Boccardo E, Villa L L
Laboratory of Virology, Ludwig Institute for Cancer Research, São Paulo Branch. Rua João Julião 245, 01323-930 São Paulo, SP, Brazil.
Curr Med Chem. 2007;14(24):2526-39. doi: 10.2174/092986707782023316.
The first consistent observations that viruses could be associated with some types of cancer where made almost a century ago. Since then researchers have spent a great deal of effort to address the infectious origins of human cancer. As a result of these studies, a strong link between some viral agents and several human cancers has been established. Some viruses as the Epstein-Barr virus (EBV), hepatitis B virus (HBV), hepatitis C virus (HCV), human T-cell lymphotropic virus type I (HTLV-I), immunodeficiency virus type I (HIV-I) and several human papillomavirus types (including types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 66) have been classified as group 1 carcinogens by the International Agency for Research in Cancer (IARC). Infection by these viruses constitutes a heavy burden for human populations as it accounts for almost 15% of all human malignancies. Furthermore, many other viral agents have been classified as possibly carcinogenic to humans and others have been occasionally found in human tumors suggesting that this figure may be an underestimation of virus involvement in the etiology of human cancer. Therefore, viral infection appears as one of the main preventable cancer risk factors. We summarize the current state of knowledge concerning virus-induced/associated cancers and discuss its significance in the context of human carcinogenesis. Prevention and control of infection by these agents could dramatically reduce the incidence of some prevalent cancers and, consequently, have a great impact on public health.
近一个世纪前,人们首次持续观察到病毒可能与某些类型的癌症有关。从那时起,研究人员付出了巨大努力来探究人类癌症的感染起源。这些研究的结果是,已经确定了一些病毒因子与几种人类癌症之间的紧密联系。一些病毒,如爱泼斯坦-巴尔病毒(EBV)、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)、I型人类嗜T细胞病毒(HTLV-I)、I型免疫缺陷病毒(HIV-I)以及几种人类乳头瘤病毒类型(包括16、18、31、33、35、39、45、51、52、56、58、59和66型)已被国际癌症研究机构(IARC)列为1类致癌物。这些病毒的感染给人类带来了沉重负担,因为它占所有人类恶性肿瘤的近15%。此外,许多其他病毒因子已被归类为可能对人类致癌,还有一些偶尔在人类肿瘤中被发现,这表明这个数字可能低估了病毒在人类癌症病因中的作用。因此,病毒感染似乎是主要的可预防癌症风险因素之一。我们总结了有关病毒诱导/相关癌症的当前知识状态,并在人类致癌作用的背景下讨论其意义。预防和控制这些病原体的感染可以显著降低一些常见癌症的发病率,从而对公众健康产生重大影响。