Department of Microbiology and Immunology, Medical University of South Carolina, Charleston.
Department of Biostatistics, Virginia Commonwealth University, Richmond.
J Infect Dis. 2016 Feb 15;213(4):611-7. doi: 10.1093/infdis/jiv472. Epub 2015 Sep 25.
Increasing evidence implicates human cytomegalovirus (HCMV) in the etiopathogenesis of breast cancer. Antibodies to this virus in patients with breast cancer have been reported, but no large-scale studies have been conducted to determine whether the antibody levels differ between patients and matched controls. Using specimens from a large (1712 subjects) multiethnic case-control study, we aimed to determine whether the levels of antibodies to the HCMV glycoprotein B (gB) differed between patients and controls and whether they were associated with particular immunoglobulin γ marker (GM), κ marker (KM), and Fcγ receptor (FcγR) genotypes. A combined analysis showed that anti-gB immunoglobulin G antibody levels were higher in healthy controls than in patients (P < .0001). Stratified analyses showed population-specific differences in the magnitude of anti-gB antibody responsiveness and in the contribution of particular GM, KM, and FcγR genotypes to these responses. These findings may have implications for HCMV-based immunotherapy against breast cancer and other HCMV-associated diseases.
越来越多的证据表明人类巨细胞病毒(HCMV)与乳腺癌的病因发病机制有关。已有报道称乳腺癌患者存在针对该病毒的抗体,但尚未开展大规模研究来确定抗体水平在患者和匹配对照者之间是否存在差异。本研究利用来自一项大型(1712 例受试者)多民族病例对照研究的标本,旨在确定针对 HCMV 糖蛋白 B(gB)的抗体水平在患者和对照者之间是否存在差异,以及它们是否与特定的免疫球蛋白γ标志物(GM)、κ标志物(KM)和 Fcγ 受体(FcγR)基因型有关。综合分析显示,健康对照者的抗-gB 免疫球蛋白 G 抗体水平高于患者(P<0.0001)。分层分析显示,针对 gB 抗体反应的幅度以及特定 GM、KM 和 FcγR 基因型对这些反应的贡献存在人群特异性差异。这些发现可能对基于 HCMV 的乳腺癌和其他与 HCMV 相关疾病的免疫疗法具有重要意义。