Volume #44 – 1 – 3
The aetiology of human cytomegalovirus (CMV) in tumorigenesis is still a matter of debate. Mounting evidence suggests that the pathogen may offer a degree of protection against various malig- nancies. The association between CMV and brain/ central nervous system (CNS) tumours has yet to be fully elucidated, and studies inquiring into this issue from a global standpoint are lacking. We have investigated the relationship between CMV and CNS tumours the world-over and reviewed relevant litera- ture published so far. Works inquiring into the inter- play between CMV and CNS neoplasia published by November 2022 were reviewed through the PubMed® database. We also analysed the correlation between available country-specific CMV seroprevalence and the age-standardized CNS tumour incidence rates for the year 2020 for 73 countries using the data pro- vided by the International Agency for Research on Cancer (IARC) of the World Health Organization. Statistical assessment was done using Spearman’s correlation. The survey of literature yielded con- flicting opinions on the aetiology of CMV in CNS malignancies. Oncomodulation as a mechanism of pathogenesis would seem to prevail over frank on- cogenesis. On the contrary, analysis of global data revealed a significant negative correlation (p=0.001, Spearman’s ρ=-0.541) between CMV seroprevalence and the age-standardized incidence of brain tumours. Interestingly, the inverse association holds for inci- dence rates of all cancers combined as well (p=0.001, Spearman’s ρ=-0.732). A number of studies speak in favour of an immune-mediated anti-oncogenic effect against brain tumours in CMV-infected individuals. This is supported by recent success of CMV-derived therapies against gliomas. Our study offers novel data hinting at an oncoprotective capacity of CMV the world-over, which corroborates experimental re- search done so far. Extensive exploration of the mo- lecular arsenal of CMV, host-pathogen interactions and CMV seroepidemiology are warranted in order to fully clarify this pathogen’s role in CNS tumour dynamics.