人乳头瘤病毒及其致瘤机制的研究进展

高危型人乳头瘤病毒（humanpa pilloma virus,HPV）的持续感染是导致妇女宫颈癌发生的一个关键因素。HPV感染宫颈上皮细胞后,可以通过抑制免疫应答,在部分个体中建立潜伏感染。高危HPV编码的蛋白在持续感染的过程中,操控了细胞多种重要功能,如凋亡、增殖、细胞周期调控等,使得宫颈上皮细胞的形态学、遗传物质、表观遗传学等都发生重要改变。部分感染人群的宫颈上皮细胞因此会被转化,并在协同因子相互作用下,逐渐转化为宫颈癌。HPV在宫颈癌发生过程中起着重要的作用,本文将对HPV感染致宫颈癌机制最近的研究进展进行综述。     

IL-10、TGF-β1在HPV相关宫颈病变中的作用

宫颈癌是危害全世界妇女健康的主要恶性肿瘤之一。宫颈癌及其癌前病变——鳞状上皮内病变(SIL)均由高危型人乳头瘤病毒(HPV)持续感染导致。HPV通过下调干扰素表达,促进白介素(IL)-10和转化生长因子(TGF)-β1表达,产生局部免疫抑制微环境,改变肿瘤表面抗原,抑制肿瘤免疫应答。本研究从分子水平分析论述肿瘤微环境中HPV和宫颈癌细胞通过可溶性免疫抑制因子IL-10、TGF-β1逃避宿主免疫反应可能的机制,阐明IL-10、TGF-β1在HPV感染中的免疫抑制功能。     

人乳头瘤病毒E2蛋白对细胞增殖作用的研究进展

宫颈癌的发生与人乳头瘤病毒(HPV)感染密切相关。HPV E2蛋白能特异性抑制病毒基因E6、E7的表达,从而抑制它们的致癌作用,并可通过与p53、Caspase等相互作用影响细胞增殖,在HPV感染及致病过程中具有重要作用。     

SOCS-1基因与宫颈癌关系的研究新进展

SOCS-1基因定位在染色体16p13.3,编码的SOCS-1蛋白是细胞因子信号转导抑制因子(SOCS)家族的成员之一,最初研究认为SOCS-1主要通过对JAK/STAT信号通路的负性调节从而对多种细胞因子、激素的进行调节,近来有研究表明SOCS-1同样能下调TLR信号通路的活性.细胞因子及TLR信号通路在细胞的生长、成熟、分化及机体的免疫调节中发挥了重要的作用.在多种恶性肿瘤中研究显示SOCS-1呈现基因广泛甲基化及蛋白表达缺失,致JAK/STAT通路的持续活化,与肿瘤的发生发展有关,提示SOCS-1的作用类似于抑癌基因,而在一些肿瘤中则见SOCS-1的高表达,SOCS-1在肿瘤中的作用机制仍存在争议.近年来SOCS-1在宫颈癌中的作用得到重视,但其作用机制尚未明确.而HPV感染可能促进了SOCS-1基因的异常表达,SOCS-1的沉默在宫颈癌的发生发展中可能发挥了重要作用.     

宫颈癌患者人乳头瘤病毒感染情况及STING、ZEB1蛋白水平分析

目的 分析宫颈癌患者人乳头瘤病毒（HPV）感染情况及癌灶组织内干扰素基因刺激因子（STING）、E盒锌指结合蛋白1(ZEB1)表达情况,为该类患者的治疗提供参考。方法 收集我院病理检验科2019年1月至2022年1月63例宫颈癌标本（宫颈癌组）、55例宫颈上皮内瘤变（CIN）标本（CIN组）及50例正常宫颈标本（正常组）,采用免疫组化法检测各标本内STING及ZEB1表达情况,采用原位杂交法检测各标本内高危HPV感染情况,分析STING及ZEB1蛋白表达情况与宫颈癌病理特征及高危HPV感染之间的关系。结果 宫颈癌组标本STING及ZEB1表达量均高于CIN组及正常组,CIN组标本ZEB1表达量高于正常组,差异均有统计学意义（均P<0.05）;CIN组标本STING表达量与正常组比较差异无统计学意义（P>0.05）。宫颈癌组标本HPV16、18检出率高于CIN组及正常组,CIN组标本HPV16、18检出率高于正常组,差异均有统计学意义（均P<0.05）。宫颈癌患者FIGO分期及浸润深度与其组织内STING及ZEB1蛋白阳性情况均存在相关性;此外,宫颈癌淋巴结转移及肿瘤分...     

