Basić-Jukić Nikolina, Bubić-Filipi Ljubica, Lovcić Vesna, Ratković Iva, Petar Kes
Klinicki bolnicki centar Zagreb, Medicinski fakultet Sveucilista u Zagrebu, Zavod za nefrologiju, arterijsku hipertenziju i dijalizu, Zagreb, Hrvatska.
Acta Med Croatica. 2011;65(4):355-9.
Immunosuppressive treatment is associated with an increased incidence of different malignant diseases. The etiology of posttransplant malignancies is multifactorial and includes decreased immune response to different viral infections, inappropriate removal of damaged cells, and impaired ability to repair DNA. EBV, HHV-8, Merkel cell virus, hepatitis B virus, hepatitis C virus and BK virus are all considered to be involved in the etiology of post-transplant malignancies. CMV has been considered as a potential causative factor in the development of colon cancer. However, current knowledge is mainly based on case reports. Further studies are needed to establish the causative role of different viruses in the etiology and pathogenesis of different malignant diseases in renal transplant population.
免疫抑制治疗与不同恶性疾病的发病率增加有关。移植后恶性肿瘤的病因是多因素的,包括对不同病毒感染的免疫反应降低、受损细胞清除不当以及DNA修复能力受损。EB病毒、HHV-8、默克尔细胞病毒、乙型肝炎病毒、丙型肝炎病毒和BK病毒都被认为与移植后恶性肿瘤的病因有关。巨细胞病毒被认为是结肠癌发生的潜在致病因素。然而,目前的知识主要基于病例报告。需要进一步研究以确定不同病毒在肾移植人群中不同恶性疾病的病因和发病机制中的致病作用。