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检测肾移植受者口腔样本中无 Merkel 细胞癌的 Merkel 细胞多瘤病毒。

Detection of Merkel cell polyomavirus in oral samples of renal transplant recipients without Merkel cell carcinoma.

机构信息

Department of Microbiology and Parasitology, Fluminense Federal University, RJ, Brazil.

出版信息

J Med Virol. 2013 Nov;85(11):2016-9. doi: 10.1002/jmv.23687. Epub 2013 Jul 12.

DOI:10.1002/jmv.23687
PMID:23852888
Abstract

Merkel cell carcinoma (MCC) is a rare but aggressive neuroendocrine cancer, with approximately 80% of cases associated with Merkel cell polyomavirus (MCPyV). The lack of information concerning its occurrence in non-MCC immunosuppressed populations led to the investigation of MCPyV DNA in saliva and oral biopsies from 60 kidney allograft recipients and 75 non-transplanted individuals (control group). In contrast to herpesviruses, which was also investigated (CMV, HHV-6A, and B, HHV-7) MCPyV was detected predominantly in patients with oral lesions (gingivitis and/or periodontitis) of both transplanted and non-transplanted groups (P=0.016) and in the saliva of the transplanted group (P=0.009). MCPyV co-detection with CMV (P=0.048), and HHV-6 (P=0.020) in the saliva of transplanted patients requires further investigation on a possible role of co-infection.

摘要

默克尔细胞癌(Merkel cell carcinoma,MCC)是一种罕见但具有侵袭性的神经内分泌癌,约 80%的病例与 Merkel 细胞多瘤病毒(Merkel cell polyomavirus,MCPyV)有关。由于缺乏关于其在非 MCC 免疫抑制人群中发生的信息,因此研究人员检测了 60 名肾移植受者和 75 名未移植个体(对照组)的唾液和口腔活检中的 MCPyV DNA。与疱疹病毒(也进行了研究,包括 CMV、HHV-6A、B 和 HHV-7)不同,MCPyV 主要在移植组和非移植组均有口腔病变(牙龈炎和/或牙周炎)患者的口腔(P=0.016)和移植组的唾液中检测到(P=0.009)。在移植患者的唾液中同时检测到 MCPyV 与 CMV(P=0.048)和 HHV-6(P=0.020),需要进一步研究可能的合并感染作用。

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