高危人乳头瘤病毒癌蛋白E6、E7对乳腺癌的影响

A. K. B. F. Lopes, Marina Viana Padilha, Julliano Matheus de Lima Maux, Sandra Maria Souza da Silva da Silva, Elayne Interaminense Cavalcanti de Brito Azevedo, E. M. Nascimento, Júlia Barroso Cirne de Azevedo, Cristiane Moutinho Lagos de Melo, J. C. S. Neto
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摘要

乳腺癌是世界上最常见的肿瘤,其病因是多因素的。一些风险因素已经被确定,其他的仍在研究中,比如某些病原体的感染,比如人类乳头瘤病毒(HPV)。本研究旨在对乳腺癌与HPV的相关性进行文献综述,旨在分析其E6和E7癌蛋白的作用,使用PUBMED和LILACS数据库进行研究。在纳入研究的41篇文章中,有30篇支持HPV与乳腺癌的关联,其中只有8篇具有统计学意义。本研究发现HPV 16是检出率最高的基因型,而导管癌是发病率最高的组织学类型。福尔马林固定石蜡包埋组织(FFPE)是研究最多的样品保存方式,聚合酶链反应(PCR)是最常用的检测方法。在大多数样本中发现病毒遗传物质整合到宿主细胞基因组中。鉴于这些发现,我们可以得出结论,HPV对乳腺癌的发生有很大的影响,然而,涉及HPV致癌途径的研究,以及形态学和分子模式的研究应该涉及更大的样本。
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Influence of Oncoproteins E6 and E7 of high-risk Human Papilloma Virus on Breast Cancer
Breast cancer is the most frequent neoplasm in the world, and its causes are multifactorial. Some risk factors are already well established, and others are still being studied, such as infections with certain agents, like the human papillomavirus (HPV). This study aimed to carry out a literature review about the association between breast cancer and HPV, aiming to analyze the role of their E6 and E7 oncoproteins, using PUBMED and LILACS databases for the research. Of the 41 articles included in the study, 30 endorse the association of HPV with breast cancer, of these, only eight with statistically significant values. This study found HPV 16 as the genotype with the highest detection rate and ductal carcinoma as the histological pattern with the highest frequency. Formalin-fixed and paraffin-embedded tissue (FFPE) was the most studied type of sample storage and preservation, and polymerase chain reaction (PCR) was the most used detection method. The virus genetic material was found integrated into the host cell genome in most of the samples. Given the findings, it was concluded that HPV can have a great influence on breast carcinogenesis, however, studies involving the carcinogenic pathways of HPV, and morphological and molecular patterns should be carried out involving a larger sample.
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