Viral oncology

  • 文章类型: Journal Article
    自从将劳斯肉瘤病毒鉴定为致癌因子以来,已经对病毒感染与血液癌症之间的相关性进行了广泛的研究。众多的病毒,比如爱泼斯坦-巴尔病毒,乙型肝炎病毒,丙型肝炎病毒,人类免疫缺陷病毒,人类嗜T淋巴细胞病毒1和严重急性呼吸综合征相关冠状病毒2已被确定为通过破坏正常细胞过程导致癌症发展和进展的潜在贡献者.不同的病毒与不同形式的血癌有关,每个都表现出独特的感染机制,发病机制,和临床症状。了解这些联系对于制定有效的预防和治疗策略至关重要。对这些关联有深入了解的医疗保健专业人员可以提供精确的治疗方法,并密切监测血液癌症和病毒感染患者的潜在并发症。通过利用这些信息,医疗保健提供者可以优化患者护理并改善受病毒感染和血液癌症影响的患者的预后。
    Extensive research has been conducted on the correlation between viral infections and hematological cancers ever since the identification of the Rous Sarcoma Virus as a cancer-causing agent. Numerous viruses, such as the Epstein-Barr virus, hepatitis B virus, hepatitis C virus, human immunodeficiency virus, human T-lymphotropic virus 1, and severe acute respiratory syndrome-related coronavirus 2, have been identified as potential contributors to the development and progression of cancer by disrupting normal cellular processes. Different viruses are associated with distinct forms of blood cancers, each exhibiting unique infection mechanisms, pathogenesis, and clinical symptoms. Understanding these connections is crucial for the development of effective prevention and treatment strategies. Healthcare professionals who possess a solid understanding of these associations can offer precise treatments and closely monitor potential complications in individuals with blood cancers and viral infections. By leveraging this information, healthcare providers can optimize patient care and improve outcomes for those affected by both viral infections and hematological cancers.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Systematic Review
    目的:本系统文献综述的目的是提供全球局部和区域晚期(LA)和复发/转移(RM)头颈癌(HNC)中人乳头瘤病毒(HPV)流行的最新信息。
    方法:在clinicaltrials.gov,MEDLINE/PubMed,Embase,2010年1月1日至2020年12月31日发表的LA/RMHNC的ASCO/ESMO介入研究会议期刊(IS;I-III期试验)以及MEDLINE和Embase非介入研究(NIS)。研究选择的标准包括:LA/RMHNC患者的HPV患病率数据的可用性,从2010年1月1日开始的患者登记,HNC类型中包括口咽癌(OPC)。每个研究的HPV患病率计算为HPV+占登记患者总数的比例。对于所有研究中的HPV总体患病率,评估了各研究报告的HPV患病率的平均值和汇总估计值(所有HPV+患者的总和与所有纳入患者的总和).
    结果:纳入了81项研究(62IS;19NIS),代表9607个洛杉矶/RMHNC案例,总体平均(合并)HPV患病率为32.6%(25.1%)。LA和RM的HPV患病率分别为44.7%(44.0%)和24.3%(18.6%)。在52项研究的2714名LA/RMOPC患者中,有可用数据,平均(合并)值为55.8%(50.7%).大部分数据来自北美和欧洲,在这些地理区域进行的研究中,HPV总体患病率为46.0%(42.1%)和24.7%(25.3%),分别(北欧:31.9%[63.1%])。“基于p16的”检测是最常见的HPV检测方法(58.0%)。
    结论:在过去的十年中,在IS和NIS中研究的至少四分之一的LA/RMHNC和一半的OPC病例为HPV+.这一令人震惊的负担与HPV在至少一个HNC亚组的发病机理中的潜在意义一致。强调HPV检测和预防与HNC预防和管理的相关性。
    OBJECTIVE: The aim of this systematic literature review was to provide updated information on human papillomavirus (HPV) prevalence in locally and regionally advanced (LA) and recurrent/metastatic (RM) head and neck cancer (HNC) worldwide.
