现在是时候更认真地对待结肠直肠癌患者的HPV感染了
Mahsa Javadi1,2, Shahram Jalilian1,2, Malek Kanani3
1Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Frontiers in medicine
|July 25, 2024
概括
在结直肠癌 (CRC) 患者中检测到人类乳头瘤病毒 (HPV) DNA,这表明HPV感染和CRC发展之间存在联系. 在尿液和血清外体中检测HPV显示了非侵入性癌症查的潜力.
科学领域:
- 在瘤学瘤学.
- 病毒学 病毒学
- 分子生物学分子生物学
背景情况:
- 病毒感染,特别是人类乳头瘤病毒 (HPV) 与结直肠癌 (CRC) 之间的关联尚未完全理解.
- 在一些CRC活检中发现了致癌性高风险HPV (hr-HPV) 类型,需要进一步调查.
研究的目的:
- 在结直肠癌组织和尿液样本中调查HPVDNA的存在和基因定型.
- 在CRC患者和健康志愿者的血清外体中检测HPV16 E6/E7蛋白质.
主要方法:
- 对40例确诊的CRC腺癌病例进行横截面研究.
- 在新鲜的结直肠组织和尿液样本中检测HPV的HPVDNA杂交.
- 对HPV16 E6/E7型蛋白质的血清外体样本的西部斑分析.
主要成果:
- 在26/40名CRC患者中发现了HPVDNA,显著增加了患CRC的几率 (OR=7.4,p<0.001).
- 在HPV阳性CRC患者的14/26份尿样中检测到HPVDNA (p=0.013).
- 高风险HPV16是瘤 (24/40) 和尿液 (12/40) 样本中占主导地位的基因型. 在一个血清外体样本中检测到HPV16 E6/E7coproteins.
结论:
- 在CRC尿样中检测高风险HPVDNA有助于开发非侵入性查工具.
- 血清外体体中HPV16 E6/E7型蛋白的存在表明了对非侵入性诊断的潜力.
- 这些发现强调了HPV在CRC发展中的潜在作用,并倡导HPV疫苗接种计划.
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