Abstract:Objective: To investigate the diagnostic significance of hTERC RNA fractions expression detected by RNA scope technique in cervical squamous intraepithelial neoplasia. Methods: A total of 80 cervical biopsy specimens diagnosed with HR-HPV infection in the Department of Pathology, Affiliated Hospital of North China University of Science and Technology from September 2021 to February 2022 were screened in 3 groups: inflammation group (14 cases), low-grade group (34 cases), and high-grade group (32 cases). The amplification status of hTERC gene and the expression of its RNA components in paraffin-embedded tissues were detected by fluorescence in situ hybridization and RNAscope techniques, respectively. Results: FISH detection of hTERC gene amplification was different among the three groups (P<0.05). Detection rate by RNAscope was statistically different among the three groups (P<0.05). In the histological diagnostic subgroups, the degree of positive expression of hTERC RNA fraction was (-/++) in all 14 cases in the inflammation group, the hTERC RNA fraction (++) was predominant in the low-grade group (19/34), and the hTERC RNA fraction (++++/++++) was predominant in the high-grade group (27/32), and the expression of the above staining patterns in the histological graded diagnosis had statistical differences (P<0.05). Conclusion: The RNAscope technique to detect the expression of hTERC RNA fraction in cervical intraepithelial neoplasia tissue helps in the histological diagnosis and progression prediction of cervical lesions.
[1] Bray F,Ferlay J,Soerjomataram I,et al.Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA:A Cancer Journal for Clinicians,2020,70(4):133-133. [2] Sung H,Ferlay J,Siegel RL,et al.Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer Clin,2021,71(3):209-249. [3] Bruno Bernardes de Jesus,Maria A.Blasco.Telomerase at the intersection of cancer and aging[J].Trends in Genetics,2013,29(9):513-520. [4] Zavalov O,Irizarry R,Flamm M,et al.Mesoscale model of the assembly and cross-linking of HPV virus-like particles[J].Virology,2019,537(C):53-64. [5] Deleage C,Chan CN,Busman-Sahay K,et al.Next-generation in situ hybridization approaches to define and quantify HIV and SIV reservoirs in tissue microenvironments[J].Retrovirology,2018,15(1):4. [6] Armstrong C A,Tomita K.Fundamental mechanisms of telomerase action in yeasts and mammals:understanding telomeres and telomerase in cancer cells[J].Open Biology,2017,7(3):160338-160338. [7] Liu Y,Fan P,Yang Y,et al.Human papillomavirus and human telomerase RNA component gene in cervical cancer progression[J].Scientific Reports,2019,9(3):2675-2686. [8] He H,Pan Q,Pan J,et al.Study on the correlation between hTREC and HPV load and cervical CINI/II/III lesions and cervical cancer[J].Journal of Clinical Laboratory Analysis,2020,34(7):e23257. [9] 杨淑玲,张琳,张燕,等.荧光原位杂交法检测hTERC扩增在宫颈鳞状上皮内病变分级诊断中的价值[J].诊断病理学杂志,2020,27(8):533-538. [10] Panczyszyn A,Boniewska-Bernacka E,Gtab G.Telomeres and telomerase during human papillomavirus-induced carcinogenesis[J].Mol Diagn Ther.2018;22(4):421-430.