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人乳头瘤病毒在泌尿系统肿瘤中的作用及机制。

The role and mechanism of human papillomavirus in urinary system tumors.

作者信息

Huang Hongxia, Feng Shubing, Liu Yuanhang

机构信息

Department of Nursing, Guangxi Medical University Nursing College, China.

出版信息

J Int Med Res. 2025 Jun;53(6):3000605251348233. doi: 10.1177/03000605251348233. Epub 2025 Jun 25.

Abstract

Based on the level of carcinogenic risk, human papillomavirus can be categorized into high-risk and low-risk types. High-risk human papillomavirus (such as human papillomavirus 16 and human papillomavirus 18) induces the inactivation of tumor suppressor genes p53 and retinoblastoma by encoding E6 and E7 proteins, leading to dysregulated cell cycles and excessive cell proliferation. In urothelial tumors, human papillomavirus infection is associated with the occurrence and progression of bladder cancer, playing a significant role in urothelial tumor development. This may be linked to specific molecular mechanisms triggered by human papillomavirus and its impact on treatment response. Furthermore, high expression of human papillomavirus-related molecular markers, such as p16, can serve as an important tool for predicting and monitoring the prognosis of human papillomavirus-associated tumors. Therefore, detecting and monitoring human papillomavirus infection status and related molecular markers can provide a more accurate assessment of bladder cancer prognosis and offer valuable guidance for formulating personalized treatment plans.

摘要

根据致癌风险水平,人乳头瘤病毒可分为高危型和低危型。高危型人乳头瘤病毒(如人乳头瘤病毒16型和人乳头瘤病毒18型)通过编码E6和E7蛋白诱导肿瘤抑制基因p53和视网膜母细胞瘤蛋白失活,导致细胞周期失调和细胞过度增殖。在尿路上皮肿瘤中,人乳头瘤病毒感染与膀胱癌的发生和进展相关,在尿路上皮肿瘤发展中起重要作用。这可能与由人乳头瘤病毒触发的特定分子机制及其对治疗反应的影响有关。此外,人乳头瘤病毒相关分子标志物(如p16)的高表达可作为预测和监测人乳头瘤病毒相关肿瘤预后的重要工具。因此,检测和监测人乳头瘤病毒感染状态及相关分子标志物可为膀胱癌预后提供更准确的评估,并为制定个性化治疗方案提供有价值的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d85e/12198554/569d8fed07a3/10.1177_03000605251348233-fig1.jpg

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