    METHODS: Electronic searches were conducted on clinicaltrials.gov, MEDLINE/PubMed, Embase, and ASCO/ESMO journals of congresses for interventional studies (IS; Phase I-III trials) as well as MEDLINE and Embase for non-interventional studies (NIS) of LA/RM HNC published between January 01, 2010 and December 31, 2020. Criteria for study selection included: availability of HPV prevalence data for LA/RM HNC patients, patient enrollment from January 01, 2010 onward, and oropharyngeal cancer (OPC) included among HNC types. HPV prevalence per study was calculated as proportion of HPV+ over total number of enrolled patients. For overall HPV prevalence across studies, mean of reported HPV prevalence rates across studies and pooled estimate (sum of all HPV+ patients over sum of all patients enrolled) were assessed.
    RESULTS: Eighty-one studies (62 IS; 19 NIS) were included, representing 9607 LA/RM HNC cases, with an overall mean (pooled) HPV prevalence of 32.6% (25.1%). HPV prevalence was 44.7% (44.0%) in LA and 24.3% (18.6%) in RM. Among 2714 LA/RM OPC patients from 52 studies with available data, mean (pooled) value was 55.8% (50.7%). The majority of data were derived from Northern America and Europe, with overall HPV prevalence of 46.0% (42.1%) and 24.7% (25.3%) across studies conducted exclusively in these geographic regions, respectively (Northern Europe: 31.9% [63.1%]). A \"p16-based\" assay was the most frequently reported HPV detection methodology (58.0%).
    CONCLUSIONS: Over the last decade, at least one quarter of LA/RM HNC and half of OPC cases studied in IS and NIS were HPV+. This alarming burden is consistent with a potential implication of HPV in the pathogenesis of at least a subgroup of HNC, underscoring the relevance of HPV testing and prophylaxis to HNC prevention and management.
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  • 文章类型: Journal Article
    背景:TRAIL是一种通过与死亡受体(DR)相互作用来诱导癌细胞凋亡的抗癌药物。然而,由于DR的细胞表面低表达,某些结直肠癌(CRC)细胞抵抗TRAIL诱导的细胞凋亡。新城疫病毒(NDV)感染可提高癌细胞中DR蛋白的表达,潜在影响他们的TRAIL敏感性。然而,在癌细胞中,NDV感染调节DR表达和影响TRAIL敏感性的确切机制尚不清楚.
    方法:这里,我们开发了基于非致病性NDVVG/GA菌株的重组NDV(rNDV)和含TRAIL基因的rNDV(rNDV-TRAIL)。我们观察到病毒感染导致DR和TRAIL表达增加,并激活参与内在和外在凋亡途径的信号蛋白。使用TRAIL抗性CRC细胞(HT-29)和非抗性CRC细胞(HCT116)在体外进行实验,并使用相关小鼠模型在体内进行实验。
    结果:发现rNDV-TRAIL在CRC细胞中表现出比rNDV更好的凋亡功效。值得注意的是,rNDV-TRAIL在TRAIL耐药的CRC细胞中具有更强的癌细胞杀伤作用。Western印迹分析显示rNDV和rNDV-TRAIL感染均激活参与内在和外在凋亡途径的信号蛋白。值得注意的是,rNDV-TRAIL在HCT-116和HT-29细胞中同时促进内在和外在信号转导。
    结论:因此,rNDV-TRAIL感染可有效增强DR抑制的HT-29细胞中DR的表达。此外,rNDV-TRAIL表达的TRAIL蛋白与DR有效相互作用,导致TRAIL抗性HT-29细胞凋亡增强。因此,rNDV-TRAIL具有作为治疗TRAIL抗性癌症的有希望的治疗方法的潜力。
    TRAIL is an anticancer drug that induces cancer cell apoptosis by interacting with death receptors (DRs). However, owing to low cell-surface expression of DRs, certain colorectal cancer (CRC) cells resist TRAIL-induced apoptosis. Newcastle disease virus (NDV) infection can elevate DR protein expression in cancer cells, potentially influencing their TRAIL sensitivity. However, the precise mechanism by which NDV infection modulates DR expression and impacts TRAIL sensitivity in cancer cells remains unknown.
