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Synergistic targeting of the PI3K/mTOR and MAPK/ERK pathways in Merkel cell carcinoma 默克尔细胞癌中PI3K/mTOR和MAPK/ERK通路的协同靶向
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200244
Arturo Temblador , Dimitrios Topalis , Graciela Andrei , Robert Snoeck

Merkel cell carcinoma (MCC) is an aggressive type of skin cancer, which is caused either by integration of the oncogenic Merkel cell polyomavirus (MCPyV) or by accumulation of UV-light induced mutations. Since the response to immune-checkpoint inhibitors is limited, new therapeutic agents need to be explored. Previous studies have shown that MCC cell lines and xenografts are sensitive to MLN0128, a dual mTOR1/2 inhibitor. Prompted by these results and considering that the PI3K/mTOR and MAPK/ERK pathways are the most commonly deregulated pathways in cancer, the combination of MLN0128 with the MEK1/2 inhibitor trametinib was investigated. Importantly, the combined targeting showed to be synergistic in MCC cell lines and induced alterations in the protein levels of downstream elements of the targeted pathways. This synergistic activity implies a reduction in the dose of each inhibitor necessary to reach the same effect that when used as single agents. Therefore, this is a promising approach to improve the clinical management of MCC and to overcome the limited efficacy of single drug regimens owed to the appearance of toxicity or drug resistance.

默克尔细胞癌(MCC)是一种侵袭性皮肤癌,由致癌性默克尔细胞多瘤病毒(MCPyV)的整合或紫外线诱导突变的积累引起。由于对免疫检查点抑制剂的反应是有限的,因此需要探索新的治疗药物。先前的研究表明,MCC细胞系和异种移植物对mTOR1/2双抑制剂MLN0128敏感。鉴于这些结果,并考虑到PI3K/mTOR和MAPK/ERK通路是癌症中最常见的失调通路,我们研究了MLN0128与MEK1/2抑制剂曲美替尼的联合应用。重要的是,联合靶向在MCC细胞系中显示出协同作用,并诱导靶向途径下游元件蛋白水平的改变。这种协同作用意味着减少每一种抑制剂的剂量,以达到与单独使用时相同的效果。因此,这是改善MCC临床管理和克服单一药物方案因出现毒性或耐药而导致疗效有限的一个有希望的途径。
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引用次数: 1
Synonymous nucleotide changes drive papillomavirus evolution 同义核苷酸变化驱动乳头瘤病毒进化
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200248
Kelly M. King , Esha Vikram Rajadhyaksha , Isabelle G. Tobey , Koenraad Van Doorslaer

Papillomaviruses have been evolving alongside their hosts for at least 450 million years. This review will discuss some of the insights gained into the evolution of this diverse family of viruses. Papillomavirus evolution is constrained by pervasive purifying selection to maximize viral fitness. Yet these viruses need to adapt to changes in their environment, e.g., the host immune system. It has long been known that these viruses evolved a codon usage that doesn't match the infected host. Here we discuss how papillomavirus genomes evolve by acquiring synonymous changes that allow the virus to avoid detection by the host innate immune system without changing the encoded proteins and associated fitness loss. We discuss the implications of studying viral evolution, lifecycle, and cancer progression.

乳头状瘤病毒已经与宿主一起进化了至少4.5亿年。这篇综述将讨论对这一不同病毒家族的进化所获得的一些见解。乳头瘤病毒的进化受到广泛的净化选择的限制,以最大化病毒的适应性。然而,这些病毒需要适应环境的变化,例如宿主的免疫系统。人们早就知道,这些病毒进化出了一种与受感染宿主不匹配的密码子用法。在这里,我们讨论了乳头瘤病毒基因组是如何通过获得同义变化而进化的,这些同义变化允许病毒在不改变编码蛋白和相关适应度损失的情况下避免被宿主先天免疫系统检测。我们讨论了研究病毒进化、生命周期和癌症进展的意义。
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引用次数: 2
Differences in integration frequencies and APOBEC3 profiles of five high-risk HPV types adheres to phylogeny 五种高危型HPV的整合频率和APOBEC3谱的差异与系统发育有关
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200247
Alexander Hesselberg Løvestad , Adina Repesa , Jean-Marc Costanzi , Sonja Lagström , Irene Kraus Christiansen , Trine B. Rounge , Ole Herman Ambur

