Andres Christian, Belloni Benedetta, Puchta Ursula, Sander Christian A, Flaig Michael J
Department of Dermatology and Allergy, Ludwig-Maximilians-Universität München, Munich, Germany.
J Cutan Pathol. 2010 Jan;37(1):28-34. doi: 10.1111/j.1600-0560.2009.01352.x. Epub 2009 Jul 14.
Merkel cell polyomavirus (MCPyV) is the likely causative agent of Merkel cell carcinoma (MCC). However, the prevalence of MCPyV in non-MCC population and its possible role in the pathogenesis of other skin cancers are not known yet.
A molecular pathology study was performed in 33 MCC samples and 33 age- and sex-matched samples of sun exposed non-MCC tumors [12 seborrheic keratoses (SK), 11 basal cell carcinomas (BCC) and 10 lentigo maligna melanomas (LMM)]. All tumors were analyzed for presence of MCPyV-DNA by polymerase chain reaction (PCR) and Southern-Blot hybridization of PCR products.
MCPyV sequences were detected in 21 MCC samples (64%) and in 2 non-MCC tumors of sun exposed skin (6%; both SK-patients). Neither the tissue samples from BCC nor LMM proved positive for MCPyV sequences.
We were able to confirm prior data on prevalence of MCPyV-DNA in MCC. Furthermore, a female predominance of MCPyV-positive MCC-patients was detected. There was no relevant association of MCPyV with SK, BCC and LMM. Speculative, prevalence of MCPyV in an age- and sex-matched non-MCC population could average up to 6%.
默克尔细胞多瘤病毒(MCPyV)可能是默克尔细胞癌(MCC)的致病因子。然而,MCPyV在非MCC人群中的流行情况及其在其他皮肤癌发病机制中的可能作用尚不清楚。
对33例MCC样本以及33例年龄和性别匹配的暴露于阳光的非MCC肿瘤样本[12例脂溢性角化病(SK)、11例基底细胞癌(BCC)和10例恶性雀斑样痣黑色素瘤(LMM)]进行了分子病理学研究。通过聚合酶链反应(PCR)及PCR产物的Southern杂交分析所有肿瘤样本中MCPyV-DNA的存在情况。
在21例MCC样本(64%)以及2例暴露于阳光的皮肤非MCC肿瘤样本(6%;均为SK患者)中检测到MCPyV序列。BCC和LMM的组织样本均未检测到MCPyV序列呈阳性。
我们能够证实先前关于MCC中MCPyV-DNA流行率的数据。此外,还检测到MCPyV阳性的MCC患者以女性为主。MCPyV与SK、BCC和LMM之间无显著相关性。推测在年龄和性别匹配的非MCC人群中,MCPyV的流行率平均可达6%。