[前列腺癌:乳头状瘤病毒为可能的病因]。

G M Volgareva
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引用次数: 2

摘要

前列腺癌(PC)的发病率和死亡率稳步上升。PC发病原因尚不清楚;特别是,人乳头瘤病毒(HPV)的作用仍有争议。本综述分析了HPV强效生物致癌物可能参与PC发生的文献资料。免疫缺陷患者PC发病率的增加表明某种感染因子参与了该病的病因学。几个研究小组交流了HPV DNA发现,包括PC标本(经直肠活检)的致癌类型。关于此类标本中致癌的HPV 16癌蛋白E7的发生及其对疾病预后的不利影响的数据有限。成功的尝试是在体外用致癌性HPVDNA转染正常的人前列腺细胞。关于PC与HPV关联的流行病学数据存在争议。这可能是由于在本审查中考虑到这些研究的某些技术特点。对HPV E6和E7癌蛋白的血清抗体的控制被认为表明HPV阳性肿瘤在生物体中生长,但尚未在PC患者中进行。致癌性HPV的DNA通常存在于前列腺附近的器官——尿道、直肠、膀胱。在俄罗斯进行的一项研究中,对一组健康男性进行了性传播疾病检查,每两个人中就有一人感染泌尿生殖系统hpv;其中42%携带致癌HPV。致瘤性HPV在PC发生中的可能参与值得密切关注和进一步研究。
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[Prostate cancer: papillomaviruses as a possible cause].

Prostate cancer (PC) incidence and mortality are steadily increasing. Causation of PC is not clearly understood; in particular, role of human papillomaviruses (HPV) is still disputable. The review contains analysis of literature data on possible participation of HPV powerful biological carcinogens, in PC genesis. PC incidence increase in persons with immunodeficiency indicates involvement of some infectious agent in the disease etiology. Several research groups communicated HPV DNA finding including that of oncogenic types in PC specimens (transrectal biopsies). There are limited data on the occurrence of oncogenic HPV 16 oncoprotein E7 in such specimens and on its unfavorable effect on disease prognosis. The successful attempt is known to transfect normal human prostate cells with oncogenic HPVDNA in vitro. Epidemiological data on associations of PC with HPV are controversial. It may result from the considered in the present review certain technical peculiarities of these studies. Controlfor serum antibodies to HPV E6 and E7 oncoproteins recognized to indicate HPV-positive tumor growth in an organism has not been performed yet in PC patients. DNA of oncogenic HPV is rather commonly found in organs adjacent to prostate--urethra, rectum, urinary bladder. In the study held in Russia on a group of healthy men examined for sexually transmitted diseases genitourinary HPVinfection was found in every second person; 42% of them harbored oncogenic HPV. Possible participation of oncogenic HPV in PC genesis deserves close attention and further study.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
31
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