1] GUO Yihui;MA Lijing;XIAO Yang;WANG Jun(Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Science(Capital Medical University),Ministry of Education,Beijing,100730,China)

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京100730

出　　处：《中国耳鼻咽喉头颈外科》2025年第1期42-47,共6页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：北京市医院管理中心儿科学科协同发展中心专项经费(XTCX201823);北京市中医药科技发展资金项目(JJ-2020-17);北京市属医院科研培育计划项目(PX2023008)。

摘　　要：目的探讨咽、喉乳头状瘤患者的临床特征与人乳头状瘤病毒(HPV)感染及缺氧诱导因子(hypoxia-inducible factor,HIF)、血管内皮生长因子(VEGF)表达的关系。方法选择首都医科大学附属北京同仁医院2022年10月~2024年2月收治的成年人咽、喉乳头状瘤患者作为试验组,成年人非炎症非肿瘤咽喉病变患者作为对照组,收集其临床资料和病变组织样本,比较咽、喉乳头状瘤患者在症状、年龄、性别、吸烟、饮酒、病变累及部位数量和手术次数等方面的差异,采用实时荧光定量PCR技术检测病变组织中HPV DNA、HIF cDNA、VEGF cDNA的表达。结果咽乳头状瘤患者症状轻于喉乳头状瘤患者,两组患者在性别、饮酒方面的差异无统计学意义(P>0.05),在年龄、吸烟、病变累及部位数量和手术次数方面的差异有统计学意义(P<0.05)。病变累及部位数量与HIF、VEGF的表达呈正相关(r=0.3553、r=0.2693,P<0.05),手术次数与VEGF的表达呈正相关(r=0.2515,P<0.05),HIF、VEGF在喉乳头状瘤中的表达水平均高于咽乳头状瘤和对照组(F=9.174、H=23.737,P<0.001),HIF、VEGF在HPV阳性组织中的表达水平均高于HPV阴性组织(t=3.899、t=6.463,P<0.001),喉乳头状瘤的HPV阳性率(97.9%,46/47)高于咽乳头状瘤(21.7%,10/46)和对照组(13.6%,3/22)(χ^(2)=53.114、χ^(2)=46.647,P<0.001)。结论HPV感染是咽乳头状瘤发生的重要原因之一,其低感染状态可能导致瘤体HIF、VEGF低表达,从而使其临床特征不同于喉乳头状瘤。OBJECTIVE To investigate the relationship between clinical features and human papillomavirus(HPV)infection and the expression of hypoxia-inducible factor(HIF)and vascular endothelial growth factor(VEGF)in patients with pharyngeal and laryngeal papilloma.METHODS Adult patients with pharyngeal and laryngeal papilloma admitted to Beijing Tongren Hospital Affiliated to Capital Medical University from October 2022 to February 2024 were selected as the test group,and adult patients with non-inflammatory non-tumor throat lesions were selected as the control group.Clinical data and pathological tissue samples were collected.The differences of pharyngeal and laryngeal papilloma patients in symptoms,age,gender,smoking,drinking,the number of lesion involved sites and the number of operations were compared.Real-time fluorescence quantitative PCR was used to detect the expression of HPV DNA,HIF cDNA and VEGF cDNA in the pathological tissues.RESULTS The symptoms of pharyngeal papilloma are less severe than those of laryngeal papilloma.There were no statistically significant differences between the two groups in terms of gender and alcohol consumption(P>0.05),but there were statistically significant differences in terms of age,smoking,the number of lesions involved and the number of operations(P<0.05).The number of lesion involved sites was positively correlated with the expression of HIF and VEGF(r=0.3553、r=0.2693,P<0.05).The number of operations was positively correlated with the expression of VEGF(r=0.2515,P<0.05).The expression levels of HIF and VEGF in laryngeal papilloma were higher than those in pharyngeal papilloma and control group(F=9.174,H=23.737,P<0.001).The expression levels of HIF and VEGF in HPV-positive tissue were higher than those in HPV-negative tissue(t=3.899,t=6.463,P<0.001).The HPV positive rate of laryngeal papilloma(97.9%,46/47)was higher than that in pharyngeal papilloma(21.7%,10/46)and control group(13.6%,3/22)(χ^(2)=53.114、χ^(2)=46.647,P<0.001).CONCLUSION HPV infection is one of the important ca

关 键 词：乳头状瘤 人乳头状瘤病毒 血管内皮生长因子 缺氧诱导因子 

分 类 号：R73[医药卫生—肿瘤]