人乳头瘤病毒16型L1和L2晚期蛋白在原核细胞中的表达

目的　HPV的某些型别尤其是HPV16 ,18型感染与宫颈癌的发生有密切的关系。宫颈癌在全球妇女癌症死亡原因中居第二位。在发展中国家 ,宫颈癌在妇女癌症死因中列第一位。尽管早期宫颈癌患者放疗及手术治疗效果较好 ,但对中晚期宫颈癌患者治疗效果却很差。因而 ,采取有效的措施预防HPV感染对于宫颈癌防治工作无疑是非常必要的。在对乳头瘤病毒结构和功能的研究中发现 ,以L1和L2为保护性抗原构建的疫苗株很可能在预防HPV感染及其引起的恶性肿瘤方面发挥重要作用。目前国际上常通过原核和真核表达系统获得L1和L2蛋白。本实验拟通过原核表…     

HLA-I表达与维吾尔族妇女宫颈癌前病变及HPV16感染的关系研究

目的：观察人白细胞相关抗原I（human leukocyte antigen class I,HLA-I）表达与维吾尔族妇女宫颈癌前病变进程及高危型HPV16的关系。方法：收集维吾尔族妇女宫颈炎、宫颈内上皮瘤样病变（cervical intraepithelial neoplasia,CIN）和宫颈鳞癌患者的石蜡包埋组织标本共148例,提取组织DNA,应用PCR的方法检测HPV阳性及HPV16型别;同时采用免疫组织化学SP法检测HLA-I蛋白表达水平。结果：（1）在维吾尔族妇女中HLA-I抗原在宫颈炎、CINI-II、CINIII、SCC组中阳性表达逐渐减少,差异有统计学意义（P〈0.001）。（2）HLA-I的阳性表达下降趋势与宫颈癌临床分期、组织分化程度和淋巴结转移密切相关。（3）HPV在宫颈炎、CINI-II、CINIII、宫颈癌中的感染率分别为13%、46%、82%、95%,差异有统计学（P〈0.001）。（4）HPV16在宫颈炎、CINI-II、CINIII、宫颈癌中的感染率分别为4%、30%、68%、85%,差异有统计学（P〈0.001）。（5）在HPV16阳性标本中,存在HLA-I表达缺失的占71%（58/82）,HPV16感染与HLA-I表达呈负相关（r=-0.625,P〈0.001）。结论：（1）HLA-I表达缺陷可能是宫颈病变进展的重要标志,对宫颈癌的预测预警提供依据。（2）HPV16感染在宫颈病变的发展过程中起到了极大的促进作用,是一个很强的致癌因素。（3）HPV16感染与HLA-I表达之间的关系对揭示宫颈癌发病机制提供了客观依据。     

HPV 58 L1改造基因的表达及其VLP产物抗血清制备

高危型人乳头瘤病毒（human papillomavirus, HPV）慢性持续性感染是诱发宫颈癌的主要病因．体外表达的HPV主要衣壳蛋白（L1）可自组装成病毒样颗粒（virus-like particle, VLP）,免疫后可诱导产生型别特异性中和抗体,有效保护机体免受同型病毒的感染,因此可望预防病毒感染及感染相关的宫颈癌等病变．HPV 58是诱发我国妇女宫颈癌的主要高危型病毒之一,目前尚无针对HPV 58的疫苗问世．本研究联合采用多种策略对HPV 58 L1野生型基因进行改造,获得HPV 58 L1改造基因,命名为HPV 58mL1,用杆状病毒 昆虫细胞表达系统进行HPV 58 mL1的表达,CsCl密度梯度离心法纯化获得HPV 58 mL1重组蛋白,电镜分析结果显示,重组蛋白形成直径约55 nm的VLP．皮下免疫新西兰兔和豚鼠,ELISA检测显示,免疫动物产生高滴度针对HPV 58 mL1 VLP的抗血清,免疫斑点印迹检测显示,抗血清是针对VLP表面表位的．本研究表达了均一性好的HPV 58 mL1 VLP,并获得两个种属的HPV 58 mL1 VLP抗血清,为进一步研究有效预防HPV 58感染的疫苗打下基础．     

人乳头瘤病毒16E5突变与宫颈癌的研究进展

人乳头瘤病毒(Humanpapillomavirus)HPV是发生宫颈癌的必要条件,人乳头瘤病毒16E5癌基因突变与宫颈癌的发生有密切的相关性。人乳头瘤病毒E5是一种转化作用的癌蛋白,是细胞膜或内膜整合蛋白。人乳头瘤病毒E5在感染的细胞中表达。主要在感染细胞克隆早期的繁殖,扩张中起重要作用。它干预生长因子受体,干扰周期蛋白和周期蛋白激酶,促进病毒癌基因转化,抑制抑癌基因表达,激活启动子促进病毒繁殖,并通过多种机制促使损伤细胞,通过细胞周期,使宿主细胞增殖,分化延缓,恶性化。E5基因变异意味着功能有可能改变,可能机体或细胞对病毒变异株的免疫能力,与宫颈癌的发生和HPV的嗜上皮性有关,因此对人乳头瘤病毒16E5基因变异的研究对于人乳头瘤病毒16在宫颈癌发病中的作用有着不可忽略的意义。本文对人乳头瘤病毒16E5突变株在宫颈癌组织中的作用及其基因突变的研究现状进行分析。     

