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了解人乳头瘤病毒引发的癌症并探究低收入和中等收入国家在预防及治疗方面面临的障碍。

Understanding HPV-Induced Cancers and Investigating the Barriers Faced by Low- and Middle-Income Countries in Prevention and Treatment.

作者信息

Aleezada Zahab N, Patel Ishika, Yusuf Nabiha

机构信息

Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.

出版信息

Int J Mol Sci. 2025 Jun 11;26(12):5581. doi: 10.3390/ijms26125581.

Abstract

Human papillomavirus (HPV) is a leading cause of several cancers, most notably cervical cancer, but also anal, penile, vulvar, vaginal, and oropharyngeal malignancies. While vaccines and screening technologies offer highly effective prevention, the global burden of HPV-induced cancers remains disproportionately high in low- and middle-income countries (LMICs). This literature review provides a comprehensive synthesis of the types, mechanisms, treatments, and prevention strategies associated with HPV-related cancers, while also highlighting regional disparities in healthcare access and infrastructure. It critically examines the barriers LMICs face in adopting life-saving interventions, such as limited healthcare infrastructure, vaccine hesitancy, funding gaps, and cultural stigma. The review further explores recent scientific and policy advances-including single-dose vaccination, self-sampling HPV tests, and senolytic therapies-that have the potential to reduce global health inequities. By connecting molecular biology with public health systems, this paper underscores the need for interdisciplinary solutions and equity-centered approaches to combat HPV-induced cancers worldwide. The findings emphasize that eliminating cervical cancer and other HPV-related diseases is not only a scientific goal but also a moral imperative requiring global collaboration and local action.

摘要

人乳头瘤病毒(HPV)是多种癌症的主要病因,最显著的是宫颈癌,还包括肛门癌、阴茎癌、外阴癌、阴道癌和口咽癌。虽然疫苗和筛查技术提供了高效的预防手段,但在低收入和中等收入国家(LMICs),HPV引发的癌症的全球负担仍然过高。这篇文献综述全面综合了与HPV相关癌症的类型、机制、治疗方法和预防策略,同时突出了医疗保健可及性和基础设施方面的地区差异。它批判性地审视了低收入和中等收入国家在采用救生干预措施时面临的障碍,如有限的医疗基础设施、疫苗犹豫、资金缺口和文化耻辱感。该综述进一步探讨了近期的科学和政策进展,包括单剂量疫苗接种、HPV自我采样检测和衰老细胞溶解疗法,这些进展有可能减少全球健康不平等现象。通过将分子生物学与公共卫生系统联系起来,本文强调了采取跨学科解决方案和以公平为中心的方法来对抗全球HPV引发的癌症的必要性。研究结果强调,消除宫颈癌和其他HPV相关疾病不仅是一个科学目标,也是一项道德要求,需要全球合作和地方行动。

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