Persistent infection with Human Papillomavirus (HPV) is responsible for almost all cases of cervical cancers, and HPV16 and HPV18 associated with the majority of these. These types differ in the proportion of viral minor nucleotide variants (MNVs) caused by APOBEC3 mutagenesis as well as integration frequencies. Whether these traits extend to other types remains uncertain. This study aimed to investigate and compare genomic variability and chromosomal integration in the two phylogenetically distinct Alpha-7 and Alpha-9 clades of carcinogenic HPV types. The TaME-seq protocol was employed to sequence cervical cell samples positive for HPV31, HPV33 or HPV45 and combine these with data from a previous study on HPV16 and HPV18. APOBEC3 mutation signatures were found in Alpha-9 (HPV16/31/33) but not in Alpha-7 (HPV18/45). HPV45 had significantly more MNVs compared to the other types. Alpha-7 had higher integration frequency compared to Alpha-9. An increase in integration frequency with increased diagnostic severity was found for Alpha-7. The results highlight important differences and broaden our understanding of the molecular mechanisms behind cervical cancer induced by high-risk HPV types from the Alpha-7 and Alpha-9 clades.

人乳头瘤病毒(HPV)的持续感染是几乎所有宫颈癌病例的原因,而HPV16和HPV18与大多数宫颈癌有关。这些类型在由APOBEC3突变引起的病毒小核苷酸变异(mnv)的比例以及整合频率上有所不同。这些特征是否延伸到其他类型仍然不确定。本研究旨在研究和比较两种不同系统发育的致癌型HPV α -7和α -9分支的基因组变异性和染色体整合。采用TaME-seq方法对HPV31、HPV33或HPV45阳性宫颈细胞样本进行测序,并将其与先前HPV16和HPV18研究的数据相结合。APOBEC3突变在α -9 (HPV16/31/33)中发现,而在α -7 (HPV18/45)中未发现。与其他类型相比,HPV45具有更多的mnv。α -7的积分频率高于α -9。α -7的整合频率随着诊断严重程度的增加而增加。这些结果突出了重要的差异,并扩大了我们对α -7和α -9分支的高危HPV类型诱导宫颈癌的分子机制的理解。
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引用次数: 4
Programmed death-ligand 1 (PD-L1) polymorphisms as predictive biomarkers for the development of liver cirrhosis and hepatocellular carcinoma in HCV Egyptian patients 程序性死亡配体1 (PD-L1)多态性作为HCV埃及患者肝硬化和肝细胞癌发展的预测性生物标志物
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200249
Marwa Hassan , Mohammed Saad Attia , Zainab Ali-Eldin , Gamal El Attar , Mohamed Elzallat , Hany Haroun Kaisar Saad , Amira Isaac

Background

Considering the immune evasion role of programmed death-ligand 1 (PD-L1) in cancer development, its genomic variations might be closely associated with disease development and cancer risks. Accordingly, this study was performed to investigate how the PD-L1 gene polymorphisms affect the susceptibility to hepatitis C virus (HCV)-induced liver cirrhosis and cancer development in the Egyptian population.

Methodology

Two single nucleotide polymorphisms of the PD-L1 gene; rs2297136 (A > G) and rs4143815 (C > G), were studied in 50 HCV, 51 liver cirrhosis, and 52 hepatocellular carcinoma (HCC) patients as well as 50 healthy subjects using real-time PCR.

Results

The frequencies of PD-L1 rs2297136 AA and rs4143815 GG genotypes were significantly higher in the liver cirrhosis than the control and HCV groups. The rs4143815 CG and GG genotypes were linked to a higher risk of developing HCC and were positively associated with the clinicopathological features of HCC.

