宫颈癌预防的未来:研究与技术的进步

Q4 Biochemistry, Genetics and Molecular Biology Exploration of medicine Pub Date : 2024-05-22 DOI:10.37349/emed.2024.00226
Praveen Kumar Chandra Sekar, Sheena Mariam Thomas, Ramakrishnan Veerabathiran
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引用次数: 0

摘要

本文对宫颈癌预防的现状和未来趋势进行了翔实的概述。宫颈癌仍然是全球关注的重大公共卫生问题,发达国家和发展中国家的发病率和死亡率都存在显著差异。这凸显了了解宫颈癌病理生理学的重要性,强调了高危 HPV 类型的参与。辅助风险因素的存在促进了从感染到癌症的转变。这篇综述研究了当前的预防方法,包括加卫苗和 Cervarix 等 HPV 疫苗的成功,以及从细胞学到 HPV DNA 检测等筛查技术的有效性。它指出了一级和二级预防措施所面临的局限性,尤其是在资源匮乏的环境中,其中包括疫苗和有效筛查程序的可及性。宫颈癌预防方面的新兴技术,如液基细胞学、分子检测和人工智能,有望提高早期检测和诊断的准确性和效率。会议讨论了精准医疗的潜力,即根据个人风险因素定制治疗方案。报告探讨了基因编辑技术(如 CRISPR/Cas9)在靶向 HPV 肿瘤蛋白方面的创新、免疫疗法的出现、肿瘤浸润淋巴细胞的作用以及生物标记物在改善早期检测方面的前景。研究和技术的进步正在引领宫颈癌预防的变革。这些发展为改进筛查、诊断和治疗指明了道路,从而可以大大减轻该疾病给全球带来的负担。然而,要充分发挥这些进步的潜力,需要开展包容性研究和国际合作,以克服获得治疗机会方面的差距,尤其是在资源有限的环境中。
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The future of cervical cancer prevention: advances in research and technology
This article provides an informative overview of the current situation and future trends in cervical cancer prevention. Cervical cancer remains a significant public health concern worldwide and is characterized by notable variations in both incidence and mortality rates between developed and developing countries. This underscores the importance of understanding the pathophysiology of cervical cancer, stressing the involvement of high-risk HPV types. The presence of supplementary risk factors facilitates the transition from infection to cancer. This review examines current preventive methods, including the success of HPV vaccines such as Gardasil and Cervarix, and the effectiveness of screening techniques, from cytology to HPV DNA testing. It noted the limitations faced by primary and secondary preventive measures, particularly in low-resource settings, which include access to vaccines and effective screening procedures. Emerging technologies in cervical cancer prevention, such as liquid-based cytology, molecular testing, and AI, promise to improve early detection and diagnosis accuracy and efficiency. The potential of precision medicine to customize treatment based on individual risk factors was discussed. It explores the innovation in genetic editing techniques, such as CRISPR/Cas9, in targeting HPV oncoproteins, the advent of immunotherapy, the role of tumor-infiltrating lymphocytes, and the prospects of biomarkers in improving early detection. Research and technological advancements are leading to transformative changes in cervical cancer prevention. These developments suggest a path toward improved screening, diagnosis, and treatment that could significantly reduce the global burden of the disease. However, realizing the full potential of these advances requires inclusive research and international collaboration to overcome access disparities, particularly in resource-limited settings.
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2.10
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审稿时长
13 weeks
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