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中枢神经系统肿瘤中的病毒致癌作用:是现实还是随机关联?对存档材料的回顾性研究。

Viral oncogenesis in tumours of the central nervous system: reality or random association? A retrospective study on archived material.

机构信息

Victor Babes National Institute of Pathology, Bucharest, Romania.

National Institute of Neurology and Neurovascular Diseases, Bucharest, Romania.

出版信息

J Cell Mol Med. 2022 Mar;26(5):1413-1420. doi: 10.1111/jcmm.17064. Epub 2022 Feb 2.

Abstract

Central nervous system (CNS) tumours have devastating effects and are recurrent, with dismal prognosis (gliomas) or life-threatening by the compression effect (meningiomas). This disease's aetiology remains debatable. Over the last decade, the hypothesis that human viruses may be implicated in these tumours has been proposed. In this study, our aim is to examine the presence of 11 viruses in the most frequent CNS primary tumours. Using polymerase chain reaction (PCR), we assessed the viral presence in archived, paraffin-embedded tumour tissues from 114 patients with glioma and meningioma and in the brain tissue from 40 controls lacking tumour pathology. We focused on candidate neuro-oncogenic types (herpesviridae and polyomaviruses) and on human papillomavirus (HPV). HPV presence, for which involvement in these tumours was hardly investigated, was found to be associated with both tumour categories compared with controls (glioma, p = 0.032; meningioma, p = 0.032), whereas the presence of the neuro-oncogenic viruses was found in a negligible number of both categories, suggesting a lack of association with the tumour presence. Moreover, our study reveals a positive correlation between HPV presence and glioma malignancy, and a negative correlation with meningioma grading. Our results suggest that the presence of HPV seems to be significantly associated with primary tumours of the CNS and its meninges.

摘要

中枢神经系统 (CNS) 肿瘤具有破坏性,且易复发,预后不良(神经胶质瘤)或因压迫效应而危及生命(脑膜瘤)。这种疾病的病因仍存在争议。在过去的十年中,提出了人类病毒可能与这些肿瘤有关的假说。在这项研究中,我们的目的是检测最常见的 CNS 原发性肿瘤中 11 种病毒的存在。我们使用聚合酶链反应 (PCR) 评估了 114 名胶质瘤和脑膜瘤患者的存档石蜡包埋肿瘤组织以及 40 名无肿瘤病理的对照组脑组织中的病毒存在情况。我们关注候选神经致癌型(疱疹病毒科和多瘤病毒)和人乳头瘤病毒 (HPV)。HPV 的存在与肿瘤类别相关,而与对照组相比,HPV 参与这些肿瘤的程度几乎没有被研究过(胶质瘤,p=0.032;脑膜瘤,p=0.032),而神经致癌病毒在这两个类别中的存在数量都很少,这表明它们与肿瘤的存在缺乏关联。此外,我们的研究表明 HPV 的存在与胶质瘤的恶性程度呈正相关,与脑膜瘤的分级呈负相关。我们的研究结果表明,HPV 的存在似乎与 CNS 及其脑膜的原发性肿瘤显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9414/8899179/9c064a8f5d23/JCMM-26-1413-g002.jpg

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