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人乳头瘤病毒感染概述。

Overview of Human Papillomavirus Infection.

机构信息

Department of Aerospace and Subaquatic Medicine, Infectious Diseases and Tropical Medicine Research Centre (IDTMRC), AJA University of Medical Sciences, Tehran, Iran.

Infectious Diseases and Tropical Medicine Research Centre (IDTMRC), AJA University of Medical Sciences, Tehran, Iran.

出版信息

Infect Disord Drug Targets. 2024;24(2):e031123223107. doi: 10.2174/0118715265257105231025112708.

Abstract

Human papillomavirus (HPV) is a DNA oncogenic virus. HPV infection is the most common sexually transmitted disease, and is capable of infecting mucosal and cutaneous membranes of the anogenital, upper aerodigestive tract, and other head and neck mucosal regions. Although HPV infection is generally asymptomatic and can be easily resolved by the immune system, if it persists and progresses, it can lead to cancer. HPV is permanently responsible for 5% of human cancers. Malignant lesions related to HPV include oral and respiratory squamous cell carcinomas, and cervical and anogenital cancers. Currently, no specific treatment is available for HPV infection, and therapeutic procedures (tissue ablation, chemotherapy, cryotherapy, and immunomodulation) cannot eliminate the virus completely. Vaccination and cervical screening are two methods that have been developed to provide protection against oncogenic HPV. Unfortunately, no effective protocol for vaccination, prevention, testing, or treatment has yet been proposed in the developing countries. In this review, we have reviewed the knowledge gained from recent studies on virology, pathogenesis, clinical manifestations, epidemiology, prevention, and treatment of HPV infection.

摘要

人乳头瘤病毒(HPV)是一种 DNA 致癌病毒。HPV 感染是最常见的性传播疾病,能够感染肛门生殖器、上呼吸道和其他头颈部黏膜区域的黏膜和皮肤黏膜。尽管 HPV 感染通常无症状且容易被免疫系统清除,但如果持续存在并进展,可能会导致癌症。HPV 是导致 5%人类癌症的罪魁祸首。与 HPV 相关的恶性病变包括口腔和呼吸道鳞状细胞癌,以及宫颈和肛门生殖器癌。目前,尚无针对 HPV 感染的特定治疗方法,治疗程序(组织消融、化疗、冷冻疗法和免疫调节)无法完全消除病毒。疫苗接种和宫颈筛查是两种已开发的针对致癌 HPV 的保护方法。不幸的是,发展中国家尚未提出有效的疫苗接种、预防、检测或治疗方案。在这篇综述中,我们回顾了最近在 HPV 感染的病毒学、发病机制、临床表现、流行病学、预防和治疗方面的研究成果。

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