Conclusions

The PD-L1 rs2297136 AA and rs4143815 GG genotypes increase the susceptibility to liver cirrhosis. The rs4143815 CG and GG genotypes are positively associated with HCC risk and its clinicopathological characteristics. Therefore, HCV patients carrying the PD-L1 rs4143815 G-allele should be followed up on a regular basis to allow for early HCC management.

考虑到程序性死亡配体1 (programmed death-ligand 1, PD-L1)在癌症发展中的免疫逃避作用,其基因组变异可能与疾病发展和癌症风险密切相关。因此,本研究旨在探讨PD-L1基因多态性如何影响埃及人群对丙型肝炎病毒(HCV)诱导的肝硬化和癌症发展的易感性。方法PD-L1基因的两个单核苷酸多态性;rs2297136 (A >G)和rs4143815 (C >G),采用实时荧光定量PCR技术对50例HCV、51例肝硬化和52例肝细胞癌(HCC)患者以及50名健康受试者进行了研究。结果肝硬化患者PD-L1 rs2297136 AA和rs4143815 GG基因型频率明显高于对照组和HCV组。rs4143815 CG和GG基因型与发生HCC的高风险相关,并与HCC的临床病理特征呈正相关。结论PD-L1 rs2297136 AA和rs4143815 GG基因型增加肝硬化易感性。rs4143815 CG和GG基因型与HCC发病风险及其临床病理特征呈正相关。因此,携带PD-L1 rs4143815 g等位基因的HCV患者应定期随访,以便进行早期HCC治疗。
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引用次数: 1
Small DNA tumor viruses and human cancer: Preclinical models of virus infection and disease 小DNA肿瘤病毒和人类癌症:病毒感染和疾病的临床前模型
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200239
Megan E. Spurgeon

Human tumor viruses cause various human cancers that account for at least 15% of the global cancer burden. Among the currently identified human tumor viruses, two are small DNA tumor viruses: human papillomaviruses (HPVs) and Merkel cell polyomavirus (MCPyV). The study of small DNA tumor viruses (adenoviruses, polyomaviruses, and papillomaviruses) has facilitated several significant biological discoveries and established some of the first animal models of virus-associated cancers. The development and use of preclinical in vivo models to study HPVs and MCPyV and their role in human cancer is the focus of this review. Important considerations in the design of animal models of small DNA tumor virus infection and disease, including host range, cell tropism, choice of virus isolates, and the ability to recapitulate human disease, are presented. The types of infection-based and transgenic model strategies that are used to study HPVs and MCPyV, including their strengths and limitations, are also discussed. An overview of the current models that exist to study HPV and MCPyV infection and neoplastic disease are highlighted. These comparative models provide valuable platforms to study various aspects of virus-associated human disease and will continue to expand knowledge of human tumor viruses and their relationship with their hosts.

人类肿瘤病毒导致各种人类癌症,这些癌症至少占全球癌症负担的15%。在目前发现的人类肿瘤病毒中,有两种是小的DNA肿瘤病毒:人乳头瘤病毒(hpv)和默克尔细胞多瘤病毒(MCPyV)。对小DNA肿瘤病毒(腺病毒、多瘤病毒和乳头瘤病毒)的研究促进了几项重要的生物学发现,并建立了一些病毒相关癌症的第一批动物模型。本综述的重点是开发和使用临床前体内模型来研究hpv和MCPyV及其在人类癌症中的作用。提出了设计小DNA肿瘤病毒感染和疾病动物模型的重要考虑因素,包括宿主范围、细胞趋向性、病毒分离株的选择以及概括人类疾病的能力。本文还讨论了用于研究hpv和MCPyV的基于感染和转基因模型策略的类型,包括它们的优势和局限性。概述了目前存在的研究HPV和MCPyV感染和肿瘤疾病的模型。这些比较模型为研究病毒相关人类疾病的各个方面提供了有价值的平台,并将继续扩大对人类肿瘤病毒及其与宿主关系的认识。
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引用次数: 3
The oncogenic gamma herpesviruses Epstein-Barr virus (EBV) and Kaposi's sarcoma-associated herpesvirus (KSHV) hijack retinoic acid-inducible gene I (RIG-I) facilitating both viral and tumour immune evasion 致癌性γ疱疹病毒eb病毒(EBV)和卡波西肉瘤相关疱疹病毒(KSHV)劫持维甲酸诱导基因I (RIG-I),促进病毒和肿瘤的免疫逃避
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200246
Alana Nash , Elizabeth J. Ryan

