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癌症研究和临床肿瘤学中最重要的问题:问题1. 人乳头瘤病毒(HPV)感染的垂直传播能否解释HPV阳性口咽癌、不吸烟的东亚女性肺腺癌和/或东亚三阴性乳腺癌的病因、特征及流行病学情况?

The most important questions in cancer research and clinical oncology : Question 1. Could the vertical transmission of human papilloma virus (HPV) infection account for the cause, characteristics, and epidemiology of HPV-positive oropharyngeal carcinoma, non-smoking East Asian female lung adenocarcinoma, and/or East Asian triple-negative breast carcinoma?

作者信息

Wee Joseph T S, Poh Sharon Shuxian

机构信息

Division of Radiation Oncology, National Cancer Centre, Singapore, 169610, Singapore.

Duke-NUS Medical School, Singapore, 169857, Singapore.

出版信息

Chin J Cancer. 2017 Jan 16;36(1):13. doi: 10.1186/s40880-016-0168-1.

Abstract

Specific research foci: (1) Mouse models of gamma-herpes virus-68 (γHV-68) and polyomavirus (PyV) infections during neonatal versus adult life. (2) For human papilloma virus (HPV)-positive oropharyngeal carcinoma (OPC)-(a) Asking the question: Is oral sex a powerful carcinogen? (b) Examining the evidence for the vertical transmission of HPV infection. (c) Examining the relationship between HPV and Epstein-Barr virus (EBV) infections and nasopharyngeal cancer (NPC) in West European, East European, and East Asian countries. (d) Examining the association between HPV-positive OPC and human leukocyte antigen (HLA). (3) For non-smoking East Asian female lung adenocarcinoma-(a) Examining the incidence trends of HPV-positive OPC and female lung adenocarcinoma according to birth cohorts. (b) Examining the association between female lung adenocarcinoma and HPV. (c) Examining the associations of lung adenocarcinoma with immune modulating factors. (4) For triple-negative breast carcinoma (TNBC) in East Asians-(a) Examining the association between TNBC and HPV. (b) Examining the unique epidemiological characteristics of patients with TNBC. A summary "epidemiological" model tying some of these findings together.

摘要

具体研究重点

(1)新生期与成年期γ-疱疹病毒68(γHV-68)和多瘤病毒(PyV)感染的小鼠模型。(2)对于人乳头瘤病毒(HPV)阳性口咽癌(OPC)——(a)提出问题:口交是一种强大的致癌物吗?(b)研究HPV感染垂直传播的证据。(c)研究西欧、东欧和东亚国家中HPV与爱泼斯坦-巴尔病毒(EBV)感染及鼻咽癌(NPC)之间的关系。(d)研究HPV阳性OPC与人类白细胞抗原(HLA)之间的关联。(3)对于不吸烟的东亚女性肺腺癌——(a)根据出生队列研究HPV阳性OPC和女性肺腺癌的发病趋势。(b)研究女性肺腺癌与HPV之间的关联。(c)研究肺腺癌与免疫调节因子的关联。(4)对于东亚三阴性乳腺癌(TNBC)——(a)研究TNBC与HPV之间的关联。(b)研究TNBC患者独特的流行病学特征。一个将其中一些发现联系起来的总结性“流行病学”模型。

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