    Herein, we developed nonpathogenic NDV VG/GA strain-based recombinant NDV (rNDV) and TRAIL gene-containing rNDV (rNDV-TRAIL). We observed that viral infections lead to increased DR and TRAIL expressions and activate signaling proteins involved in intrinsic and extrinsic apoptosis pathways. Experiments were conducted in vitro using TRAIL-resistant CRC cells (HT-29) and nonresistant CRC cells (HCT116) and in vivo using relevant mouse models.
    rNDV-TRAIL was found to exhibit better apoptotic efficacy than rNDV in CRC cells. Notably, rNDV-TRAIL had the stronger cancer cell-killing effect in TRAIL-resistant CRC cells. Western blot analyses showed that both rNDV and rNDV-TRAIL infections activate signaling proteins involved in the intrinsic and extrinsic apoptotic pathways. Notably, rNDV-TRAIL promotes concurrent intrinsic and extrinsic signal transduction in both HCT-116 and HT-29 cells.
    Therefore, rNDV-TRAIL infection effectively enhances DR expression in DR-depressed HT-29 cells. Moreover, the TRAIL protein expressed by rNDV-TRAIL effectively interacts with DR, leading to enhanced apoptosis in TRAIL-resistant HT-29 cells. Therefore, rNDV-TRAIL has potential as a promising therapeutic approach for treating TRAIL-resistant cancers.
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  • 文章类型: Systematic Review
    乳腺癌(BC)是全世界影响女性的所有类型癌症中广泛流行的恶性肿瘤。有重要证据表明,人乳头瘤病毒(HPV)感染可能会改变BC的致病性;然而,目前尚无确凿的数据。
    通过搜索五个数据库,包括EMBASE,IBECS,PubMed,Scopus,科学直接,谷歌学者,和WebofScience,我们对1990年至2022年6月30日的BC患者中HPV的患病率进行了全面的系统分析.在应用广泛的资格标准后,我们根据乳腺组织中HPV感染的患病率选择了74篇出版物进行进一步分析.所有数据都使用随机效应荟萃分析进行了分析,CochranQ检验和I2统计量用于通过亚组分析计算这些研究中患病率的异质性。通过亚组荟萃分析评估不同亚组中HPV患病率估计值的差异。
    总共,最初筛选了3156项研究,审查了93项全文研究,74符合纳入标准。在总共7156例BC活检中,HPV的总患病率为25.6%(95%CI=0.24-0.33,τ2=0.0369,估计值之间存在显著异质性(I2=97%,p<0.01).因此,进一步研究了45项具有可用对照的研究,在病例对照研究中,HPV的患病率为26.2%,总赔率为5.55(95%CI=3.67-8.41,I2=38%,τ2=1.4878,p<0.01)。HPV的进一步亚组分析显示HPV-16的最大患病率为9.6%(95%CI=3.06-11.86,I2=0%,τ2=0.6111,p<0.01)。在不同的地理区域中,欧洲报告了HPV的最高患病率,即,39.2%(95%CI=1.29-7.91,I2=18%,τ2=1.2911,p<0.01)。总体分布显示HPV-18是澳大利亚报道的常见HPV亚型。
    目前的研究提供了BC患者中HPV流行的全球估计,并证明了该病毒与BC病因学之间的显着关联。然而,我们建议对潜在机制的进一步研究对于验证这一假设至关重要.
    UNASSIGNED: Breast Cancer (BC) stands out as the widely prevalent malignancy among all the types of cancer affecting women worldwide. There is significant evidence that the pathogenicity of BC may be altered by Human Papillomavirus (HPV) infection; however, conclusive data are not yet available.