柯萨奇病毒B组5型非结构蛋白抑制NF-κB信号通路的作用机制研究

目的 柯萨奇病毒B组5型（CVB5）是手足口病的重要病原体之一,可导致发热、皮疹或疱疹等临床症状,重症者出现神经系统疾病,甚至死亡。天然免疫应答是机体抗病毒入侵的第一道防线,其中核因子κB (NF-κB)是宿主天然免疫反应中的重要蛋白质,然而关于CVB5感染后调控NF-κB介导信号通路的研究尚鲜有报道。方法 本研究通过检测启动子活性、促炎因子水平以及通路中关键蛋白表达等,阐明CVB5对NF-κB信号通路的调控作用机制。结果 CVB5感染可抑制促炎因子表达和p65的磷酸化。CVB5非结构蛋白（NSP）可抑制促炎因子表达以及重要蛋白p65和IκBα的磷酸化。经STRING11.1数据库预测表明,CVB5 3CD蛋白与宿主多聚胞嘧啶结合蛋白1 (PCBP1)具有相互作用,且PCBP1可促进IκBα和p65的磷酸化,抑制病毒复制。结论 CVB5 NSP可负调控NF-κB信号通路,且与3CD相互作用的PCBP1蛋白可通过调控NF-κB通路抑制CVB5复制。本研究探索病毒与宿主天然免疫应答的调控作用,从而为研制抗CVB5感染的药物提供作用靶点。     

Cervical cancer vaccines: emerging concepts and developments

Certain human cancers are linked to infection by oncogenic viruses that are able to cause transformation of the normal host cell into a cancerous cell. Human papillomavirus (HPV) DNA and expression of viral transforming proteins are found in virtually all cervical cancer cells, indicating an important role of this virus in the pathogenesis of the disease. Evidence exists that the immune response to cancer cells can play a major role in determining the outcome of disease. The fact that HPV is a necessary cause for cervical cancer provides a clear opportunity to develop a therapeutic vaccine against the virus to treat patients with cervical cancer at its early and late stages. Development of a prophylactic vaccine for HPV would also reduce the incidence of cervical neoplasias by preventing virus infection. Various candidate HPV vaccines are being developed and tested in animal models and/or in human clinical trials. These HPV vaccines, both preventive and therapeutic, are the subjects of this review.     

Immune response in cervical dysplasia induced by human papillomavirus: the influence of human immunodeficiency virus-1 co-infection -- review

Human immunodeficiency virus (HIV-1) has become an important risk factor for human papillomavirus (HPV) infection and the development of HPV associated lesions in the female genital tract. HIV-1 may also increase the oncogenicity of high risk HPV types and the activation of low risk types. The Center for Disease Control and Prevention declared invasive cervical cancer an acquired immunodeficiency virus (AIDS) defining illness in HIV positive women. Furthermore, cervical cancer happens to be the second most common female cancer worldwide. The host's local immune response plays a critical factor in controlling these conditions, as well as in changes in the number of professional antigen-presenting cells, cytokine, and MHC molecules expression. Also, the production of cytokines may determine which arm of the immune response will be stimulated and may influence the magnitude of immune protection. Although there are many studies describing the inflammatory response in HPV infection, few data are available to demonstrate the influence of the HIV infection and several questions regarding the cervical immune response are still unknown. In this review we present a brief account of the current understanding of HIV/HPV co-infection, emphasizing cervical immune response.     

Acquired immune response to oncogenic human papillomavirus associated with prophylactic cervical cancer vaccines

Human papillomavirus (HPV) is a common infection among women and a necessary cause of cervical cancer. Oncogenic HPV types infecting the anogenital tract have the potential to induce natural immunity, but at present we do not clearly understand the natural history of infection in humans and the mechanisms by which the virus can evade the host immune response. Natural acquired immune responses against HPV may be involved in the clearance of infection, but persistent infection with oncogenic virus types leads to the development of precancerous lesions and cancer. B cell responses are important for viral neutralization, but antibody responses in patients with cervical cancer are poor. Prophylactic vaccines targeting oncogenic virus types associated with cervical cancer have the potential to prevent up to 80% of cervical cancers by targeting HPV types 16 and 18. Clinical data show that prophylactic vaccines are effective in inducing antibody responses and in preventing persistent infection with HPV, as well as the subsequent development of high-grade cervical intraepithelial neoplasia. This article reviews the known data regarding natural immune responses to HPV and those developed by prophylactic vaccination.     

