Grywalska Ewelina, Markowicz Justyna, Grabarczyk Piotr, Pasiarski Marcin, Roliński Jacek
Department of Clinical Immunology and Immunotherapy, Medical University of Lublin, Lublin, Poland.
Postepy Hig Med Dosw (Online). 2013 May 24;67:481-90. doi: 10.5604/17322693.1050999.
The Epstein-Barr virus (EBV) is one of the most common human viruses, infecting more than 90% of the world's adult population. In some individuals the interplay between EBV replication, latency and immune control can be disrupted and evokes prolonged proliferation of EBV-infected lymphocytes and their malignant transformation. Since its discovery as the first human tumor virus, EBV has been implicated in the development of a wide range of human cancers. The evidence for an association with EBV is the strongest for Burkitt's lymphoma, NK/T cell lymphoma, nasopharyngeal carcinoma, Hodgkin's lymphoma and for malignant lymphomas in immune incompetent patients. Additionally, certain epithelial cell tumors, such as gastric carcinoma and breast carcinoma, have been defined as EBV related. However, the virus may be encountered in other types of malignancies. The oncogenic potential of EBV is related to its ability to infect and transform B lymphocytes into continuously growing lymphoblastoid cell lines. EBV encodes a series of products mimicking several growth, transcription and anti-apoptotic factors, to usurp control of the pathways that regulate diverse homeostatic cellular functions. However, the exact mechanism by which EBV promotes oncogenesis remains unclear. The focus of this review is to summarize the current knowledge of oncogenic potential of the Epstein-Barr virus and its role in the pathogenesis of EBV-associated lymphoproliferative disorders.
爱泼斯坦-巴尔病毒(EBV)是最常见的人类病毒之一,全球超过90%的成年人都曾感染过。在某些个体中,EBV复制、潜伏和免疫控制之间的相互作用可能会被破坏,从而引发EBV感染的淋巴细胞长期增殖及其恶性转化。自被发现为第一种人类肿瘤病毒以来,EBV一直被认为与多种人类癌症的发生有关。与EBV关联证据最为确凿的是伯基特淋巴瘤、NK/T细胞淋巴瘤、鼻咽癌、霍奇金淋巴瘤以及免疫功能不全患者的恶性淋巴瘤。此外,某些上皮细胞肿瘤,如胃癌和乳腺癌,也被确定与EBV有关。然而,在其他类型的恶性肿瘤中也可能检测到该病毒。EBV的致癌潜力与其感染和将B淋巴细胞转化为持续生长的淋巴母细胞系的能力有关。EBV编码一系列产物,可模拟多种生长、转录和抗凋亡因子,从而篡夺对调节各种细胞稳态功能途径的控制。然而,EBV促进肿瘤发生的确切机制仍不清楚。本综述的重点是总结目前关于爱泼斯坦-巴尔病毒致癌潜力及其在EBV相关淋巴增殖性疾病发病机制中作用的知识。