Herpesviruses evade host immunity to establish persistent lifelong infection with dormant latent and replicative lytic phases. Epstein-Barr virus (EBV) and Kaposi's Sarcoma-associated virus (KSHV) are double-stranded DNA herpesviruses that encode components to activate RNA sensors, (Retinoic acid-inducible gene I (RIG-I) and melanoma differentiation-associated protein 5 (MDA5). Yet both viruses can effectively evade the antiviral immune response. The ability of these viruses to disarm RIG-I to evade immunity allowing viral persistency can contribute to the creation of a protected niche that facilitates tumour growth and immune evasion. Alternatively, viral nucleic acids present in the cytosol during the replicative phase of the viral lifecycle can activate pro-inflammatory signaling downstream of RIG-I augmenting tumour promoting inflammation.

Understanding how these viral proteins disrupt innate immune pathways could help identify mechanisms to boost immunity, clearing viral infection and enhancing the efficacy of immunotherapy for virally induced cancers. Here we review literature on the strategies EBV and KSHV use to either enhance or inhibit RLR signaling.

疱疹病毒逃避宿主免疫,建立持久的终身感染,潜伏和复制裂解期。eb病毒(EBV)和卡波西肉瘤相关病毒(KSHV)是双链DNA疱疹病毒,它们编码激活RNA传感器的成分(视黄酸诱导基因I (RIG-I)和黑色素瘤分化相关蛋白5 (MDA5))。然而,这两种病毒都能有效地逃避抗病毒免疫反应。这些病毒能够解除rig - 1的武装,从而逃避免疫,从而使病毒持续存在,这有助于创造一个受保护的生态位,促进肿瘤生长和免疫逃避。或者,在病毒生命周期的复制阶段存在于细胞质中的病毒核酸可以激活RIG-I增强肿瘤促进炎症的下游促炎信号。了解这些病毒蛋白如何破坏先天免疫途径有助于确定增强免疫力的机制,清除病毒感染并提高病毒诱导癌症的免疫治疗效果。在这里,我们回顾了EBV和KSHV用于增强或抑制RLR信号传导的策略的文献。
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引用次数: 4
Editorial board member 编委会成员
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/S2666-6790(22)00017-9
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引用次数: 0
Women with a positive high-risk human papillomavirus (HPV) test remain at increased risk of HPV infection and cervical precancer ≥15 years later 高危人乳头瘤病毒(HPV)检测阳性的妇女在HPV感染和宫颈癌前病变≥15年后仍有增加的风险
IF 4.3 Q1 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.tvr.2022.200240
Federica Inturrisi , Johannes A. Bogaards , Albert G. Siebers , Chris J.L.M. Meijer , Daniëlle A.M. Heideman , Johannes Berkhof

