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cervical cancer can result from a sexually transmitted disease, such as chlamydia.

Chlamydia May Increase Risk of Cervical Cancer
Chlamydia May Increase Risk of Cervical Cancer
Warning: The NCBI website requires JavaScript to operate. Chlamydia increases the risk of cervical cancerInfection with certain subtypes of chlamydia, a bacteria that is sexually transmitted commonly, significantly increases the risk of cervical cancer, according to a new report (JAMA 2001; 285:47-51). Although infections with oncogenic strains of the human papillomavirus remain the main cause of cervical cancer, infection with some strains of chromomatis appears to contribute to that risk. The finding is important because chlamydia, although often asymptomatic, is one of the most common sexually transmitted diseases and can be treated with appropriate antibiotics. In the United States, between four million and eight million new cases of chlamydia are reported annually. Bacteria — which, when symptomatic, causes purulent discharge, dysshuria and uretritis — can also cause upward infections that lead to pelvic inflammatory disease and infertility. Previous studies indicated that chlamydia is a risk factor for cervical cancer (International Journal of Cancer 2000;85:35-9). Although an association has been established, it is unknown if the risk is specific. Directed by Dr. Tarja Anttila of the Finnish National Institute of Public Health, researchers from Finland, Norway and Sweden began to discover the relationship between infection with subtypes of chlamydia and the subsequent development of squamous cell carcinoma of the cervix. To do this, they searched for national cancer records for cervical cancer cases and linked serum banks to patients in the records, using a longitudinal case control design. These data files were searched for cases of cervical carcinoma and seropositivity for IgG chlamydia antibodies, measured by immunofluorescence. Exposure to human oncogen papillomaviruses of 16, 18 and 33, as well as the cotinine of by-product of tobacco, was also tested, as they are known risk factors for cervical cancer. The infection with the human papillomavirus and chlamydia was also confirmed by the isolation of the DNA of these organisms in tissue sections of cancer cases. One hundred and eight cases of invasive cervical carcinoma were identified. Most cases came from Norway (129), with 8 Finnish and 4 Swedish cases. In total, 150 (82%) of cancers were squamous cell carcinomas, and the rest were adenocarcinomas. The average age for diagnosis was 44 years. For each of these cases, a sample of prediagnostic serum was analyzed and was designed for the exposure to 10 types (or serovares) of chlamydia. The overall prevalence of serum antibodies at trachomatis was 27% among cancer cases and 13% in the controls. The average time between serum donation and cervical cancer diagnosis was 56 months. Serum samples were obtained from three control subjects for each case, packaged for age, country and county, as well as for the storage time of samples. The 533 control subjects were cancer-free at the time of blood donation. Researchers found that three types of chlamydia (G, I and D) significantly increased the risk of cervical cancer. Women infected with serotype G were at the highest risk, with an increase of 6.6 times higher incidence on non-infected cohorts, and those infected with serotypes I and D faced a risk of 4 and 2.7 times higher, respectively. In addition, researchers found that exposure to multiple strains, or more than one serotype, also increased the risk of cervical squamous cell cancer. Adenocarcinoma of the cervix did not appear to be associated with chlamydia. Although the study is interesting, it is not clear whether chlamydia is an independent risk factor for cervical cancer or simply associated with it because it travels with other risk factors, such as human papillomavirus and promiscuous sexual activity without protection. Formats:Share , 8600 Rockville Pike, Bethesda MD, 20894 USA

