Sun Xiaoge,Bao Yingna,Qiu Hui,Shi Jing,Zhang Wei,Yu Zhilong,Xie Conghua.Expressions of PBK and MMP-9 and their effect on concurrent chemoradiotherapy in cervical cancer[J].Chinese Journal of Radiological Medicine and Protection,2018,38(7):529-534
Expressions of PBK and MMP-9 and their effect on concurrent chemoradiotherapy in cervical cancer
Received:April 09, 2018  
DOI:10.3760/cma.j.issn.0254-5098.2018.07.009
KeyWords:PBK(PDZ binding kinase)  Matrix metalloproteinase 9(MMP-9)  Concurrent chemoradiotherapy  Cervical cancer
FundProject:内蒙古自治区自然科学基金项目(2016MS0856)
Author NameAffiliationE-mail
Sun Xiaoge Department of Radiotherapy, Zhongnan Hospital of Wuhan University, Wuhan 430071, China  
Bao Yingna Department of Radiotherapy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China  
Qiu Hui Department of Radiotherapy, Zhongnan Hospital of Wuhan University, Wuhan 430071, China  
Shi Jing Department of Radiotherapy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China  
Zhang Wei Department of Radiotherapy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China  
Yu Zhilong Department of Radiotherapy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China  
Xie Conghua Department of Radiotherapy, Zhongnan Hospital of Wuhan University, Wuhan 430071, China chxie_65@whu.edu.cn 
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Abstract::
      Objective To investigate the expression of DNA damage repair factor PDZ binding kinase (PBK) and matrix metalloproteinase 9 (MMP-9) in cervical cancer and the effect on clinical outcomes of concurrent chemoradiotherapy. Methods A total of 65 cervical cancer pathological specimens were collected from January 2014 to July 2016. Immunohistochemistry was used to detect PBK and MMP-9 expression in the specimens.External irrsdeation was treated with intensity-modulated radiation therapy at a dose of 50 Gy/25 F. After 18 times of external irradiation, high-dose rate postoperative treatment was giver at a dose of 30-36 Gy/5-6 F which lasts 3-4 weeks. Weekly chemotherapy with Cisplatin(DDP) begins simultaneously at the beginning of external irradiation. DDP was administered intravenously at a dosage of 40 mg/m2 for 2 to 6 week. All patients were followed-up as routine. The relationship between clinical characteristics and prognosis of patients and the expression of PBK and MMP-9 were analyzed. Results PBK was expressed in 92.3% of tissues and MMP-9 was expressed in 69.2% of tissues. The expression of PBK was positively associated with overall survival (OS) and disease progression-free survival (PFS) of cervical cancer patients (χ2=4.324, 8.068,P<0.05). The expression of MMP-9 was related with PFS (χ2=5.134,P<0.05). Patients with PBK and MMP-9 expression suffered poor OS and PFS (χ2=5.382, 9.364,P<0.05). Conclusions PBK and MMP-9 could be a biomarker to predict the prognosis of cervical cancer.
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