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HPV 与绝经后妇女的冠心病:综合评价。

HPV and coronary diseases in menopausal women: an integrative review.

机构信息

Universidade Federal do Maranhão São LuísMA Brazil Universidade Federal do Maranhão, São Luís, MA, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2024 Jul 26;46. doi: 10.61622/rbgo/2024rbgo57. eCollection 2024.

DOI:10.61622/rbgo/2024rbgo57
PMID:39176203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11341186/
Abstract

High-risk human papillomavirus (HPV) infection is associated with cervical cancer while low-risk HPV strains mostly cause benign lesions. Multiple studies have also associated HPV with coronary artery (CAD) disease in women. Furthermore, the climacteric period in women, triggers chronic inflammation and has major implications for CAD and associated lipid disorders. The association of HPV with coronary artery disease in climacteric women has few studies, and the objective of this review is to gather and analyse scientific data on the subject. This is an integrative review performed on PubMed and Google Scholar using the keywords "HPV", "coronary heart disease" and "climacteric", among these keywords the boolean operator AND and the publication date filter. (2018 onwards). Five articles were found, whose main results show presence of high-risk vaginal HPV in climacteric women. Climacterium and HPV were associated with a three-fold increased risk of CAD, as well as with factors related to menopause that promote atheroma formation, lipid disorders and chronic inflammation. Thus, these results support the association between HPV infection and CAD in climacteric women, possibly via chronic inflammation, hormonal factors related to menopause and dyslipidemia.

摘要

高危型人乳头瘤病毒(HPV)感染与宫颈癌相关,而低危型 HPV 株主要引起良性病变。多项研究还表明 HPV 与女性冠状动脉(CAD)疾病有关。此外,女性的更年期会引发慢性炎症,对 CAD 和相关脂质紊乱有重大影响。关于 HPV 与更年期女性冠心病的关联,研究较少,本综述的目的是收集和分析该主题的科学数据。这是一项在 PubMed 和 Google Scholar 上进行的综合综述,使用了“HPV”、“冠心病”和“更年期”等关键词,并使用了布尔运算符 AND 和出版物日期过滤器(2018 年及以后)。共发现 5 篇文章,其主要结果表明,更年期女性存在高危型阴道 HPV。更年期和 HPV 与 CAD 风险增加三倍有关,也与促进动脉粥样硬化形成、脂质紊乱和慢性炎症的与绝经相关的因素有关。因此,这些结果支持 HPV 感染与更年期女性 CAD 之间的关联,可能通过慢性炎症、与绝经相关的激素因素和血脂异常。

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本文引用的文献

1
PIK3CA Gene Mutations in HNSCC: Systematic Review and Correlations with HPV Status and Patient Survival.头颈部鳞状细胞癌中的PIK3CA基因突变:系统评价及其与HPV状态和患者生存的相关性
Cancers (Basel). 2022 Mar 2;14(5):1286. doi: 10.3390/cancers14051286.
2
Prevalence of Dyslipidemia in HIV-Positive Women with HPV Coinfection: A Preliminary Study.合并人乳头瘤病毒感染的HIV阳性女性血脂异常患病率:一项初步研究。
Scientifica (Cairo). 2021 Nov 2;2021:4318423. doi: 10.1155/2021/4318423. eCollection 2021.
3
Lipid metabolism and oxidative stress in HPV-related cancers.HPV 相关癌症中的脂质代谢和氧化应激。
Free Radic Biol Med. 2021 Aug 20;172:226-236. doi: 10.1016/j.freeradbiomed.2021.06.009. Epub 2021 Jun 12.
4
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.《全球癌症统计数据 2020:全球 185 个国家和地区 36 种癌症的发病率和死亡率估计》。
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
5
HPV infection as a risk factor for atherosclerosis: A connecting hypothesis.人乳头瘤病毒感染作为动脉粥样硬化的一个风险因素:一个关联假说。
Med Hypotheses. 2020 Nov;144:109979. doi: 10.1016/j.mehy.2020.109979. Epub 2020 Jun 8.
6
HPV16 induces penile intraepithelial neoplasia and squamous cell carcinoma in transgenic mice: first mouse model for HPV-related penile cancer.HPV16 诱发转基因小鼠的阴茎上皮内瘤变和鳞状细胞癌:首个 HPV 相关阴茎癌的小鼠模型。
J Pathol. 2020 Aug;251(4):411-419. doi: 10.1002/path.5475.
7
Novel Biomarkers of Early Atherosclerotic Changes for Personalised Prevention of Cardiovascular Disease in Cervical Cancer and Human Papillomavirus Infection.用于宫颈癌和人乳头瘤病毒感染的个体化心血管疾病预防的早期动脉粥样硬化变化的新型生物标志物。
Int J Mol Sci. 2019 Jul 30;20(15):3720. doi: 10.3390/ijms20153720.
8
Human Papillomavirus and Coronary Artery Disease in Climacteric Women: Is There an Association?更年期女性的人乳头瘤病毒与冠状动脉疾病:存在关联吗?
ScientificWorldJournal. 2019 Jun 20;2019:1872536. doi: 10.1155/2019/1872536. eCollection 2019.
9
Hallmarks of HPV carcinogenesis: The role of E6, E7 and E5 oncoproteins in cellular malignancy.HPV 致癌特征:E6、E7 和 E5 癌蛋白在细胞恶性转化中的作用。
Biochim Biophys Acta Gene Regul Mech. 2019 Feb;1862(2):153-162. doi: 10.1016/j.bbagrm.2019.01.001. Epub 2019 Jan 29.
10
Reducing the Global Burden of Cardiovascular Disease, Part 1: The Epidemiology and Risk Factors.降低心血管疾病全球负担,第 1 部分:流行病学和危险因素。
Circ Res. 2017 Sep 1;121(6):677-694. doi: 10.1161/CIRCRESAHA.117.308903.