Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Viral and Molecular Tumor Diagnostics Unit, Laboratory Services, Habib Thameur Hospital, Tunis, Tunisia.
J Med Virol. 2021 Nov;93(11):6333-6339. doi: 10.1002/jmv.26851. Epub 2021 Feb 15.
Colon cancer is the third cause of cancer death in the developed countries. Some environmental factors are involved in its pathogenesis, including viral infections. The possible involvement of human polyomaviruses (HPyVs) in colon cancer pathogenesis has been previously reported, leading to inconsistent conclusions. Clinical specimens were collected from 125 colon cancer patients. Specifically, 110 tumor tissues, 55 negative surgical margins, and 39 peripheral blood samples were analyzed for the presence of six HPyVs: JC polyomavirus (JCPyV), BK polyomavirus (BKPyV), Merkel cell PyV (MCPyV), HPyV -6, -7, and -9 by means of DNA isolation and subsequent duplex Real Time quantitative polymerase chain reaction. HPyVs genome was detected in 33/204 samples (16.2%): the significant higher positivity was found in tumor tissues (26/110, 23.6%), followed by negative surgical margins (3/55, 5.5%, p < .05), and peripheral blood mononuclear cells (PBMCs) (4/39; 10.3%). HPyVs load was statistically higher only in the tumor tissues compared to negative surgical margins (p < .05). Specifically, MCPyV was detected in 19.1% (21/110) of tumor tissues, 3.6% (2/55) of negative surgical margins (p < .05), and 7.7% (3/39) of PBMCs; HPyV-6 in 2.7% (3/110) of tumor tissues, and 1.8% (1/55) of negative surgical margins; one tumor tissue (1/110, 0.9%) and one PBMCs sample (1/39, 2.6%) were positive for BKPyV; JCPyV was present in 0.9% (1/110) of tumor tissues. HPyV-7 and 9 were not detected in any sample. High prevalence and load of MCPyV genome in the tumor tissues might be indicative of a relevant rather than bystander role of the virus in the colon tumorigenesis.
结直肠癌是发达国家癌症死亡的第三大原因。其发病机制涉及一些环境因素,包括病毒感染。先前有报道称,人类多瘤病毒(HPyV)可能参与了结直肠癌的发病机制,但结论并不一致。本研究采集了 125 例结直肠癌患者的临床标本,包括 110 例肿瘤组织、55 例阴性手术切缘和 39 例外周血样本,采用 DNA 分离和随后的双路实时定量聚合酶链反应检测 6 种 HPyV:JC 多瘤病毒(JCPyV)、BK 多瘤病毒(BKPyV)、默克尔细胞多瘤病毒(MCPyV)、HPyV-6、-7 和 -9。在 204 个样本中检测到 33 个 HPyV 基因组(16.2%):肿瘤组织中的阳性率显著更高(26/110,23.6%),其次是阴性手术切缘(3/55,5.5%,p<0.05)和外周血单核细胞(PBMCs)(4/39;10.3%)。与阴性手术切缘相比,HPyV 负荷仅在肿瘤组织中具有统计学意义(p<0.05)。具体而言,MCPyV 检测到 19.1%(21/110)的肿瘤组织、3.6%(2/55)的阴性手术切缘(p<0.05)和 7.7%(3/39)的 PBMCs;HPyV-6 检测到 2.7%(3/110)的肿瘤组织和 1.8%(1/55)的阴性手术切缘;1 个肿瘤组织(1/110,0.9%)和 1 个 PBMCs 样本(1/39,2.6%)检测到 BKPyV 阳性;JCPyV 存在于 0.9%(1/110)的肿瘤组织中。未在任何样本中检测到 HPyV-7 和 9。肿瘤组织中 MCPyV 基因组的高流行率和负荷可能表明病毒在结直肠肿瘤发生中具有相关性而非旁观者作用。