Cancer Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Virology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Asian Pac J Cancer Prev. 2024 Feb 1;25(2):547-553. doi: 10.31557/APJCP.2024.25.2.547.
Breast cancer represents a formidable peril to the female populace on a worldwide level. The association between breast cancer and various factors, including viral infections, has been extensively investigated. Recently, the link between HBV infection and breast cancer patients has garnered attention. The present research aims to assess the prevalence of HBV markers among women diagnosed with breast cancer in Ahvaz city, Iran.
Serum specimens were procured from 90 patients who had been clinically diagnosed with breast cancer. The age of the patients ranged from 29 to 80 years, with a mean age of 49.42±10.7. Histological examination of biopsy specimens revealed that 75 (83.33%) were ductal, 11 (8.88%) lobular, 2 (2.22%) mucinous, 1 (1.11%) medullary, and 1 (1.11%) was metastatic. The serum samples were subjected to initial HBsAg and anti-HBc testing via ELISA. Samples that tested seropositive (HBsAg + anti-HBc) were subsequently analyzed for the S region of HBV through nested PCR and DNA sequencing. Finally, a phylogenetic tree was constructed for positive HBV DNA tests.
Among the 5/90 (5.55%) cancer patients, it was found that 3 (3.33%) cases of ductal carcinoma and one (1.11%) lobular carcinoma displayed positivity for HBV markers (HBsAg, anti-HBc, HBV PCR). Notably, one (1.11%) patient with ductal carcinoma solely demonstrated anti-HBc positivity. The phylogenetic tree analysis of the S region revealed that all HBV strains identified were categorized as genotype D.
The statistical analysis did not reveal any significant findings (p= 0.315) in the distribution of cancer types across different age groups. Among patients diagnosed with breast cancer, a notable prevalence of 5.5% was observed in HBV markers. The dominant HBV genotype among breast cancer patients was identified as genotype D.
乳腺癌是全球女性面临的严重威胁。乳腺癌与多种因素的关系,包括病毒感染,已经得到了广泛的研究。最近,HBV 感染与乳腺癌患者之间的联系引起了关注。本研究旨在评估伊朗阿瓦兹市乳腺癌患者中 HBV 标志物的流行情况。
采集了 90 名临床诊断为乳腺癌的患者的血清标本。患者年龄为 29 至 80 岁,平均年龄为 49.42±10.7 岁。活检标本的组织学检查显示,75 例(83.33%)为导管癌,11 例(8.88%)为小叶癌,2 例(2.22%)为粘液癌,1 例(1.11%)为髓样癌,1 例(1.11%)为转移性癌。采用 ELISA 法对血清标本进行 HBsAg 和抗-HBc 初筛。对 HBsAg 和抗-HBc 阳性的血清样本进行巢式 PCR 和 DNA 测序,检测 HBV S 区。对 HBV DNA 阳性检测结果构建系统进化树。
在 5/90(5.55%)例癌症患者中,发现 3 例(3.33%)导管癌和 1 例(1.11%)小叶癌 HBV 标志物(HBsAg、抗-HBc、HBV PCR)阳性。值得注意的是,1 例(1.11%)导管癌患者仅抗-HBc 阳性。S 区系统进化树分析显示,所有鉴定的 HBV 株均归为基因型 D。
统计学分析未发现不同年龄组癌症类型分布有显著差异(p=0.315)。在诊断为乳腺癌的患者中,HBV 标志物的阳性率为 5.5%。乳腺癌患者中 HBV 基因型以基因型 D 为主。