Gu Ying, Zhang Yu, Liu Da-Qing, Xu Ming-Juan
Bing Du Xue Bao. 2014 Mar;30(2):148-53.
The JC virus is a widely infected human polyomavirus. Recent foreign researches showed that the JC virus infection is correlated with tumors of nervous system and digestive system, while, and study on the relationship between JC virus infection and gynecological tumor is seldom reported. In this study, we first establish the nucleic acid detection methods and procedures for JC virus and its highly homologous BK virus. The JC and BK viruses infection was evaluated by detect the viral DNA in samples including biopsy tissues, serum as well as urine of myoma of uterus (98 cases), cervical cancer (84 cases), endometrial cancer (40 cases) and ovarian tumor (72 cases) patients. The BK viral DNA positive rate was significantly higher in urine samples than that of blood and biopsy samples, and there is no significant difference of the BK viral DNA positive rate among all patient groups. The JC viral DNA positive rate is almost 0 in serum samples and biopsy. tissues, however, viral DNA positive rate is more than 50% in urine samples. In fibroids group, the JC viral DNA positive rate is up to 65. 3% which is significantly higher than that in other patients groups and healthy control. Further gynecological tumor associated viruses detection showed that only human papilloma virus infection is associated with cervical cancer, the herpes simplex virus, EB virus and cytomegalovirus infection is extremely low in our patient groups. No synergistic effect on gynecological tumor caused by viruses co-infection was observed. Our study showed that JC virus infection is highly related to the pathogenesis of uterine fibroids.
JC病毒是一种广泛感染人类的多瘤病毒。国外近期研究表明,JC病毒感染与神经系统和消化系统肿瘤相关,而JC病毒感染与妇科肿瘤关系的研究报道较少。本研究中,我们首先建立了JC病毒及其高度同源的BK病毒的核酸检测方法和程序。通过检测子宫肌瘤(98例)、宫颈癌(84例)、子宫内膜癌(40例)和卵巢肿瘤(72例)患者的活检组织、血清以及尿液等样本中的病毒DNA,评估JC和BK病毒感染情况。尿液样本中BK病毒DNA阳性率显著高于血液和活检样本,且各患者组间BK病毒DNA阳性率无显著差异。血清样本和活检组织中JC病毒DNA阳性率几乎为0,然而尿液样本中病毒DNA阳性率超过50%。在肌瘤组中,JC病毒DNA阳性率高达65.3%,显著高于其他患者组和健康对照组。进一步的妇科肿瘤相关病毒检测显示,仅人乳头瘤病毒感染与宫颈癌相关,本患者组中单纯疱疹病毒、EB病毒和巨细胞病毒感染极低。未观察到病毒共感染对妇科肿瘤产生协同作用。我们的研究表明,JC病毒感染与子宫肌瘤的发病机制高度相关。