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Kost BP, Beyer S, Schröder L, Zhou J, Mayr D, Kuhn C, Schulze S, Hofmann S, Mahner S, Jeschke U, Heidegger H. Glucocorticoid receptor in cervical cancer: an immunhistochemical analysis. Arch Gynecol Obstet 2018; 299:203-209. [PMID: 30306311 DOI: 10.1007/s00404-018-4928-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 10/01/2018] [Indexed: 02/07/2023]
Abstract
PURPOSE Cervical cancer is one of the most frequent cancers in women worldwide. In most of all cases, a persistent HPV infection is the leading cause. HPV-specific sequences are able to bind glucocorticoid receptor (GR). Dexamethasone can increase the activity of early promoters in HPV16 and HPV18 interfering in transcription control of viral oncogenes. The aim of our study was to evaluate glucocorticoid receptor as transcriptional factor in its active form in the nucleus of in cervical cancer cells and to correlate the results with clinical patient specific parameters. METHODS A total of 250 paraffin-embedded cervical cancer samples obtained from patients having undergone surgery for cervical cancer were used for the study. The expression of GR was immunhistochemical examined and evaluated by a semi-quantitative scoring. SPSS software was used for the statistical evaluation of staining results and survival analysis of patients with cervical cancer. RESULTS GR is frequently expressed in cervical carcinoma tissue in favor of squamous cell carcinoma (SCC). An enhanced expression is correlated with rather small clinical stages. The expression of the GR is correlated with better overall survival and progression-free survival. CONCLUSIONS The glucocorticoid receptor is frequently expressed in cervical carcinoma tissue in favor of squamous cell carcinoma. An enhanced expression is correlated with rather small clinical stages. The expression of the analyzed receptor is correlated with better overall survival. Further studies are needed to determine useful treatment targets for glucocorticoid receptor manipulation.
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Affiliation(s)
- Bernd Peter Kost
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Susanne Beyer
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Lennard Schröder
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Junyan Zhou
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Doris Mayr
- Klinikum Der Universität München, Pathologisches Institut, Munich, Germany
| | - Christina Kuhn
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Sandra Schulze
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Simone Hofmann
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Sven Mahner
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
| | - Udo Jeschke
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
| | - Helene Heidegger
- Department of Obstetrics and Gynecology, LMU Munich, University Hospital, Marchioninistrasse 15, 81377, Munich, Germany
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Bahri N, Jajvandian R, Bolandhemmat M, Mirzaiinajmabadi K. Knowledge, attitudes and practice about pap smear test among women living in Bojnourd, North East of Iran: a population-based study. Asian Pac J Cancer Prev 2015; 16:2013-8. [PMID: 25773804 DOI: 10.7314/apjcp.2015.16.5.2013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of the study was to assess the extent of knowledge, attitudes and practical behavior of women in Bojnourd conerning the Pap smear test. MATERIALS AND METHODS This cross-sectional and population-based study was conducted with 1000 Iranian women aged 15-60 years old in Bojnourd city. In order to collect the data, a validated questionnaire was provided in four sections covering demographic information and questions about knowledge, attitude and practice about the Pap smear. Statistical analysis was performed with the Statistical Package for Social Sciences (version 17.0) applying a 0.05 significance level. RESULTS Evaluation of knowledge showed that 146 women (14.6%) had very weak, and 594 women (59.4%) had weak knowledge. In contrast, most of the women studied, 873 (87.3%), had a positive attitude toward the Pap smear test. According to the findings, 375 women (37.6%) had done this test so far. Findings indicated that the extent of knowledge had a meaningful relationship with the attitude status (p<0.0001). Also, there was a meaningful relationship between knowledge and practice, so that the weakest practice was seen in women who had weak knowledge (61.1%), (p<0.0001). CONCLUSIONS According to findings of this research, most women do not have an appropriate knowledge about the necessity of having the Pap smear test, so that only a low percentage of women had undergone this test.
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Affiliation(s)
- Narjes Bahri
- Department of Midwifery, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran E-mail : ,
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