SV40, genetic polymorphism and mesothelioma. pathological and epidemiological evidence

C Magnani1

  • 1Department of Medical Sciences, CPO Piemonte & University of Eastern Piedmont at Novara, Italy. magnani@med.unipmn.it

La Medicina Del Lavoro
|February 7, 2006
PubMed
Abstract

Insights

The link between simian virus 40 (SV40) and malignant mesothelioma (MM) is suggested by lab studies but lacks epidemiological confirmation. Further research is needed to explore SV40

Area of Science:

  • Oncology
  • Virology
  • Epidemiology

Background:

  • Asbestos exposure is the primary cause of malignant mesothelioma (MM).
  • Simian virus 40 (SV40) has been investigated as a potential co-factor due to viral DNA detection in MM and induction of MM in hamsters.
  • SV40 Tag proteins interact with tumor suppressor proteins p53 and Rb.

Purpose of the Study:

  • To review existing evidence on the association between SV40 and human malignant mesothelioma.
  • To consider findings from both laboratory and epidemiological studies.

Main Methods:

  • A review of scientific papers published since 1990 concerning SV40 and human cancer.
  • Analysis of studies investigating SV40 DNA in MM tissue.
  • Evaluation of epidemiological data, including cohort studies on vaccine recipients.

Main Results:

  • SV40 DNA prevalence in MM tissue varied widely (0-70%), with unidentified causes for this variability.
  • While some studies suggested an MM-SV40 association, confounding factors and biases were often not addressed.
  • Cohort studies of individuals vaccinated with potentially contaminated polio vaccines did not reveal an increased MM incidence, though statistical power was limited.
  • Widespread SV40 diffusion in humans is linked to polio vaccines produced between 1955-1963; adult prevalence ranges from 2-12% globally.
  • The age distribution of MM cases does not support a cohort effect linked to these contaminated vaccines.

Conclusions:

  • Laboratory evidence suggests a potential association between SV40 and human MM, but this remains unconfirmed by robust epidemiological studies.
  • Other potential co-factors for MM include mutations in DNA repair genes, particularly those involved in repairing asbestos-induced damage.
  • Further epidemiological studies are required to validate the role of SV40 and investigate other genetic factors in MM development.

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