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甲状腺肿瘤发生与疱疹病毒之间关联的研究。

Investigation on the association between thyroid tumorigeneses and herpesviruses.

作者信息

Almeida J F M, Campos A H, Marcello M A, Bufalo N E, Rossi C L, Amaral L H P, Marques A B, Cunha L L, Alvarenga C A, Tincani P C, Tincani A J, Ward L S

机构信息

Laboratory of Cancer Molecular Genetics (Gemoca), Faculty of Medical Sciences, University of Campinas (FCM-Unicamp), Tessália Vieira de Camargo Street, 126, Cidade Universitária, Campinas, São Paulo, 13083-887, Brazil.

Department of Anatomic Pathology, AC Camargo Cancer Center, Taguá Street, 440, Liberdade, São Paulo, SP, 01508-010, Brazil.

出版信息

J Endocrinol Invest. 2017 Aug;40(8):823-829. doi: 10.1007/s40618-017-0609-y. Epub 2017 Mar 8.

Abstract

Herpesviruses have been associated with various human malignancies and with thyroid autoimmunity. Aiming to investigate the presence of these viruses in thyroid nodules, we analyzed serum and thyroid tissue from 183 patients (83 benign and 100 malignant thyroid nodules). We also obtained 104 normal thyroid tissues extracted from the contralateral lobe of these patients. We used ELISA to screen the serology of all patients and a real-time quantitative PCR to analyze thyroid tissue viral load in antibody-positive patients. In addition, the presence of herpesviruses was tested by histological analysis in 20 EBV-positive tissues using the expression of LMP-1 by immunohistochemistry (IHC) and EBER by in situ hybridization (ISH). There was no evidence of HSV-2 or CMV DNA, but we found EBV DNA sequences in 29 (16%) thyroid tissue samples. We also found 7 positive EBV cases out of 104 normal tissues. Viral load was higher in tumors than in their respective normal tissues (p = 0.0002). ISH analysis revealed EBER expression in 11 out of 20 (52%) EBV-positive tissues, mostly in malignant cases (8/11, 73%). The presence of high EBV copy numbers in thyroid tumors and the expression of EBER only in malignant cases suggest an association between EBV and thyroid malignancies. However, we did not find any association between the presence of EBV and/or its viral load and any clinical or pathological tumor feature. Further studies aiming to clarify the mechanisms of EBV infection in thyroid cells are necessary to support a possible role in the development of thyroid cancer.

摘要

疱疹病毒与多种人类恶性肿瘤以及甲状腺自身免疫有关。为了研究这些病毒在甲状腺结节中的存在情况,我们分析了183例患者(83个良性甲状腺结节和100个恶性甲状腺结节)的血清和甲状腺组织。我们还从这些患者的对侧叶获取了104份正常甲状腺组织。我们使用酶联免疫吸附测定法(ELISA)筛查所有患者的血清学,并使用实时定量聚合酶链反应(PCR)分析抗体阳性患者甲状腺组织中的病毒载量。此外,通过免疫组织化学(IHC)检测LMP - 1的表达和原位杂交(ISH)检测EBER,对20个EB病毒(EBV)阳性组织进行组织学分析,以检测疱疹病毒的存在。没有证据表明存在单纯疱疹病毒2型(HSV - 2)或巨细胞病毒(CMV)DNA,但我们在29份(16%)甲状腺组织样本中发现了EBV DNA序列。我们还在104份正常组织中发现了7例EBV阳性病例。肿瘤中的病毒载量高于其各自的正常组织(p = 0.0002)。ISH分析显示,20个EBV阳性组织中有11个(52%)表达EBER,大多数为恶性病例(8/11,73%)。甲状腺肿瘤中EBV高拷贝数的存在以及EBER仅在恶性病例中的表达表明EBV与甲状腺恶性肿瘤之间存在关联。然而,我们未发现EBV的存在和/或其病毒载量与任何临床或病理肿瘤特征之间存在任何关联。需要进一步研究以阐明EBV感染甲状腺细胞的机制,以支持其在甲状腺癌发生发展中可能发挥的作用。

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