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紫外线和活性氧会激活人类乳头瘤病毒,从而导致皮肤癌。

UV and Reactive Oxygen Species Activate Human Papillomaviruses Causing Skin Cancers.

机构信息

Human Disease Research Worldwide, Silver Spring, Maryland, USA.

出版信息

Curr Probl Dermatol. 2021;55:339-353. doi: 10.1159/000517643. Epub 2021 Oct 25.

Abstract

Cutaneous malignant melanoma (CMM) and nonmelanoma skin cancers (NMSC), squamous cell and basal cell carcinomas, have been increasing at exponential rates for as long as the International Agency for Research on Cancer (IARC) have been collecting data starting from 1955 in some northern European countries and 1960 in most other European countries. Different strains of the human papilloma virus (HPV) have been found in CMM and NMSC biopsies and implicated in the carcinogenic process as a "hit-and-run" mechanism and can spread at exponential rates, especially since the 1960s' sexual revolution. This chapter covers only IARC data for CMM in the European countries from 1960 to 2018, plotted by regions (northern, middle, and southern latitudes and eastern versus western longitudes), countries latitudes, and each country over time, which shows that about half have linear and the other half have exponential increases in CMM. From this analyzed data and published data in the literature, the major risk factors of CMM appear to be light hair color, especially red and white hair (reactive oxygen species and UVA; 320-400 nm), low cutaneous vitamin D3 levels, and HPV after 1960, while there was no apparent risk from exposure to UVB (290-320 nm) or sunburns.

摘要

皮肤恶性黑色素瘤 (CMM) 和非黑色素瘤皮肤癌 (NMSC),包括鳞状细胞癌和基底细胞癌,自国际癌症研究机构 (IARC) 从 1955 年开始在一些北欧国家和 1960 年在大多数其他欧洲国家收集数据以来,其发病率呈指数级增长。在 CMM 和 NMSC 活检中发现了不同类型的人乳头瘤病毒 (HPV),并被认为是一种“打了就跑”的致癌机制,并可以呈指数级传播,尤其是自 20 世纪 60 年代性革命以来。本章仅涵盖 1960 年至 2018 年欧洲国家的 IARC 对 CMM 的数据分析,根据区域(北部、中部和南部纬度以及东部和西部经度)、国家纬度和每个国家随时间的变化绘制,结果表明大约一半国家的 CMM 发病率呈线性增长,另一半国家的 CMM 发病率呈指数增长。从这些分析数据和文献中的已发表数据来看,CMM 的主要危险因素似乎是浅色头发,尤其是红发和白发(活性氧和 UVA;320-400nm)、皮肤中维生素 D3 水平低以及 1960 年后 HPV 感染,而暴露于 UVB(290-320nm)或晒伤似乎没有明显的风险。

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