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肿瘤病毒的血清学诊断

Serodiagnosis for tumor viruses.

作者信息

Morrison Brian J, Labo Nazzarena, Miley Wendell J, Whitby Denise

机构信息

Viral Oncology Section, AIDS and Cancer Virus Program, Frederick National Laboratory for Cancer Research, Frederick, MD.

Viral Oncology Section, AIDS and Cancer Virus Program, Frederick National Laboratory for Cancer Research, Frederick, MD; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

出版信息

Semin Oncol. 2015 Apr;42(2):191-206. doi: 10.1053/j.seminoncol.2014.12.024. Epub 2014 Dec 31.

Abstract

The known human tumor viruses include the DNA viruses Epstein-Barr virus (EBV), Kaposi sarcoma herpesvirus (KSHV), Merkel cell polyomavirus (MCPyV), human papillomavirus (HPV), and hepatitis B virus (BV). RNA tumor viruses include human T-cell lymphotrophic virus type 1 (HTLV-1) and hepatitis C virus (HCV). The serological identification of antigens/antibodies in serum is a rapidly progressing field with utility for both scientists and clinicians. Serology is useful for conducting seroepidemiology studies and to inform on the pathogenesis and host immune response to a particular viral agent. Clinically, serology is useful for diagnosing current or past infection and for aiding in clinical management decisions. Serology is useful for screening blood donations for infectious agents and for monitoring the outcome of vaccination against these viruses. Serodiagnosis of human tumor viruses has improved in recent years with increased specificity and sensitivity of the assays, as well as reductions in cost and the ability to assess multiple antibody/antigens in single assays. Serodiagnosis of tumor viruses plays an important role in our understanding of the prevalence and transmission of these viruses and ultimately in the ability to develop treatments/preventions for these globally important diseases.

摘要

已知的人类肿瘤病毒包括DNA病毒,如爱泼斯坦-巴尔病毒(EBV)、卡波西肉瘤疱疹病毒(KSHV)、默克尔细胞多瘤病毒(MCPyV)、人乳头瘤病毒(HPV)和乙型肝炎病毒(BV)。RNA肿瘤病毒包括1型人类T细胞嗜淋巴细胞病毒(HTLV-1)和丙型肝炎病毒(HCV)。血清中抗原/抗体的血清学鉴定是一个快速发展的领域,对科学家和临床医生都有用。血清学有助于进行血清流行病学研究,并为特定病毒病原体的发病机制和宿主免疫反应提供信息。在临床上,血清学有助于诊断当前或过去的感染,并辅助临床管理决策。血清学有助于筛查献血者是否感染病原体,并监测针对这些病毒的疫苗接种效果。近年来,随着检测方法的特异性和灵敏度提高,以及成本降低和能够在单一检测中评估多种抗体/抗原,人类肿瘤病毒的血清学诊断有了改进。肿瘤病毒的血清学诊断在我们了解这些病毒的流行情况和传播途径方面发挥着重要作用,并最终有助于开发针对这些全球重要疾病的治疗方法/预防措施。

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