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解析人乳头瘤病毒相关癌症的复杂性:从分子洞察到创新疗法。

Unraveling HPV-associated cancer complexity: From molecular insights to innovative therapies.

作者信息

Chand Tara, Dubey Ashwini Kumar, Misra Gauri

机构信息

National Institute of Biologicals (Ministry of Health & Family Welfare, Government of India), A-32, Sector-62, Noida, 201309, India.

Academy of Scientific and Innovative Research, Ghaziabad, Uttar Pradesh, 201 002, India.

出版信息

Heliyon. 2025 Feb 3;11(3):e42437. doi: 10.1016/j.heliyon.2025.e42437. eCollection 2025 Feb 15.

Abstract

Human papillomavirus (HPV) contributes to a high global incidence of sexually transmitted infections, predominantly associated with cervical cancer, as well as head and neck, penile, anal, vaginal, and vulvar cancers. Despite efforts through improved screening and HPV vaccination campaigns, challenges persist, influencing the frequency of HPV-related malignancies. Collaborative scientific endeavors strive to pioneer groundbreaking approaches, aiming to alleviate the adverse consequences of HPV-related malignancies on individuals and communities. The present review is focused on exhaustively covering HPV-associated cancers, particularly cervical cancer. This study highlights the initiation, progression, immune invasion, and treatment strategies of HPV-associated cancers. The role of viral oncoproteins E6 and E7 responsible for immune evasion and subsequent latent infection is also elaborated. The article also sheds light on the pivotal role of HPV vaccination in averting high-risk HPV infections and associated cancers. The scope of this review encompasses HPV-associated cancer epidemiology, regional disparities, and the distinctive challenges faced in the context of India. This will be a value addition to the knowledge repertoire beneficial for creating awareness and designing health policies.

摘要

人乳头瘤病毒(HPV)导致全球性传播感染发病率居高不下,主要与宫颈癌以及头颈癌、阴茎癌、肛门癌、阴道癌和外阴癌相关。尽管通过改进筛查和HPV疫苗接种运动做出了努力,但挑战依然存在,影响着HPV相关恶性肿瘤的发病频率。合作性科学努力致力于开拓开创性方法,旨在减轻HPV相关恶性肿瘤对个人和社区的不良后果。本综述着重全面涵盖HPV相关癌症,尤其是宫颈癌。这项研究突出了HPV相关癌症的起始、进展、免疫侵袭和治疗策略。还阐述了负责免疫逃逸及随后潜伏感染的病毒癌蛋白E6和E7的作用。本文还阐明了HPV疫苗接种在避免高危HPV感染及相关癌症方面的关键作用。本综述的范围包括HPV相关癌症的流行病学、地区差异以及印度背景下面临的独特挑战。这将为知识宝库增添价值,有助于提高认识和制定卫生政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3400/11850150/dd54183d68e0/gr1.jpg

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