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埃及患者乳腺癌组织中牛白血病病毒、爱泼斯坦-巴尔病毒和人乳头瘤病毒的检测

Detection of bovine leukemia virus, Epstein-Barr virus and human papillomavirus in breast cancer tissues of Egyptian patients.

作者信息

Raouf May, Kamal Salwa, Elsayed Rawan, Zaki Inass, Kholeif Dina

机构信息

Medical Microbiology and Immunology Department, Faculty of Medicine, Alexandria University, 0 Khartoum square, Azarita Medical campus, Alexandria, 21131, Egypt.

Pathology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

出版信息

Infect Agent Cancer. 2025 Jul 1;20(1):43. doi: 10.1186/s13027-025-00674-y.


DOI:10.1186/s13027-025-00674-y
PMID:40598506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12218089/
Abstract

BACKGROUND: Breast cancer (BC) remains one of the most common malignancies worldwide. Many viruses have been linked to BC; namely, Human papillomavirus (HPV), Epstein-Barr virus (EBV) and Bovine leukemia virus (BLV). However, a causal role is yet to be established. OBJECTIVES: To detect the prevalence of BLV, EBV and HPV sequences in BC tissue compared to BC-free tissue and correlate their presence with different pathological features of BC. SUBJECTS AND METHODS: A retrospective case-control study was conducted on 75 FFPE (formalin fixed paraffin embedded) blocks of BC tissues and 25 of BC-free tissues obtained from Alexandria Main University Hospital pathology department archive. Demographic, medical, pathological data were retrieved from patients' archival records. Hormonal receptor status, Real-time PCR for viral detection and HPV genotyping were done. Statistical analysis was done using SPSS software. The Chi-square test, Fisher's Exact correction and Monte Carlo simulation were used for quantitative variables. RESULTS: Invasive ductal carcinoma was the most predominant histologic type (85.3%). BLV, EBV and HPV were detected in (22.7% vs. 16%, 14.7% vs. 8%, 6.7% vs. 0%) BC vs. non-BC tissues respectively with HR HPV 16 detection. Lymphovascular invasion (LVI) and stage III were more commonly seen among tissues with positive viral detection vs. those which were negative (64.3% vs. 53% and 39% vs. 17% respectively). However, no single viral detection was found to be statistically significant in relation to clinicopathological parameters. Multiple viral co-existence was found in 18% of PCR positive cases which was significantly associated with younger age (P = 0.026). CONCLUSION: Low rate of viral presence was found in BC tissues. Nevertheless, LVI and stage III were more commonly seen in tissues with positive viral detection. Moreover, a synergetic relation between multiple viral existence and BC development in young age could be possible yet to be verified.

摘要

背景:乳腺癌(BC)仍是全球最常见的恶性肿瘤之一。许多病毒都与乳腺癌有关,即人乳头瘤病毒(HPV)、爱泼斯坦 - 巴尔病毒(EBV)和牛白血病病毒(BLV)。然而,它们的因果关系尚未确立。 目的:检测乳腺癌组织中BLV、EBV和HPV序列的流行率,并与无癌组织进行比较,同时将它们的存在与乳腺癌的不同病理特征相关联。 对象与方法:对从亚历山大主大学医院病理科档案中获取的75个福尔马林固定石蜡包埋(FFPE)乳腺癌组织块和25个无癌组织块进行回顾性病例对照研究。从患者档案记录中检索人口统计学、医学和病理数据。进行激素受体状态检测、病毒检测的实时PCR以及HPV基因分型。使用SPSS软件进行统计分析。卡方检验、费舍尔精确校正和蒙特卡罗模拟用于定量变量。 结果:浸润性导管癌是最主要的组织学类型(85.3%)。在乳腺癌组织与非乳腺癌组织中分别检测到BLV、EBV和HPV的比例为(22.7% 对 16%、14.7% 对 8%、6.7% 对 0%),其中检测到HR HPV 16。在病毒检测呈阳性的组织中,与阴性组织相比,血管淋巴管浸润(LVI)和III期更为常见(分别为64.3% 对 53%和39% 对 17%)。然而,未发现单一病毒检测与临床病理参数具有统计学显著相关性。在18%的PCR阳性病例中发现多种病毒共存,这与较年轻的年龄显著相关(P = 0.026)。 结论:在乳腺癌组织中发现病毒存在率较低。尽管如此,在病毒检测呈阳性的组织中,LVI和III期更为常见。此外,多种病毒共存与年轻乳腺癌发展之间可能存在协同关系,但尚待验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/966458be7a82/13027_2025_674_Fige_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/9d22194a47ea/13027_2025_674_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/3b6b173d9743/13027_2025_674_Figb_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/534b286210b8/13027_2025_674_Figc_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/48cd4fa7d889/13027_2025_674_Figd_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/966458be7a82/13027_2025_674_Fige_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/9d22194a47ea/13027_2025_674_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/3b6b173d9743/13027_2025_674_Figb_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/534b286210b8/13027_2025_674_Figc_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/48cd4fa7d889/13027_2025_674_Figd_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b26/12218089/966458be7a82/13027_2025_674_Fige_HTML.jpg

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本文引用的文献

[1]
Bovine leukemia virus (BLV) and risk of breast cancer; a systematic review and meta-analysis.

Retrovirology. 2024-12-3

[2]
The viral origins of breast cancer.

Infect Agent Cancer. 2024-8-26

[3]
Comparative evaluation of Anyplex II HPV28 and Allplex HPV28 molecular assays for human papillomavirus detection and genotyping in anogenital cancer screening.

J Med Virol. 2024-6

[4]
Curbing the climb in cancer incidence.

Lancet Oncol. 2024-5

[5]
Human Oncogenic Viruses: Characteristics and Prevention Strategies-Lessons Learned from Human Papillomaviruses.

Viruses. 2024-3-8

[6]
Human papillomaviruses and breast cancer: A systematic review and meta‑analysis.

Oncol Lett. 2023-12-22

[7]
Cancer Incidence and Mortality Estimates in Arab Countries in 2018: A GLOBOCAN Data Analysis.

Cancer Epidemiol Biomarkers Prev. 2023-12-1

[8]
An updated systemic review and meta-analysis on human papillomavirus in breast carcinogenesis.

Front Oncol. 2023-8-11

[9]
Oncogenic viral DNA related to human breast cancer found on cattle milk and meat.

Comp Immunol Microbiol Infect Dis. 2023-10

[10]
Epstein-Barr Viral Infection and the Risk for Breast Cancer: A Systematic Review.

Int J Hematol Oncol Stem Cell Res. 2023-4-1

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