MicroRNAs as biomarkers of cervical cancer development: a literature review on miR-125b and miR-34a

MicroRNAs are non-coding RNAs with important functions in several biological processes, such as, regulation of cell cycle, immune response, inflammation, and apoptosis. In fact, deregulation and abnormal expression of these molecules is associated with human pathologies including cancer and several have already emerged as potential prognostic biomarkers in different neoplasias. miR-34a is directly regulated by p53 and acts as tumor suppressor while miR-125b plays a significant role in immune response and apoptosis. In cervical carcinogenesis, HPV proteins seem to interact with both miR-34a and miR-125b changing its expression and promoting persistent infection and cervical cancer development. In this review we describe the potential role of miR-125b and miR-34a in cervical carcinogenesis, including interaction with HPV and mechanism of deregulation. Additionally, their clinical applications in cervical cancer as prognostic/predictive biomarkers are also briefly discussed.     

Human papillomavirus (HPV) infection in Southern Africa: prevalence,immunity, and vaccine prospects

Human papillomavirus (HPV) associated cancers are more prevalent in developing countries compared to developed countries. The major cancer caused by HPV is cervical cancer. The humoral immune response to HPV can be a marker of past infection but may also reflect persistent infection and cervical disease. IgA antibodies to HPV in oral fluid were also found to be markers of cervical disease. Cell mediated immunity is important in clearing HPV infection and for regression of the associated lesions: this means that women infected with HIV have a high prevalence of co-infection with HPV. Good cervical screening programmes can control HPV associated cervical neoplasia. However, in countries such as South Africa, where these programmes are inadequate, there is a need for an HPV vaccine. The development of HPV vaccines is reviewed. There is a call for an inexpensive vaccine that will be accessible to the women that do not have access to adequate screening programmes and are therefore at the greatest risk of cervical cancer.     

高危型HPV和L1壳蛋白与宫颈病变关系的研究进展

宫颈病变是女性最常见的疾病之一,是多种因素共同作用的结果。宫颈癌及癌前病变的发生、发展是一个多因素、多步骤的复杂过程,多种基因的改变引发细胞的增殖失控。大量资料表明高危型人乳头瘤病毒(HPV)感染是宫颈病变的主要危险因素,其中HPV16、18型感染占了绝大部分。HPV整合状态与宫颈病变程度密切相关,人乳头瘤病毒(HPV)L1壳蛋白为免疫杀伤HPV病毒的主要靶位,L1蛋白的表达有利于激发人体细胞免疫,清除感染的细胞。HPV感染机体且病毒处于复制阶段时L蛋白才在机体中表达,但是当HPV病毒DNA与宿主细胞基因整合后,L1壳蛋白将不表达,无法形成一系列免疫反应,引发宫颈癌。HPV L1壳蛋白的表达缺失与宫颈病变的进展密切相关。本文对高危型HPV与HPV L1壳蛋白在宫颈病变中的研究进展作一综述。     

TGF-beta signalling pathway factors in HPV-induced cervical lesions

Human papillomaviruses (HPV) are considered the etiological agents of cervical cancer, especially high-risk genotypes. TGF-beta (transforming growth factor-beta) is well known for its anti-proliferative effects but the neoplastic cells often lose their sensitivity to TGF-beta. A characteristic alteration associated with malignant progression is the loss of responsiveness to TGF-beta1-induced cell growth inhibition. The aim of the present study was to establish the possible role of some members of TGF-beta signalling pathway during cervical cancer development and the possible relationship with HPV infection. In order to establish TGF-beta gene expression levels in cervical oncogenesis, TGF-beta1, TGF-beta1 receptors and Smad2 were investigated in precancerous and cervical cancer samples (Quantitative Real-Time PCR). The study revealed that 84.5% of patients were positive for HPV DNA. The most prevalent HPV genotypes were high-risk HPV 16 and 18 in single or co-infections. Expression of TGF-beta1 decreased as tumor cells progressed from cervical intraepithelial neoplasia to cervical carcinoma. Furthermore, we observed that cervical lesions without HPV infection expressed significantly less TGF-beta1. TGF-betaRI and Smad2 gene expression levels were found to be decreased in SCC and AC samples in contrast with CIN1 and CIN2/3 samples. Our results showed that in human cervical cancer the disruption of TGF-beta/Smad signalling pathway might contribute to the malignant progression of cervical dysplasia. These data emphasize the importance of canonical TGF-beta pathway integrity in carcinogenesis.