• Lidyane Neves Miranda, Fernanda Priscila Santos Reginaldo, Daliana Maria Berenice Oliveira Souza, Christiane Pienna Soares, Tarsia Giabardo Alves Silva, Keyla Borges Ferreira Rocha, Carlos André Nunes Jatobá, Eduardo Antonio Donadi, Joanlise Marco Leon Andrade, Ana Katherine Silveira Gonçalves, and Janaína Cristiana Oliveira Crispim.
• Department of Toxicology and Clinical Analysis, School of Pharmaceutical Sciences, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.
• Sao Paulo Med J. 2015 Jul 1; 133 (4): 336342336-42.

Context And ObjectiveImpaired local cell immunity seems to contribute towards the pathogenesis and progression of cervical intraepithelial neoplasia (CIN), but the underlying molecular mechanisms promoting its progression remain unclear. Identification of new molecular markers for prognosis and diagnosis of early-stage CIN may aid in decreasing the numbers of CIN cases. Several novel immunoregulatory molecules have been discovered over the past few years, including the human leukocyte antigen G (HLA-G), which through interaction with its receptors exerts important tolerogenic functions. Several lines of evidence suggest that T-helper interleukin-17 (IL-17)-producing cells (Th17 cells) may play a role in antitumor immunity. However, recent reports have implicated Th17 cells and their cytokines in both pro and anti-tumorigenic processes. The aim of the study was to evaluate the roles of HLA-G and Th17 in the immunopathogenesis of CIN I.Design And SettingAnalytical cross-sectional study with a control group using 58 cervical specimens from the files of a public university hospital providing tertiary-level care.MethodsWe examined HLA-G and IL-17 expression in the cervical microenvironment by means of immunohistochemistry, and correlated these findings with clinical and pathological features.ResultsThere was a greater tendency towards HLA-G and IL-17 expression in specimens that showed CIN I, thus suggesting that these molecules have a contribution towards cervical progression.ConclusionThese findings suggest that HLA-G and IL-17 expression may be an early marker for assessing the progression of cervical lesions.

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