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慢性活动性EB病毒感染:病理生理学的阐明及治疗方法的发展

Chronic Active Epstein-Barr Virus Infection: The Elucidation of the Pathophysiology and the Development of Therapeutic Methods.

作者信息

Arai Ayako

机构信息

Division of Hematology and Oncology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, Japan.

Department of Hematological Therapeutics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Bunkyo-ku, Tokyo 113-8510, Japan.

出版信息

Microorganisms. 2021 Jan 15;9(1):180. doi: 10.3390/microorganisms9010180.

DOI:10.3390/microorganisms9010180
PMID:33467742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7829705/
Abstract

Chronic active Epstein-Barr virus infection (CAEBV) is a disease where Epstein-Barr virus (EBV)-infected T- or NK-cells are activated and proliferate clonally. The symptoms of this dual-faced disease include systemic inflammation and multiple organ failures caused by the invasion of infected cells: inflammation and neoplasm. At present, the only effective treatment strategy to eradicate EBV-infected cells is allogeneic stem cell transplantation. Lately, the investigation into the disease's pathogenic mechanism and pathophysiology has been advancing. In this review, I will evaluate the new definition in the 2017 WHO classification, present the advancements in the study of CAEBV, and unfold the future direction.

摘要

慢性活动性EB病毒感染(CAEBV)是一种疾病,其中EB病毒(EBV)感染的T细胞或NK细胞被激活并克隆性增殖。这种双面疾病的症状包括由感染细胞入侵引起的全身炎症和多器官衰竭:炎症和肿瘤。目前,根除EBV感染细胞的唯一有效治疗策略是异基因干细胞移植。最近,对该疾病致病机制和病理生理学的研究一直在推进。在这篇综述中,我将评估2017年世界卫生组织分类中的新定义,介绍CAEBV研究的进展,并展望未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe3/7829705/8c730bd7226e/microorganisms-09-00180-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe3/7829705/8c730bd7226e/microorganisms-09-00180-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe3/7829705/8c730bd7226e/microorganisms-09-00180-g001a.jpg

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本文引用的文献

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Characterizing EBV-associated lymphoproliferative diseases and the role of myeloid-derived suppressor cells.描述 EBV 相关淋巴组织增生性疾病及髓系来源抑制细胞的作用。
Blood. 2021 Jan 14;137(2):203-215. doi: 10.1182/blood.2020005611.
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Allogeneic hematopoietic stem cell transplantation with the modified myeloablative conditioning regimen for children with chronic active Epstein-Barr virus infection.采用改良清髓预处理方案对慢性活动性EB病毒感染儿童进行异基因造血干细胞移植。
Pediatr Investig. 2022 Nov 15;6(4):250-259. doi: 10.1002/ped4.12350. eCollection 2022 Dec.
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A rare B-cell type chronic active Epstein-Barr virus infection patient mimicking lymphoma on F-FDG PET/CT and literature review.1例罕见的B细胞型慢性活动性EB病毒感染患者在F-FDG PET/CT上表现类似淋巴瘤并文献复习
Am J Nucl Med Mol Imaging. 2022 Aug 20;12(4):129-137. eCollection 2022.
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Treatment Advances in EBV Related Lymphoproliferative Diseases.EB病毒相关淋巴增殖性疾病的治疗进展
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Blood. 2018 Jun 7;131(23):2528-2540. doi: 10.1182/blood-2017-12-791418. Epub 2018 Mar 30.
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