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伊朗中枢神经系统肿瘤患者中JC多瘤病毒大T抗原序列的流行情况。

Prevalence of JC polyomavirus large T antigen sequences among Iranian patients with central nervous system tumors.

作者信息

Sadeghi Farzin, Salehi-Vaziri Mostafa, Ghodsi Seyed Mohammad, Alizadeh Ahad, Bokharaei-Salim Farah, Saroukalaei Sedigheh Taghinezhad, Mirbolouk Mohammadhossein, Monavari Seyed Hamidreza, Keyvani Hossein

机构信息

Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Virol. 2015 Jan;160(1):61-8. doi: 10.1007/s00705-014-2230-0. Epub 2014 Sep 14.

DOI:10.1007/s00705-014-2230-0
PMID:25218012
Abstract

The human neurotropic JC virus (JCV) is of significant interest due to its experimental neuro- oncogenic potential. In clinical samples from human central nervous system (CNS) tumors, detection of JCV sequences suggests a possible association with CNS neoplasms, but the results are discrepant worldwide. To assess the prevalence of JCV sequences in Iranian patients with primary and metastatic CNS malignancies, a total of 58 fresh CNS tumors were examined by quantitative real-time PCR targeting the JCV large T antigen (LT-Ag) gene, and JCV DNA load was determined as viral copy number per cell. All patients were immunocompetent, and none of them had received immunosuppressive therapy before surgical operation. JC virus LT-Ag sequences were found in a total of 15 (25.9 %) out of the 58 tested samples. In primary CNS tumors, JCV sequences were identified more frequently in meningiomas (50.0 %) and schwannomas (35.7 %). In metastatic CNS tumors, JCV LT-Ag was identified in one case with brain adenocarcinoma originating from lung cancer. No statistically significant association between JCV positivity and various types of CNS malignancies was observed (P = 0.565). The mean JCV LT-Ag copy number in 15 positive cases was 1.8 × 10(-4) ± 4.5 × 10(-4) copies per cell (range 1.0 × 10(-5)-1.78 × 10(-3) copies per cell). An inverse correlation between white blood cell (WBC) count and JCV copy number was observed, but this correlation was not statistically significant (R = -0.198, P = 0.480). This study provides the first data on the prevalence of JCV in primary and metastatic CNS tumors from Iranian patients.

摘要

人类嗜神经JC病毒(JCV)因其潜在的实验性神经致癌能力而备受关注。在人类中枢神经系统(CNS)肿瘤的临床样本中,JCV序列的检测提示其可能与CNS肿瘤有关,但全球范围内的结果并不一致。为评估伊朗原发性和转移性CNS恶性肿瘤患者中JCV序列的流行情况,我们采用靶向JCV大T抗原(LT-Ag)基因的定量实时PCR检测了58例新鲜CNS肿瘤,并将JCV DNA载量确定为每细胞的病毒拷贝数。所有患者免疫功能正常,且术前均未接受免疫抑制治疗。在58个检测样本中,共发现15个(25.9%)样本存在JC病毒LT-Ag序列。在原发性CNS肿瘤中,JCV序列在脑膜瘤(50.0%)和神经鞘瘤(35.7%)中更常见。在转移性CNS肿瘤中,1例源自肺癌的脑腺癌病例检测到JCV LT-Ag。未观察到JCV阳性与各种类型CNS恶性肿瘤之间存在统计学显著关联(P = 0.565)。15例阳性病例中JCV LT-Ag的平均拷贝数为每细胞1.8×10^(-4)±4.5×10^(-4)拷贝(范围为每细胞1.0×10^(-5)-1.78×10^(-3)拷贝)。观察到白细胞(WBC)计数与JCV拷贝数之间呈负相关,但这种相关性无统计学意义(R = -0.198,P = 0.480)。本研究提供了伊朗患者原发性和转移性CNS肿瘤中JCV流行情况的首批数据。

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