    UNASSIGNED: By searching five databases, including EMBASE, IBECS, PubMed, Scopus, Science Direct, Google Scholar, and Web of Science, a thorough systematic analysis was conducted on the prevalence of HPV in BC patients from 1990 to June 30, 2022. After applying extensive eligibility criteria, we selected 74 publications for further analysis based on the prevalence of HPV infections in breast tissues. All of the data were analyzed using a random-effects meta-analysis, Cochran Q test and I2 statistic were used to calculate the heterogeneity of the prevalence among these studies using subgroup analysis. Variations in the HPV prevalence estimates in different subgroups were evaluated by subgroup meta-analysis.
    UNASSIGNED: In total, 3156 studies were initially screened, resulting in 93 full-text studies reviewed, with 74 meeting inclusion criteria. Among a total of 7156 BC biopsies, the pool prevalence of HPV was 25.6% (95% CI= 0.24-0.33, τ2 = 0.0369 with significant heterogeneity between estimates (I 2 = 97% and p< 0.01). Consequently, 45 studies with available controls were further studied, and the prevalence of HPV in case-control studies was 26.2% with overall odds 5.55 (95% CI= 3.67-8.41, I 2 = 38%, τ2 = 1.4878, p< 0.01). Further subgroup analysis of HPV revealed HPV-16 had a maximum prevalence of 9.6% (95% CI= 3.06-11.86, I 2 = 0%, τ2 = 0.6111, p< 0.01). Among different geographical regions, Europe reported the maximum prevalence of HPV, i.e., 39.2% (95% CI=1.29-7.91, I 2 = 18%, τ2 = 1.2911, p< 0.01). Overall distribution showed HPV-18 was a frequent HPV subtype reported in Australia.
    UNASSIGNED: Current study provides a global estimate of HPV prevalence in BC patients and demonstrates a significant association between this virus and BC etiology. Nevertheless, we recommend further investigation into the underlying mechanism is essential to validate this hypothesis.
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  • 文章类型: Journal Article
    B淋巴细胞的EB病毒感染通过良好适应的转录控制动力学引起不同的宿主应答。因此,这种宿主-病原体相互作用提供了一个强大的系统来探索导致共识命运决定的基本过程.这里,我们使用单细胞转录组学技术构建了EBV感染后B细胞命运的全基因组多状态模型.来自人类扁桃体的其他单细胞数据揭示了模型状态与次级淋巴组织中类似的体内表型的对应关系,包括可以产生早期记忆B细胞的多能活化前体的EBV+类似物。这些资源为致癌病毒感染期间的转化细胞景观提供了详尽的视角,该视角模拟了抗原诱导的B细胞活化和分化。因此,它们支持对特定州的EBV宿主动态的调查,效应B细胞的命运,和淋巴发生。为了展示这种潜力,我们在FCRL4+/TBX21+非典型记忆B细胞中鉴定了EBV感染动力学,这些细胞与多种免疫疾病发病机制相关.
    Epstein-Barr virus infection of B lymphocytes elicits diverse host responses via well-adapted transcriptional control dynamics. Consequently, this host-pathogen interaction provides a powerful system to explore fundamental processes leading to consensus fate decisions. Here, we use single-cell transcriptomics to construct a genome-wide multistate model of B cell fates upon EBV infection. Additional single-cell data from human tonsils reveal correspondence of model states to analogous in vivo phenotypes within secondary lymphoid tissue, including an EBV+ analog of multipotent activated precursors that can yield early memory B cells. These resources yield exquisitely detailed perspectives of the transforming cellular landscape during an oncogenic viral infection that simulates antigen-induced B cell activation and differentiation. Thus, they support investigations of state-specific EBV-host dynamics, effector B cell fates, and lymphomagenesis. To demonstrate this potential, we identify EBV infection dynamics in FCRL4+/TBX21+ atypical memory B cells that are pathogenically associated with numerous immune disorders.
