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共感染在 EBV-宿主失衡中的作用。

The Role of Coinfections in the EBV-Host Broken Equilibrium.

机构信息

Research Unit in Virology and Cancer, Children's Hospital of Mexico Federico Gómez, Mexico City 06720, Mexico.

Doctoral Program in Biomedical Science, National Autonomous University of Mexico, Mexico City 04510, Mexico.

出版信息

Viruses. 2021 Jul 19;13(7):1399. doi: 10.3390/v13071399.

Abstract

The Epstein-Barr virus (EBV) is a well-adapted human virus, and its infection is exclusive to our species, generally beginning in the childhood and then persisting throughout the life of most of the affected adults. Although this infection generally remains asymptomatic, EBV can trigger life-threatening conditions under unclear circumstances. The EBV lifecycle is characterized by interactions with other viruses or bacteria, which increases the probability of awakening its pathobiont capacity. For instance, EBV infects B cells with the potential to alter the germinal center reaction (GCR)-an adaptive immune structure wherein mutagenic-driven processes take place. HIV- and -induced B cell hyperactivation also feeds the GCR. These agents, along with the B cell tropic KSHV, converge in the ontogeny of germinal center (GC) or post-GC lymphomas. EBV oral transmission facilitates interactions with local bacteria and HPV, thereby increasing the risk of periodontal diseases and head and neck carcinomas. It is less clear as to how EBV is localized in the stomach, but together with , they are known to be responsible for gastric cancer. Perhaps this mechanism is reminiscent of the local inflammation that attracts different herpesviruses and enhances graft damage and chances of rejection in transplanted patients. In this review, we discussed the existing evidence suggestive of EBV possessing the potential to synergize or cooperate with these agents to trigger or worsen the disease.

摘要

EB 病毒(EBV)是一种适应良好的人类病毒,其感染是人类所独有的,通常在儿童时期开始,并持续存在于大多数受感染成年人的一生中。尽管这种感染通常无症状,但 EBV 在不明情况下可能引发危及生命的状况。EBV 生命周期的特点是与其他病毒或细菌相互作用,这增加了其引发疾病的可能性。例如,EBV 感染具有潜在能力改变生发中心反应(GCR)的 B 细胞 - 一种适应性免疫结构,其中发生诱变驱动的过程。HIV 和 EBV 诱导的 B 细胞过度激活也促进了 GCR。这些因素,以及 B 细胞趋向性的 KSHV,共同导致生发中心(GC)或 GC 后淋巴瘤的发生。EBV 口腔传播促进了与局部细菌和 HPV 的相互作用,从而增加了牙周病和头颈部癌的风险。EBV 如何在胃中定位尚不清楚,但已知与它们一起是导致胃癌的原因。也许这种机制让人想起吸引不同疱疹病毒的局部炎症,并增强移植患者的移植物损伤和排斥机会。在这篇综述中,我们讨论了现有的证据,表明 EBV 有可能与这些因素协同或合作,引发或加重疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5954/8310153/434f4231a682/viruses-13-01399-g001.jpg

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