Sveti Sava Hospital, Nemanjina 2, 11000 Belgrade, Serbia.
Med Hypotheses. 2011 Sep;77(3):404-8. doi: 10.1016/j.mehy.2011.05.030. Epub 2011 Jun 17.
The incidence of non-AIDS-defining cancer is remarkably higher in HIV-infected than in the general population. In contrast, breast cancer risk is significantly reduced in the HIV-infected population. The molecular mechanisms underlying the phenomenon of suppression of breast cancer in the HIV-infected population may serve as a basis for development of a new platform for prevention and treatment of breast cancer.
Various evidences indicate that vasoactive intestinal peptide (VIP) plays an important role in growth, and differentiation of breast cancer. We previously showed (i) that natural antibodies recognizing VIP and the gp120-derived peptide NTM significantly contribute to the control of HIV disease progression by suppression of VIP-like activity of HIV-1 gp120 and (ii) that physical exercise stimulates production of these natural antibodies. These findings suggest that natural anti-VIP/NTM antibodies could contribute to a decrease of breast cancer in the HIV-infected population by suppression of VIP, which may play a pro/oncogenic function. Aerobic exercise which stimulates production of anti-VIP/NTM antibodies could be used as prevention and supportive treatment of breast cancer.
Immunotherapy based on natural anti-VIP/NTM antibodies could serve as an effective adjunct therapy for the treatment of breast cancer. Similarly, aerobic exercise, which stimulates production of these antibodies, should be considered as an inexpensive and safe preventive and supportive breast cancer therapy. Natural anti-VIP/NTM antibodies also represent promising prognostic marker for breast cancer.
与普通人群相比,HIV 感染者中非艾滋病定义性癌症的发病率显著更高。相比之下,HIV 感染者的乳腺癌风险显著降低。HIV 感染者中乳腺癌抑制现象的潜在分子机制可能为预防和治疗乳腺癌提供新的平台。
各种证据表明,血管活性肠肽(VIP)在乳腺癌的生长和分化中起重要作用。我们之前的研究表明:(i)识别 VIP 和 gp120 衍生肽 NTM 的天然抗体通过抑制 HIV-1 gp120 的 VIP 样活性,对 HIV 疾病进展的控制具有重要作用;(ii)体育锻炼会刺激这些天然抗体的产生。这些发现表明,天然抗-VIP/NTM 抗体可通过抑制 VIP 减少 HIV 感染者中的乳腺癌,VIP 可能发挥促癌/致癌作用。刺激抗-VIP/NTM 抗体产生的有氧运动可作为乳腺癌的预防和支持性治疗。
基于天然抗-VIP/NTM 抗体的免疫疗法可能成为治疗乳腺癌的有效辅助疗法。同样,刺激这些抗体产生的有氧运动也应被视为一种廉价且安全的预防和支持性乳腺癌治疗方法。天然抗-VIP/NTM 抗体也是乳腺癌有前途的预后标志物。