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脊髓灰质炎疫苗在胸膜间皮瘤中的作用——一项流行病学观察。

The role of polio-vaccine in pleural mesothelioma--an epidemiological observation.

作者信息

Sarić Marko, Curin Katja, Varnai Veda M

机构信息

Institute for Medical Research and Occupational Health, Zagreb, Croatia.

出版信息

Coll Antropol. 2008 Jun;32(2):479-83.

PMID:18756898
Abstract

From the Croatian Cancer Registry (period 1991-1997) 194 malignant pleural mesothelioma patients were collected. According to participation in polio vaccination mass campaign in 1961 that covered the entire Croatian population aged 3 months to 20 years, mesothelioma patients were divided in vaccinated (N=58), and non-vaccinated (N=136) subjects. Significantly higher percentage of those with a history of occupational exposure to asbestos was found in vaccinated (79%) compared to non-vaccinated group (63%). This is the opposite to what would be expected if potential SV40 contamination of polio vaccine used had a causative role in the development of the tumour. On the other hand, shorter latency period reflected by very high percentage of 45-year-old or younger mesothelioma patients in vaccinated group (15 out of 58), with all of them having a history of occupational asbestos exposure, raises a question for a possible enhancing effect of the vaccine used to asbestos exposure, if it was contaminated with SV40.

摘要

从克罗地亚癌症登记处(1991 - 1997年期间)收集了194例恶性胸膜间皮瘤患者。根据1961年覆盖整个克罗地亚3个月至20岁人群的脊髓灰质炎疫苗大规模接种情况,间皮瘤患者被分为接种疫苗组(N = 58)和未接种疫苗组(N = 136)。与未接种疫苗组(63%)相比,接种疫苗组中有职业性石棉接触史的患者比例显著更高(79%)。如果所使用的脊髓灰质炎疫苗存在潜在的SV40污染在肿瘤发生中起致病作用,那么情况应该相反。另一方面,接种疫苗组中45岁及以下间皮瘤患者的比例非常高(58例中有15例),这反映出潜伏期较短,且他们都有职业性石棉接触史,这就引发了一个问题:如果疫苗被SV40污染,那么所使用的疫苗是否可能对石棉接触有增强作用。

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Coll Antropol. 2008 Jun;32(2):479-83.
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