Parasitic infections are increasingly recognized as contributors to cancer development,yet the underlying oncogenic mechanisms remain insufficiently understood.Growing evidence from molecular oncology,immunology,and m...Parasitic infections are increasingly recognized as contributors to cancer development,yet the underlying oncogenic mechanisms remain insufficiently understood.Growing evidence from molecular oncology,immunology,and microbiome research suggests that chronic parasitic infections may drive tumorigenesis through sustained inflammation,deregulated signaling pathways,genomic instability,and the release of parasite-derived exosomes that reshape the tumor microenvironment.These insights underscore the need to integrate parasitology with cancer biology to understand infection-associated malignancies better.The aim of this narrative review is to synthesize current knowledge on how selected parasites contribute to cancer development and to highlight emerging therapeutic and diagnostic opportunities.We examine pathogens such as Schistosoma haematobium,Opisthorchis viverrini,Toxoplasma gondii,Plasmodium falciparum,and Leishmania spp.,detailing their roles in chronic inflammation,immune modulation,and interactions with tumor-associated immune cells.The review further discusses parasite-induced immunosuppression,coinfections,and their cumulative impact on cancer risk.Additionally,we explore novel therapeutic approaches,including pathway inhibitors,epigenetic drugs,microbiome modulation,and engineered parasites.Future perspectives emphasize parasite-based immunotherapies,long-term epigenetic consequences of infection,and AI-driven multiomics strategies for identifying oncogenic signatures.This review integrates advances from parasitology and oncology to provide new insights into biomarkers,targeted therapies,and mechanisms of infection-induced tumorigenesis.The literature search covered studies indexed in PubMed,Scopus,and Web of Science up to July 2025.展开更多
为推进中外学生趋同化教育,南京医科大学针对来华内外全科医学学士(Bachelor of Medicine and Bachelor of Surgery,MBBS)教育留学生设计了寄生虫学选修课——《宿敌化盟友》,并采用研究型教学方法对31名留学生进行授课。该课程包括寄...为推进中外学生趋同化教育,南京医科大学针对来华内外全科医学学士(Bachelor of Medicine and Bachelor of Surgery,MBBS)教育留学生设计了寄生虫学选修课——《宿敌化盟友》,并采用研究型教学方法对31名留学生进行授课。该课程包括寄生虫相关知识、科研基本知识和技能、科研进展前沿专题3部分内容,考核内容包括课程签到、课堂活动参与度及科研汇报3个方面。课程考核结果显示,2018—2021、2022级和2023级分别有100.0%(8/8)、81.8%(9/11)和83.3%(10/12)的学生总得分≥80分,3个年级学生中位得分(四分位间距)[M(QR)]分别为91.1(7.0)、90.8(5.7)分和90.8(5.7)分,差异无统计学意义(H=0.04,P>0.05)。此外,采用李克特量表以问卷调查的方式调查31名MBBS教育留学生对该课程的学习兴趣以及对课程实用性、重要性的评价,共回收27份有效问卷,问卷回收率为87.1%。问卷调查结果显示,2018—2021、2022级和2023级学生问卷总得分M(QR)分别为7.0(0.8)、6.4(1.4)、6.0(1.1)分,差异无统计学意义(H=2.64,P>0.05)。以上结果表明,该选修课提升了MBBS教育留学生对寄生虫学学科的学习兴趣及其自主学习、团队合作、创新思维等方面的能力。展开更多
文摘Parasitic infections are increasingly recognized as contributors to cancer development,yet the underlying oncogenic mechanisms remain insufficiently understood.Growing evidence from molecular oncology,immunology,and microbiome research suggests that chronic parasitic infections may drive tumorigenesis through sustained inflammation,deregulated signaling pathways,genomic instability,and the release of parasite-derived exosomes that reshape the tumor microenvironment.These insights underscore the need to integrate parasitology with cancer biology to understand infection-associated malignancies better.The aim of this narrative review is to synthesize current knowledge on how selected parasites contribute to cancer development and to highlight emerging therapeutic and diagnostic opportunities.We examine pathogens such as Schistosoma haematobium,Opisthorchis viverrini,Toxoplasma gondii,Plasmodium falciparum,and Leishmania spp.,detailing their roles in chronic inflammation,immune modulation,and interactions with tumor-associated immune cells.The review further discusses parasite-induced immunosuppression,coinfections,and their cumulative impact on cancer risk.Additionally,we explore novel therapeutic approaches,including pathway inhibitors,epigenetic drugs,microbiome modulation,and engineered parasites.Future perspectives emphasize parasite-based immunotherapies,long-term epigenetic consequences of infection,and AI-driven multiomics strategies for identifying oncogenic signatures.This review integrates advances from parasitology and oncology to provide new insights into biomarkers,targeted therapies,and mechanisms of infection-induced tumorigenesis.The literature search covered studies indexed in PubMed,Scopus,and Web of Science up to July 2025.
文摘为推进中外学生趋同化教育,南京医科大学针对来华内外全科医学学士(Bachelor of Medicine and Bachelor of Surgery,MBBS)教育留学生设计了寄生虫学选修课——《宿敌化盟友》,并采用研究型教学方法对31名留学生进行授课。该课程包括寄生虫相关知识、科研基本知识和技能、科研进展前沿专题3部分内容,考核内容包括课程签到、课堂活动参与度及科研汇报3个方面。课程考核结果显示,2018—2021、2022级和2023级分别有100.0%(8/8)、81.8%(9/11)和83.3%(10/12)的学生总得分≥80分,3个年级学生中位得分(四分位间距)[M(QR)]分别为91.1(7.0)、90.8(5.7)分和90.8(5.7)分,差异无统计学意义(H=0.04,P>0.05)。此外,采用李克特量表以问卷调查的方式调查31名MBBS教育留学生对该课程的学习兴趣以及对课程实用性、重要性的评价,共回收27份有效问卷,问卷回收率为87.1%。问卷调查结果显示,2018—2021、2022级和2023级学生问卷总得分M(QR)分别为7.0(0.8)、6.4(1.4)、6.0(1.1)分,差异无统计学意义(H=2.64,P>0.05)。以上结果表明,该选修课提升了MBBS教育留学生对寄生虫学学科的学习兴趣及其自主学习、团队合作、创新思维等方面的能力。