Little is known about the long-term association between high-risk human papillomavirus (hrHPV) test results in women participating in a hrHPV-based cervical cancer screening program. To address this question, we collected data of 2217 women who participated in the POBASCAM hrHPV-based screening trial (enrolment 1999/2002) and also attended the Dutch hrHPV-based screening program between January 2017 and March 2018. Among 143 women who tested hrHPV-positive in 1999/2002, 45 (31.5%) had ≥ CIN2 or hysterectomy before 2017 and 17 (11.9%) tested hrHPV-positive at the 2017/2018 screen. In comparison, among 2074 women who tested hrHPV-negative in 1999/2002, 10 (0.5%) had ≥ CIN2 or hysterectomy before 2017 and 119 (5.7%) tested hrHPV-positive at the 2017/2018 screen. It follows that in the group of women who were not treated for ≥ CIN2 or had a hysterectomy in between the two screens 15 years apart (N = 2162), women who were hrHPV-positive in 1999/2002 had a higher risk of being hrHPV-positive in 2017/2018 than those who were hrHPV-negative in 1999/2002 (OR 3.4, 95% CI 1.8–6.1). A similar association was found at the genotype level for genotype-concordant results (5.1, 1.0–11.3) and for genotype non-concordant results (3.7, 1.6–6.7). Women who were hrHPV-positive in 2017/2018 had a higher risk of CIN3 after a hrHPV-positive result in 1999/2002 than after a hrHPV-negative result (5.8, 1.0–27.8). In conclusion, a positive hrHPV result in screening gives a long-term increased risk of a hrHPV-positive result, also for different genotypes, and a long-term increased risk of CIN3. This supports the concept of risk-stratification in hrHPV-based cervical cancer screening where previous hrHPV results are included in screening recommendations.

参与基于hrHPV的宫颈癌筛查项目的妇女中高危人乳头瘤病毒(hrHPV)检测结果之间的长期关系尚不清楚。为了解决这个问题,我们收集了2217名女性的数据,这些女性参加了POBASCAM基于hrhpv的筛查试验(1999/2002入组),并在2017年1月至2018年3月期间参加了荷兰基于hrhpv的筛查项目。在1999/2002年hrhpv检测阳性的143名女性中,45名(31.5%)在2017年之前进行了≥CIN2或子宫切除术,17名(11.9%)在2017/2018年筛查中检测出hrhpv阳性。相比之下,在1999/2002年检测hrhpv阴性的2074名女性中,10名(0.5%)在2017年之前进行了≥CIN2或子宫切除术,119名(5.7%)在2017/2018年筛查中检测出hrhpv阳性。由此可见,在间隔15年(N = 2162)两次筛查期间未接受≥CIN2治疗或子宫切除术的女性中,1999/2002年hrhpv阳性的女性在2017/2018年hrhpv阳性的风险高于1999/2002年hrhpv阴性的女性(or 3.4, 95% CI 1.8-6.1)。在基因型水平上,基因型一致的结果(5.1,1.0-11.3)和基因型不一致的结果(3.7,1.6-6.7)也存在类似的关联。2017/2018年hrhpv阳性的女性在1999/2002年hrhpv阳性结果后患CIN3的风险高于hrhpv阴性结果后的风险(5.8,1.0-27.8)。总之,筛查hrHPV阳性结果会增加hrHPV阳性结果的长期风险,对于不同的基因型也是如此,并且长期增加CIN3的风险。这支持了基于hrHPV的宫颈癌筛查的风险分层概念,先前的hrHPV结果包括在筛查建议中。
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引用次数: 1
Cervical cancer therapies: Current challenges and future perspectives 子宫颈癌治疗:当前的挑战和未来的展望
IF 4.3 Q1 Medicine Pub Date : 2022-06-01 DOI: 10.1016/j.tvr.2022.200238
Carly A. Burmeister , Saif F. Khan , Georgia Schäfer , Nomonde Mbatani , Tracey Adams , Jennifer Moodley , Sharon Prince

Cervical cancer is the fourth most common female cancer worldwide and results in over 300 000 deaths globally. The causative agent of cervical cancer is persistent infection with high-risk subtypes of the human papillomavirus and the E5, E6 and E7 viral oncoproteins cooperate with host factors to induce and maintain the malignant phenotype. Cervical cancer is a largely preventable disease and early-stage detection is associated with significantly improved survival rates. Indeed, in high-income countries with established vaccination and screening programs it is a rare disease. However, the disease is a killer for women in low- and middle-income countries who, due to limited resources, often present with advanced and untreatable disease. Treatment options include surgical interventions, chemotherapy and/or radiotherapy either alone or in combination. This review describes the initiation and progression of cervical cancer and discusses in depth the advantages and challenges faced by current cervical cancer therapies, followed by a discussion of promising and efficacious new therapies to treat cervical cancer including immunotherapies, targeted therapies, combination therapies, and genetic treatment approaches.

