Investigation of HPVE6, p53, Bcl-2 and Bax mRNA Expression Levels in Cervical Tissues with High Risk-Human Papillomavirus Infection


  • Jarunya Ngamkham Research Division, National Cancer Institute
  • Usanee Promprakob Pathology Division, National Cancer Institute
  • Phon Kongkaew Pathology Division, National Cancer Institute
  • Thainsang Phansri Research Division, National Cancer Institute


p53, Bcl-2, Bax, human papillomavirus, cervical tissues


Persistent high-risk human papillomavirus (HR HPV) infection is the major cause of cervical cancer development, in which oncogenic protein; E6 plays an important role by activating tumor suppressor gene p53. Some studies have suggested that E6 oncoprotein may affect some of the genes/ protein in the apoptotic pathway. This study aimed to detect the HPV genotype and investigate the mRNA expression of the gene-related apoptotic pathway p53, Bcl-2 and Bax, as well as the expression of HPVE6 mRNA in cervical samples with HR HPV infection compared with HPV-negative cervical samples. A total of 50 liquid-based cervical samples with diagnostically confirmed cytology were collected between June 2016 and May 2017. HPV DNA detection and genotyping were performed by polymerase chain reaction-enzyme immunoassay (PCR-EIA). Of 50 cervical samples, 15 were randomly selected for study, of which 14 samples were cytologically diagnosed negative for intraepithelial lesion/malignancy (NILM) or low-grade squamous intraepithelial lesion (LSIL); the other was a high-grade squamous intraepithelial lesion (HSIL). The samples were divided into 5 groups according to HPV findings:- no HPV infection, HPV 16, HPV 18, the other HR HPV and multiple infections between HPV16/18 and the other HR-HPV groups, with three samples per group. Two-step reverse transcriptase polymerase chain reaction (RT-PCR) was used to investigate p53, Bcl-2, Bax and HPVE6 mRNA expression levels. Our results showed that HPV52 was the most frequent type, followed by HPV 16, 18, respectively. p53, Bcl-2 and Bax mRNA expression levels in cervical samples with HPV infection showed slightly higher expression than without HPV infection. HPVE6 mRNA expression in the HPV16 infection group was highest compared with the other groups. In conclusion, HR HPV may possibly affect the process in the apoptotic pathway, although the expression of these genes in this study was still unclear. These data could be used for further molecular-level studies of cervical carcinogenesis.


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