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关于人乳头瘤病毒和人类免疫缺陷病毒合并感染与头颈部和口腔鳞状细胞癌的分子和临床关联的系统评价。

A systematic review on the molecular and clinical association between Human Papillomavirus and Human Immunodeficiency Virus co-infection in Head, Neck and Oral squamous cell carcinoma.

机构信息

Department of Biomedical Sciences, School of Biosciences and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, India.

出版信息

Rev Med Virol. 2023 Sep;33(5):e2462. doi: 10.1002/rmv.2462. Epub 2023 Jun 6.

Abstract

Head and neck cancer, one of the most commonly prevalent malignancies globally is a complex category of tumours that comprises cancers of the oral cavity, pharynx, and larynx. A specific subgroup of such cancers has been found with some unique chromosomal, therapeutic, and epidemiologic traits with the possibility of affecting via co-infection. About 25% of all head and neck cancers in the population are human papillomavirus infection (HPV)-associated, typically developing in the oropharynx, which comprises the tonsils. In the period of efficient combined antiviral treatment, HPV-positive oral cancers are also becoming a significant contributor to illness and fatality for Human Immunodeficiency Virus (HIV)-infected persons. Although the prevalence and historical background of oral HPV transmission are not thoroughly understood, it seems likely that oral HPV transmission is relatively frequent in HIV-infected people when compared to the overall population. Therefore, there is a need to understand the mechanisms leading to this co-infection, as there is very little research related to that. Hence, this study mainly focus on the therapeutical and biomedical analysis of HPV and HIV co-infection in the above-mentioned cancer, including oral squamous cell carcinoma.

摘要

头颈部癌症是全球最常见的恶性肿瘤之一,是一类包含口腔癌、咽癌和喉癌的复杂肿瘤。此类癌症的一个特定亚组具有一些独特的染色体、治疗和流行病学特征,有可能通过合并感染产生影响。人群中约 25%的头颈部癌症与人类乳头瘤病毒(HPV)感染相关,通常发生在口咽,包括扁桃体。在有效的联合抗病毒治疗时期,HPV 阳性口腔癌也成为艾滋病毒(HIV)感染者发病和死亡的重要原因。尽管 HPV 口腔传播的流行情况和历史背景尚不完全清楚,但与普通人群相比,HIV 感染者口腔 HPV 传播似乎更为频繁。因此,需要了解导致这种合并感染的机制,因为这方面的研究很少。因此,本研究主要集中在上述癌症(包括口腔鳞状细胞癌)中 HPV 和 HIV 合并感染的治疗和生物医学分析。

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