子宫颈癌是世界上第四大最常见的女性癌症,在全球造成30多万人死亡。宫颈癌的病因是人乳头瘤病毒高危亚型持续感染,E5、E6、E7病毒癌蛋白与宿主因子协同诱导和维持恶性表型。子宫颈癌在很大程度上是一种可预防的疾病,早期发现可显著提高生存率。事实上,在已建立疫苗接种和筛查项目的高收入国家,这是一种罕见的疾病。然而,这种疾病是低收入和中等收入国家妇女的杀手,由于资源有限,她们往往患有晚期和无法治疗的疾病。治疗方案包括手术干预、单独或联合化疗和/或放疗。本文介绍了宫颈癌的发生和发展,深入讨论了目前宫颈癌治疗的优势和面临的挑战,随后讨论了治疗宫颈癌的有希望和有效的新疗法,包括免疫疗法、靶向疗法、联合疗法和基因治疗方法。
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引用次数: 51
Oesophageal carcinoma: The prevalence of DNA tumour viruses and therapy 食管癌:DNA肿瘤病毒的流行及治疗
IF 4.3 Q1 Medicine Pub Date : 2022-06-01 DOI: 10.1016/j.tvr.2021.200231
Sile Li, Ho Yin Luk, Chichao Xia, Zigui Chen, Paul Kay Sheung Chan, Siaw Shi Boon

Oesophageal carcinoma ranks the sixth leading cause of cancer death and affected 544,000 - 604,000 people in 2020. Patients often presented with a poor cancer prognosis with a low survival rate of 15–25%. Depending upon the cell type, oesophageal carcinoma is categorised into oesophageal squamous cell carcinoma (ESCC) and oesophageal adenocarcinoma (EAC). ESCC is predominantly reported in developing countries, while EAC is more common in developed countries. Aside from the presence of exogenous co-factors, such as cigarette smoking, alcohol consumption, obesity, gastroesophageal reflux disease (GERD); infection with oncogenic viruses is suspected to be one of the major factors contributing to EC development. Oncogenic viruses, including human papillomavirus (HPV), Epstein Barr virus (EBV), Cytomegalovirus (CMV) and Herpes Simplex Virus (HSV) have been detected in various proportions of EC samples. Nonetheless, their aetiological roles in EC remain debatable. In this review, we garnered previous studies that focus on the association between oncogenic viruses and EC. Among these oncogenic viruses, HPV appears to have a stronger association with EC than the others. In addition, we also discuss the pros and cons of the treatment regimens to treat EC patients, including immunotherapy, chemo- and chemoradiotherapy, and their efficacy.

食管癌是癌症死亡的第六大原因,2020年影响了54.4万至60.4万人。患者预后差,生存率低,仅为15-25%。根据细胞类型,食管癌分为食管鳞状细胞癌(ESCC)和食管腺癌(EAC)。ESCC主要在发展中国家报告,而EAC在发达国家更为常见。除了存在外源性辅助因素,如吸烟、饮酒、肥胖、胃食管反流病(GERD);感染致瘤病毒被怀疑是导致EC发展的主要因素之一。在EC样品中检测到不同比例的致瘤病毒,包括人乳头瘤病毒(HPV)、eb病毒(EBV)、巨细胞病毒(CMV)和单纯疱疹病毒(HSV)。尽管如此,它们在EC中的病因学作用仍有争议。在这篇综述中,我们收集了以往关于致癌病毒与EC之间关系的研究。在这些致癌病毒中,HPV似乎比其他病毒与EC有更强的联系。此外,我们还讨论了治疗EC患者的治疗方案的优缺点,包括免疫治疗、化疗和放化疗,以及它们的疗效。
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引用次数: 6
期刊
Tumour Virus Research
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