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人乳头瘤病毒感染及相关癌症的治疗策略。

Therapeutic startegies for human papillomavirus infection and associated cancers.

作者信息

Bharti Alok Chandra, Singh Tejveer, Bhat Anjali, Pande Deepti, Jadli Mohit

机构信息

Molecular Oncology Laboratory, Department of Zoology, University of Delhi, Delhi 110007, India, and Division of Molecular Oncology, National Institute of Cancer Prevention and Research (ICMR), Noida, Uttar Pradesh, India,

Molecular Oncology Laboratory, Department of Zoology, University of Delhi, Delhi 110007, India.

出版信息

Front Biosci (Elite Ed). 2018 Jan 1;10(1):15-73. doi: 10.2741/e808.

Abstract

Human papillomavirus (HPV) infection is linked to development of cancer of cervix, vagina, vulva, penis, ano-genital and non-genital oro-pharyngeal sites. HPV being a sexually transmitted virus infects both genders equally but with higher chances of pathological outcome in women. In the absence of organized screening programs, women report HPV-infected lesions at relatively advanced stages where they are subjected to standard treatments that are not HPV-specific. HPV infection-driven lesions usually take 10-20 years for malignant progression and are preceded by well-characterized pre-cancer stages. Despite availability of window for pharmacological intervention, therapeutic that could eradicate HPV from infected lesions is currently lacking. A variety of experimental approaches have been made to address this lacuna and there has been significant progress in a number of lead molecules which are in different stages of clinical and pre-clinical development. Present review provides a brief overview of the magnitude of the problem and current status of research on promising lead molecules, formulations and therapeutic strategies that showed potential to translate to clinically-viable HPV therapeutics to counteract this reproductive health challenge.

摘要

人乳头瘤病毒(HPV)感染与子宫颈癌、阴道癌、外阴癌、阴茎癌、肛门生殖器癌以及非生殖器口咽癌的发生有关。HPV作为一种性传播病毒,对男女的感染几率相同,但女性出现病理结果的可能性更高。在缺乏有组织的筛查项目的情况下,女性通常在相对晚期才报告HPV感染病变,此时她们会接受并非针对HPV的标准治疗。HPV感染引发的病变通常需要10至20年才会发生恶性进展,在此之前会经历特征明确的癌前阶段。尽管存在药物干预的窗口期,但目前仍缺乏能够从感染病变中清除HPV的治疗方法。人们已经采取了多种实验方法来填补这一空白,并且在一些处于临床和临床前不同开发阶段的先导分子方面取得了重大进展。本综述简要概述了该问题的严重程度以及有前景的先导分子、制剂和治疗策略的研究现状,这些研究显示出有潜力转化为临床上可行的HPV治疗方法,以应对这一生殖健康挑战。

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