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  • 文章类型: Comparative Study
    背景:常规人乳头瘤病毒(HPV)检测是在宫颈癌中进行的,并且是某些头颈部癌症分类所必需的。在阴茎癌中,需要关于癌的HPV关联的声明。在大多数情况下,p16免疫组织化学作为替代标记应用于此设置。由于描述了HPV阳性和HPV阴性肿瘤的不同临床结果,我们等待临床医生更频繁地要求进行HPV检测。在HPV疫苗接种的背景下,预计会出现其他HPV亚型。
    方法:因此,一群存档的人,对福尔马林固定的石蜡包埋(FFPE)阴茎瘤进行p16染色,然后通过基于PCR的方法测试HPV感染状态。除了Sanger测序,我们选择了LCD-阵列技术(HPV3.5LCD-阵列试剂盒,Chipron;LCD-Array)用于在我们的探针中检测HPV,期望对我们的探针进行更少的耗时和灵敏的HPV测试。
    结果:我们发现LCD-Array是一种敏感可行的HPV检测方法,适用于我们队列中FFPE材料的常规诊断。我们的阴茎癌和原位癌队列在61%的病例中与HPV感染有关。我们检测到HPV感染状态与组织形态学肿瘤特征以及总生存期之间没有显著关联。
    结论:我们在一组存档的阴茎癌队列中显示了分子HPV检测的可用性。据我们所知,这是对一组阴茎肿瘤的LCD-Array技术进行调查的第一项研究。
    BACKGROUND: Routine human papillomavirus (HPV) testing is performed in cervival cancer and is required for classification of some head and neck cancers. In penile cancer a statement on HPV association of the carcinoma is required. In most cases p16 immunohistochemistry as a surrogate marker is applied in this setting. Since differing clinical outcomes for HPV positive and HPV negative tumors are described we await HPV testing to be requested more frequently by clinicians, also in the context of HPV vaccination, where other HPV subtypes are expected to emerge.
    METHODS: Therefore, a cohort of archived, formalin-fixed paraffin embedded (FFPE) penile neoplasias was stained for p16 and thereafter tested for HPV infection status via PCR based methods. Additionally to Sanger sequencing, we chose LCD-Array technique (HPV 3.5 LCD-Array Kit, Chipron; LCD-Array) for the detection of HPV in our probes expecting a less time consuming and sensitive HPV test for our probes.
    RESULTS: We found that LCD-Array is a sensitive and feasible method for HPV testing in routine diagnostics applicable to FFPE material in our cohort. Our cohort of penile carcinomas and carcinomas in situ was associated with HPV infection in 61% of cases. We detected no significant association between HPV infection status and histomorphological tumor characteristics as well as overall survival.
    CONCLUSIONS: We showed usability of molecular HPV testing on a cohort of archived penile carcinomas. To the best of our knowledge, this is the first study investigating LCD-Array technique on a cohort of penile neoplasias.
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  • 文章类型: Journal Article
    大约十分之一的癌症由病毒引起或与病毒感染有关。最近的全球事件,包括2019年冠状病毒病(COVID-19)大流行,意味着人类与病毒的接触增加。患有病毒感染的个体在感染后可能需要多年的癌症发展,证明病毒参与癌症发展是一个漫长而复杂的过程。这种复杂性源于个体遗传异质性和由于病毒而涉及癌症发展的许多步骤。肿瘤发生的过程是由几种病毒因子和宿主因子之间的复杂相互作用驱动的,从而产生了理想的并促进肿瘤形成的肿瘤微环境(TME)。与人类癌症相关的病毒通过激活包括炎症在内的多种细胞过程来确保其存活和增殖。迁移,和入侵,抗凋亡和生长抑制。此外,大多数人类肿瘤病毒逃避免疫检测,可以激活信号级联,包括PI3K-Akt-mTOR,Notch和Wnt通路与增强的增殖和血管生成相关。本专家审查审查并综合了与肿瘤病毒相关的多种生物学因素,和这些病毒激活的信号级联导致病毒肿瘤发生。特别是,我检查并审查了爱泼斯坦-巴尔病毒,人乳头瘤病毒,和卡波西氏肉瘤疱疹病毒在癌症发病机制的背景下。最后,我对TME中病毒及其相关致癌途径的治疗靶向进行了展望。这些抗癌策略的形式可以是,但不限于,抗体和抑制剂。
    About a tenth of all cancers are caused by viruses or associated with viral infection. Recent global events including the coronavirus disease-2019 (COVID-19) pandemic means that human encounter with viruses is increased. Cancer development in individuals with viral infection can take many years after infection, demonstrating that the involvement of viruses in cancer development is a long and complex process. This complexity emanates from individual genetic heterogeneity and the many steps involved in cancer development owing to viruses. The process of tumorigenesis is driven by the complex interaction between several viral factors and host factors leading to the creation of a tumor