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在接种新冠病毒疫苗患者的舌部和口腔黏膜脱落细胞中观察到的细胞遗传学改变:两例报告及文献简要综述

Cytogenetic Alterations Observed in Exfoliative Cells of the Tongue and Oral Mucosa of SARS-CoV-2-Vaccinated Patients: Report of Two Cases and a Brief Literature Review.

作者信息

Santana Lucas Alves da Mota, Oliveira Michelly Kierkegaard Campos de, Carvalho Maria Vitória Conceição, Moura Pedro Henrique Macedo, Barreto Marina Dos Santos, Santos Marcos Antônio Lima Dos, Santos Pedro Lima Dos, Correia Dalmo, Silva Virgínia Kelma Dos Santos, Gopalsamy Rajiv Gandhi, Trento Cleverson Luciano, Borges Lysandro Pinto, Takeshita Wilton Mitsunari

机构信息

Universidade Federal de Sergipe, Departmento de Odontologia, Aracaju, SE, Brasil.

Universidade Tiradentes, Departamento de Odontologia, Aracaju, SE, Brasil.

出版信息

Rev Soc Bras Med Trop. 2025 Jun 2;58:e008042025. doi: 10.1590/0037-8682-0008-2025. eCollection 2025.

DOI:10.1590/0037-8682-0008-2025
PMID:40465890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129134/
Abstract

The wide distribution of angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 (TMPRSS2) in oral tissues, especially in the salivary glands, which are natural reservoirs of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), contributes to the classification of the oral cavity as a potential target for the development of lesions. Despite the effective response produced by next-generation immunizers, the possibility of immune escape by new lineages of SARS-CoV-2 cannot be refuted. Therefore, we describe here the occurrence of cytogenetic alterations in orally exfoliated cells of immunized individuals and, based on the literature review, call attention to the need to monitor these cases in the post-pandemic period.

摘要

血管紧张素转换酶2(ACE2)和跨膜蛋白酶丝氨酸2(TMPRSS2)在口腔组织中广泛分布,尤其是在唾液腺中,而唾液腺是严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的天然储存库,这使得口腔被归类为病变发展的潜在靶点。尽管新一代免疫制剂产生了有效的反应,但SARS-CoV-2新谱系免疫逃逸的可能性无法被排除。因此,我们在此描述了免疫个体口腔脱落细胞中细胞遗传学改变的发生情况,并基于文献综述,呼吁关注在大流行后时期监测这些病例的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b9/12129134/d8d2ea2ccc50/1678-9849-rsbmt-58-e00804-2025-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b9/12129134/d8d2ea2ccc50/1678-9849-rsbmt-58-e00804-2025-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b9/12129134/d8d2ea2ccc50/1678-9849-rsbmt-58-e00804-2025-gf1.jpg

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本文引用的文献

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2
mRNA vaccine boosters and impaired immune system response in immune compromised individuals: a narrative review.免疫功能低下个体中的mRNA疫苗加强针与免疫系统反应受损:一篇叙述性综述
Clin Exp Med. 2024 Jan 27;24(1):23. doi: 10.1007/s10238-023-01264-1.
3
The WHO declares COVID-19 is no longer a public health emergency of international concern: benefits, challenges, and necessary precautions to come back to normal life.
世界卫生组织宣布新冠疫情不再构成国际关注的突发公共卫生事件:恢复正常生活的益处、挑战及必要预防措施。
Int J Surg. 2023 Sep 1;109(9):2851-2852. doi: 10.1097/JS9.0000000000000513.
4
Neutralizing antibodies against SARS-CoV-2 are higher but decline faster in mRNA vaccinees compared to individuals with natural infection.与自然感染个体相比,mRNA 疫苗接种者体内针对 SARS-CoV-2 的中和抗体水平更高,但下降速度更快。
J Travel Med. 2022 Dec 27;29(8). doi: 10.1093/jtm/taac130.
5
Oral mucosa lesions in confirmed and non-vaccinated cases for COVID-19: A systematic review.确诊和未接种疫苗的 COVID-19 病例中的口腔黏膜损伤:系统评价。
J Stomatol Oral Maxillofac Surg. 2022 Oct;123(5):e241-e250. doi: 10.1016/j.jormas.2022.05.005. Epub 2022 May 10.
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Resistance of SARS-CoV-2 Omicron variant to convalescent and CoronaVac vaccine plasma.严重急性呼吸综合征冠状病毒2型奥密克戎变种对康复期及科兴疫苗血浆的抗性。
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