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Korean Journal of Obstetrics & Gynecology 2007;50(10):1378-1385.
Published online October 1, 2007.
Expression of claudin-1, claudin-4 and zonula occludens-1 in cervical intraepithelial neoplasia and invasive squamous cell carcinoma.
Seon Kyoung Lee, Hyun Kyung Rho, Tai Yang Park, Kue Hyun Kang, Tae Il Cho, Tae Jin Lee
1Department of Obstetrics and Gynecology, Sungae Hospital, Seoul, Korea.
2Department of Obstetrics and Gynecology, Gwangmyeong Sungae hospital, Gyeonggi, Korea. kangjeewoo@hanmail.net
3Department of Pathology, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
OBJECTIVE
Cell to cell and cell to extracellular matrix interaction are crucial in tumor development and progression. Tight junction proteins such as claudins and zonula occludens-1 (ZO-1) play an important role in these processes. This study was performed to investigate the difference of expressions of claudin-1, claudin-4 and ZO-1 in low grade squamous intraepithelial lesion (LSIL), high grade squamous intraepithelial lesion (HSIL), and invasive squamous cell carcinoma (ISCC) of the uterine cervix. METHODS: The expressions of claudin-1, claudin-4 and ZO-1 were evaluated using immunohistochemical staining in 78 cervical tissue specimens (LSIL 22 case, HSIL 36 case, and ISCC 20 case). RESULTS: Claudin-1 expression was positive in 40.9% of LSIL, in 94.0% of HSIL and in 20.0% of ISCC. The expression of claudin-1 was significantly high in HSIL (p=0.0001). Claudin-4 expression was positive in 31.8% of LSIL, in 41.7% of HSIL and in 25.0% of ISCC. The expression of claudin-4 was high in HSIL, but it was not statistically different. ZO-1 expression was positive in 13.6% of LSIL, in 41.7% of HSIL, and in 25.5% of ISCC. The expression of ZO-1 was significantly high in HSIL (p=0.011). CONCLUSION: These results indicate increased expressions of claudin-1 and ZO-1 in the HSIL that includes cervical intraepithelial neoplasia (CIN) 2 and 3, which decrease during progression to cervical cancer.
Key Words: Claudin-1, Claudin-4, ZO-1, CIN, Cervical Cancer


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