紫外线和活性氧激活导致皮肤癌的人乳头瘤病毒。

Current problems in dermatology Pub Date : 2021-01-01 Epub Date: 2021-10-25 DOI:10.1159/000517643
Dianne E Godar
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引用次数: 5

摘要

自从国际癌症研究机构(IARC)从1955年开始在一些北欧国家和1960年在大多数其他欧洲国家收集数据以来,皮肤恶性黑色素瘤(CMM)和非黑色素瘤皮肤癌(NMSC)、鳞状细胞癌和基底细胞癌一直以指数速度增长。在CMM和NMSC活检中发现了不同的人类乳头瘤病毒(HPV)菌株,它们与致癌过程有关,是一种“打了就跑”的机制,并且可以以指数速度传播,特别是自20世纪60年代的性革命以来。本章仅涵盖1960年至2018年欧洲国家CMM的IARC数据,按地区(北纬、中纬度和南纬以及东经与西经)、国家纬度和每个国家随时间的变化绘制,其中约一半的CMM呈线性增长,另一半呈指数增长。从分析的数据和已发表的文献数据来看,CMM的主要危险因素是浅色发色,尤其是红发和白发(活性氧和UVA;1960年后,皮肤维生素D3水平低,HPV感染,而暴露于中波紫外线(290-320纳米)或晒伤没有明显的风险。
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UV and Reactive Oxygen Species Activate Human Papillomaviruses Causing Skin Cancers.

Cutaneous malignant melanoma (CMM) and nonmelanoma skin cancers (NMSC), squamous cell and basal cell carcinomas, have been increasing at exponential rates for as long as the International Agency for Research on Cancer (IARC) have been collecting data starting from 1955 in some northern European countries and 1960 in most other European countries. Different strains of the human papilloma virus (HPV) have been found in CMM and NMSC biopsies and implicated in the carcinogenic process as a "hit-and-run" mechanism and can spread at exponential rates, especially since the 1960s' sexual revolution. This chapter covers only IARC data for CMM in the European countries from 1960 to 2018, plotted by regions (northern, middle, and southern latitudes and eastern versus western longitudes), countries latitudes, and each country over time, which shows that about half have linear and the other half have exponential increases in CMM. From this analyzed data and published data in the literature, the major risk factors of CMM appear to be light hair color, especially red and white hair (reactive oxygen species and UVA; 320-400 nm), low cutaneous vitamin D3 levels, and HPV after 1960, while there was no apparent risk from exposure to UVB (290-320 nm) or sunburns.

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