A Review of Primary Immuno-deficiency Disorders Predisposing to Cancer

Abbas Khalili
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Abstract

Introduction: Primary immunodeficiencies are relatively rare and heterogeneous disorders in which one or more component of immune system have genetic defect. The majority of the patients suffer from frequent infections with different microorganisms according to the type of disorder they have. Some people with primary immunodeficiency are susceptible to malignant diseases. The type of malignancy depends on the type of primary immunodeficiency, age of the patient and the type of virus infection. Many advances have been made in understanding of molecular mechanisms in humeral and cellular immune defects. Furthermore، our knowledge has been increased about the incidence of infections and tumors in primary immunodeficiency and this helps us in early diagnosis of disorders and their complications. Several evidences support the theory that the immune system plays a major role in the occurrence of many malignant diseases. Articles have been searched on Google Scholar، PubMed، Web of Science، and Scopus databases. In this review، the latest and most reliable articles related to the subject that had been published in English language were used. Conclusion: Since the patients with primary immunodeficiency are prone to multiple infections, various malignancies can be seen in these people. The recurrence of some malignancies in families, especially blood malignancies may be due to primary immunodeficiency and we should consider evaluation of immune system.
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易患癌症的原发性免疫缺陷病综述
简介原发性免疫缺陷是一种相对罕见的异质性疾病,其中免疫系统的一个或多个组成部分存在遗传缺陷。大多数患者会根据所患疾病的类型,频繁感染不同的微生物。一些原发性免疫缺陷患者易患恶性疾病。恶性肿瘤的类型取决于原发性免疫缺陷的类型、患者的年龄和病毒感染的类型。人们对体液免疫缺陷和细胞免疫缺陷的分子机制的认识取得了许多进展。此外,我们对原发性免疫缺陷患者的感染和肿瘤发病率也有了更多的了解,这有助于我们对疾病及其并发症进行早期诊断。一些证据支持免疫系统在许多恶性疾病的发生中扮演重要角色的理论。我们在谷歌学术、PubMed、Web of Science 和 Scopus 数据库中检索了相关文章。本综述采用了以英语发表的与该主题相关的最新、最可靠的文章。研究结论由于原发性免疫缺陷患者容易受到多种感染,因此他们可能会出现各种恶性肿瘤。一些恶性肿瘤在家族中复发,尤其是血液恶性肿瘤,可能与原发性免疫缺陷有关,因此我们应考虑对免疫系统进行评估。
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