Expression of P-Akt, NFκB and their correlation with human papillomavirus infection in cervical carcinoma

Purpose: To investigate the expression of P-Akt and NF kappa B and their correlation with human papillomavirus (HPV) infection in cervical carcinoma. Material and Methods: Expression of P-Akt and NF kappa B was detected by an immunohistochemical SP technique with HPV DNA detetion by PCR in 26 cases of cervical carcinoma tisuues, 18 cases of cervical intraepithelial neoplasia tisuues (CINI / n = 5, CINII / n = 3, CINIII / n = 10) and 19 cases of chronic cervicitis tissues. The different expressions of P-Akt and NF kappa B were compared in different pathological types of cervical carcinoma (cervical squamous cell carcinoma, cervical adenocarcinoma), different pathological grading (high, medium, poorly differentiated) and different clinical stage (FIGO I to IV). The relationships between P-Akt and NF kappa B, respectively, with HPV infection in cervical carcinoma were analyzed. Results: The positive expression rate of P-Akt in chronic cervicitis tissues, CIN and cervical carcinoma tisuues was 21.05%, 66.67%, and 92.31%, respectively. There was no obvious difference in the expression of P-Akt in cervical carcinoma in different pathological types or in pathological grading and no obvious difference in different clinical stages. The positive expression rate of NF kappa B in chronic cervicitis tissues, CIN and cervical carcinoma tissues was 10.52%, 72.22% and 96.15%, respectively; there was no statistically significant difference among the groups for different pathological types and there was no obvious difference in different pathological grading or different clinical stage. There was an obviously positive correlation between P-Akt and NF kappa B expression rate and degree of disease (r = 0.998, p < 0.05). Cervical carcinoma and CIN cases totaled 44; the positive expression rate of P-Akt was 87.55% in 32 cases of positive HPV-DNA of the 44 cases, and the positive expression rate of P-Akt was only 16.70% in 12 cases of negative HPV-DNA of the 44 cases. The positive expression rate of NF kappa B was obviously higher in the HPV DNA positive than in the HPV-DNA negative cases. There was a statistically significant difference among the groups (p < 0.05). Conclusion: The positive expression rate of P-Akt and NF kappa B was closely related with cervical disease extent, and closely related with HPV infection in cervical carcinoma. This study suggests that P-Akt and NF kappa B more probably play an important role in the occurrence of cervical carcinoma.