Log in using your username and password Main menu Log in using your username and password You are here. Article textAltmetric.comGenital Statistics Chlamydia trachomatis infections have been recognized as an important public health problem. The World Health Organization (WHO) estimates that 50 million cases of trachomatis infection occur every year around the world. Trachomatis is the main cause of mucopurulent cervicitis, pelvic inflammatory disease, tubal infertility and ectopian pregnancy. Therefore, the costs of medical care due to complications caused by C trachomatis infections are enormous. Cervical cancer is the most common cancer in women around the world. Epidemiological studies have shown that early sexual activity is a risk factor for cervical cancer. The types of high-risk human papilloma (HPV) are found in virtually all cervical carcinomas. The evidence that binds the types of HPV oncogens in the aetiology of cervical carcinoma is undoubted. Longitudinal studies based on HPV DNA have confirmed the seroepidemiological findings that the previous HPV infection predisposes the development of cervical carcinoma. Since Trachomatis infection is also a marker of sexual activity, an association between trachomatis C and cervical cancer has been suggested. Previous case-control studies have found cytological or serological evidence of the role of trachomatis C in cervical neoplasia.– Recent longitudinal seroepidemiological studies also show that trachomatis C infection is associated with cervical carcinoma., This association remains after the setting for smoking and serum antibodies to high-risk HPV types. The association was specific for squamous cell carcinoma, and not for adenocarcinoma. Of specific C-trachomatis serotypes, serotype G was more strongly associated with cervical squamous cell carcinoma. In addition, the presence of serum IgG antibodies to more than one serotype increased the risk. The link between trachomatis and squamous cell carcinoma is unexpected as it is well known that the objectives of trachomatis are endocervical glandular cells, and that women with cervical ectopia are more susceptible to trachomatis than women without cervical ectopia. However, the endocervical epithelium of the transformation zone suffers a process known as squamous metaplasia, and metaplastic cells are also targets for tracomatis C. In fact, persistent clamidiary infection can be one of the factors that induce squamous metaplasia and metaplastic atypia of cells., no association has been shown between the presence of C trachomatis antibodies and the development of non-cervical anogenital cancers. The incidence of ovarian cancer is increasing. Ovarian cancer is the number one killer among gynecological diseases. Ovarian cancer is unknown. Incipient ovulation and exposure to high levels of gonadotropin increase the risk of ovarian cancer while gestating, breastfeeding, use of oral contraceptives and tubalt ligation, all protect against ovarian cancer. Concern about the risk of ovarian cancer associated with the treatment of infertility or infertility has intensified by several reports. – However, although the association has become less compelling on the basis of many subsequent larger studies, it is tempting to speculate that a common cause of salpingitis, oofritis and infertility such as trachomatis C infection may explain the link between cancer and cancer 1). Curiously, a study of cancer incidence correlations suggests that cervical cancer and ovarian cancer may have common aetiological factors. However, the presence or absence of HPV DNA or trachomatis C DNA in benign or malignant ovarian tumors has not been widely studied. It is well known that inflammatory clamidial pelvic disease (PID) is associated with high levels of serum of tumor markers associated with ovarian cancer CA-125 and TATI (associated tumoral trippsy inhibitor). These tumor markers may reflect tissue damage and the interruption of the basement membrane seen in severe ophoritis. An association between auto-reported PID and subsequent ovarian cancer has been reported in a histologically verified epithelial ovarian cancer control study. Using the overall probabilities ratio and the estimated life prevalence of the history of the IDP, the authors estimated that approximately 9% of ovarian cancer in the population could be due to the previous IDP. However, another recent study did not confirm these results. Epidemiological studies that link the past history of PID and ovarian epithelial cancer in later life are problematic, because the history of PID is not reliable and because the levels of clamidal antibody decrease over time. Thus, the epidemiological evidence available to date is far from convincing. The link between chlamydia and cancer is biologically plausible because many other chronic bacterial infections have been related to the development of malignant diseases. Already in 1936 the venereum of lymphoma (LGV) caused by the L2 strain of trachomatis was linked to cancer. In addition, another common microbe, Helicobacter pylori has been associated with the development of gastric cancer., The result and sequel of chronic or subclinical chlamydia infection can be influenced by the host immune response. Chromodial thermal shock proteins (HSP) induce humoral and cellular immune responses eliminated in individuals who develop long-term sequelae. Therefore, cervical chlamyidiary infection can result in local immune disturbances that favor the persistence or progression of infection caused by high-risk HPV types. The poor immune response can lead to the persistence of the body and the development of the immune mediated tissue lesion that increases the risk of malignant transformation. Serotype G has been associated with symptomatic infections and upper genital tract infections., Serotype G was also associated with cervical carcinoma. Thus, the specific serotypes of C trachomatis could be more virulent than others, and perhaps less sensitive to appropriate antimicrobials, and therefore they could participate in carcinogenesis. Carcinoma development has been going on for several years, probably decades. The link between bacterial infections and carcinogenesis is unclear, but genetic damage and neoplastic changes can be induced into vitro by cocultor cells with activated inflammatory cells. The release of nitric oxide occurs in trachoma infections. Recent studies have shown that trachomatis inhibits apoptosis of host cells by specific mechanisms. In chronic chlamydia infections these mechanisms could initiate or promote carcinogenesis. Both the specific differences of serotype and the fact that the risk was greater in women exposed to more than one serotype suggest that trachomatis may have a role in cervical carcinogenesis. It is tempting to speculate on the possible molecular mechanisms that explain this association, for example, whether specific determinants related to specific clamamidial serotypes could be directly or indirectly carcinogenic. However, until it has been shown that the confirming evidence of an association is premature to conclude that trachomatis C is causally related to these cancers. The hypothetical link between tracomatis C and ovarian epithelial cancer. *PID = pelvic inflammatory disease; †PCO = polycetic ovaries. ReferencesRequest permits If you wish to reuse any or all of this article, please use the link below that will take you to the RightsLink service of the Copyright Settlement Center. You will be able to get a quick price and instant permission to reuse the content in many different ways. Copyright Information: Read the full text or download the PDF: Sign in with your username and passwordOnline: ISSN 1472-3263Print: ISSN 1368-4973 Copyright © 2021 BMJ Publishing Group Ltd. All rights reserved. 4.00ICP sponsors15042040 forwarded-3

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