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引用次数: 0
摘要
尽管在筛查和预防方面取得了进展,但宫颈癌(CC)仍然是一个尚未解决的公共卫生问题,尤其对低收入地区的妇女而言,它构成了一项重大的全球性挑战。人类乳头瘤病毒(HPV)感染,尤其是高危病毒株感染,是宫颈癌发生的主要驱动因素。新的证据表明,将 HPV 检测与宫颈细胞学和肉眼检查等现有方法相结合,可提高 CC 筛查的灵敏度和特异性。与 HPV 感染相关的生物标志物,包括 HPV E6/E7 致癌基因、p16^INK4a、DNA 甲基化特征和非编码 RNA,为了解疾病进展和制定个性化干预措施提供了宝贵的信息。针对人乳头瘤病毒的预防性和治疗性疫苗接种,以及三级预防策略,如针对人乳头瘤病毒相关病变使用抗病毒和免疫调节药物,都显示出巨大的临床潜力。在机理层面,单细胞 RNA 测序分析和类器官模型的开发为 HPV 相关 CC 的发病机制提供了新的细胞和分子见解。本综述重点讨论了HPV在CC的预防、诊断和治疗中的关键作用,特别强调了筛查和疾病干预方面的最新进展。
Targeting HPV for the prevention, diagnosis, and treatment of Cervical Cancer.
Despite advances in screening and prevention, cervical cancer (CC) remains an unresolved public health issue and poses a significant global challenge, particularly for women in low-income regions. Human papillomavirus (HPV) infection, especially with the high-risk strains, is a primary driver of cervical carcinogenesis. Emerging evidence indicates that integrating HPV testing with existing approaches, such as cervical cytology and visual inspection, offers enhanced sensitivity and specificity in CC screening. HPV infection-associated biomarkers, including HPV E6/E7 oncogenes, p16^INK4a, DNA methylation signatures, and non-coding RNAs, offer valuable insights into disease progression and the development of personalized interventions. Preventive and therapeutic vaccination against HPV, along with tertiary prevention strategies such as the use of antiviral and immune-modulating drugs for HPV-related lesions, show great clinical potential. At the mechanistic level, single-cell RNA sequencing analysis and the development of organoid models for HPV infection provide new cellular and molecular insights into HPV-related CC pathogenesis. This review focuses on the crucial roles of HPV in the prevention, diagnosis, and treatment of CC, with particular emphasis on the latest advancements in screening and disease intervention.
期刊介绍:
The Journal of Molecular Cell Biology ( JMCB ) is a full open access, peer-reviewed online journal interested in inter-disciplinary studies at the cross-sections between molecular and cell biology as well as other disciplines of life sciences. The broad scope of JMCB reflects the merging of these life science disciplines such as stem cell research, signaling, genetics, epigenetics, genomics, development, immunology, cancer biology, molecular pathogenesis, neuroscience, and systems biology. The journal will publish primary research papers with findings of unusual significance and broad scientific interest. Review articles, letters and commentary on timely issues are also welcome.
JMCB features an outstanding Editorial Board, which will serve as scientific advisors to the journal and provide strategic guidance for the development of the journal. By selecting only the best papers for publication, JMCB will provide a first rate publishing forum for scientists all over the world.