Kakisi O K, Robinson M J, Tettmar K I, Tedder R S
Transfusion Microbiology Research and Development, National Transfusion Microbiology Laboratories, NHS Blood and Transplant, Colindale, London, UK.
Transfus Med. 2013 Jun;23(3):142-51. doi: 10.1111/tme.12049. Epub 2013 May 21.
Due to the relatively recent emergence of the human T-lymphotropic and the human immunodeficiency viruses, enthusiasm for the identification of novel viruses, especially retroviruses, with pathogenic potential in humans, remains high. Novel technologies are now available with the ability to search for unknown viruses, such as gene arrays and new generation sequencing of tissue and other samples. In 2006, chip technology identified a novel retrovirus in human prostate cancer (PCa) tissue samples. Due to close homology to a mouse retrovirus, the virus was named xenotropic murine leukaemia virus-related virus (XMRV). Ever since the initial disease association with PCa, XMRV has stirred a lot of attention and concern worldwide for the medical community, public health officials and in particular global transfusion services. Public response, in this new era of electronic communication and advocacy was rapid, wide and unprecedented. In this review, we outline the course of biomedical research efforts that were put forward internationally in the process of determining the risk to the human population, the response of the blood banking community and review the current state of knowledge of xenotropic murine retroviruses. Although XMRV is no longer regarded as an infection of humans, a lesson was learnt in modern virology that holds deeper implications for biomedical research, particularly stem cell generation and transplantation practices.
由于人类嗜T淋巴细胞病毒和人类免疫缺陷病毒相对较新才出现,人们对于鉴定具有人类致病潜力的新型病毒,尤其是逆转录病毒的热情依然高涨。现在有了能够搜索未知病毒的新技术,例如基因芯片以及组织和其他样本的新一代测序技术。2006年,芯片技术在人类前列腺癌(PCa)组织样本中鉴定出一种新型逆转录病毒。由于与一种小鼠逆转录病毒高度同源,该病毒被命名为嗜异性小鼠白血病病毒相关病毒(XMRV)。自最初发现其与前列腺癌有关联以来,XMRV在全球范围内引起了医学界、公共卫生官员尤其是全球输血服务部门的广泛关注和担忧。在这个电子通信和宣传的新时代,公众的反应迅速、广泛且前所未有的。在这篇综述中,我们概述了国际上在确定该病毒对人类的风险过程中所开展的生物医学研究工作的历程、血库界的反应,并回顾了嗜异性小鼠逆转录病毒的当前知识状态。尽管XMRV不再被认为是人类感染源,但现代病毒学从中吸取了教训,这对生物医学研究,尤其是干细胞生成和移植实践具有更深远的意义。