microenvironment (TME) that is ideal and promotes tumor formation. Viruses associated with human cancers ensure their survival and proliferation through activation of several cellular processes including inflammation, migration, and invasion, resistance to apoptosis and growth suppressors. In addition, most human oncoviruses evade immune detection and can activate signaling cascades including the PI3K-Akt-mTOR, Notch and Wnt pathways associated with enhanced proliferation and angiogenesis. This expert review examines and synthesizes the multiple biological factors related to oncoviruses, and the signaling cascades activated by these viruses contributing to viral oncogenesis. In particular, I examine and review the Epstein-Barr virus, human papillomaviruses, and Kaposi\'s sarcoma herpes virus in a context of cancer pathogenesis. I conclude with a future outlook on therapeutic targeting of the viruses and their associated oncogenic pathways within the TME. These anticancer strategies can be in the form of, but not limited to, antibodies and inhibitors.
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  • 文章类型: Journal Article
    An understanding of the pathology of cervical cancer (CC) mediated by E6/E7 oncoproteins of high-risk human papillomavirus (HPV) was developed by late 80\'s. But if we look at the present scenario, not a single drug could be developed to inhibit these oncoproteins and in turn, be used specifically for the treatment of CC. The readers are advised not to presume the \"viability of E6 protein\" as mentioned in the title relates to just druggability of E6. The viability aspect will cover almost everything a researcher should know to develop E6 inhibitors until the preclinical stage. Herein, we have analysed the achievements and shortcomings of the scientific community in the last four decades in targeting HPV E6 against CC. Role of all HPV proteins has been briefly described for better perspective with a little detailed discussion of the role of E6. We have reviewed the articles from 1985 onward, reporting in vitro inhibition of E6. Recently, many computational studies have reported potent E6 inhibitors and these have also been reviewed. Subsequently, a critical analysis has been reported to cover the in vitro assay protocols and in vivo models to develop E6 inhibitors. A paragraph has been devoted to the role of public policy to fight CC employing vaccines and whether the vaccine against HPV has quenched the zeal to develop drugs against it. The review concludes with the challenges and the way forward.
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  • 文章类型: Journal Article
    病毒发病机制的动物模型是人类疾病研究的重要工具。人乳头瘤病毒(HPV)由于其广泛的性传播和致癌潜力而成为重要的公共卫生问题。乳头瘤病毒发病机制的基于感染的模型由于其严格的物种和组织特异性而变得复杂。在这个宝石中,我们讨论了鼠乳头瘤病毒的发现,小家鼠乳头瘤病毒1(MmuPV1),以及其实验用途如何代表乳头瘤病毒诱导的发病机理/致癌作用模型的重大进展,和他们的传输。
    Animal models of viral pathogenesis are essential tools in human disease research. Human papillomaviruses (HPVs) are a significant public health issue due to their widespread sexual transmission and oncogenic potential. Infection-based models of papillomavirus pathogenesis have been complicated by their strict species and tissue specificity. In this Gem, we discuss the discovery of a murine papillomavirus, Mus musculus papillomavirus 1 (MmuPV1), and how its experimental use represents a major advancement in models of papillomavirus-induced pathogenesis/carcinogenesis, and their transmission.
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