Epstein–Barr Virus Antibody Titers Are Not Associated with Gastric Cancer Risk in East Asia

Background Epstein–Barr virus (EBV)-positive gastric cancers represent a distinct subtype of gastric cancers and account for nearly 10% of the gastric cancer burden, yet risk detection strategies for this cancer subtype are lacking. Methods We conducted a nested case–control study where we assayed 4...

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Veröffentlicht in:Digestive diseases and sciences 2018-10, Vol.63 (10), p.2765-2772
Hauptverfasser: Varga, Matthew G., Cai, Hui, Waterboer, Tim, Murphy, Gwen, Shimazu, Taichi, Taylor, Phil R., Qiao, You-Lin, Park, Sue K., Yoo, Keun-Young, Jee, Sun Ha, Cho, Eo Rin, Kim, Jeongseon, Abnet, Christian C., Tsugane, Shoichiro, Cai, Qiuyin, Zheng, Wei, Pawlita, Michael, Shu, Xiao-Ou, Epplein, Meira
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container_end_page 2772
container_issue 10
container_start_page 2765
container_title Digestive diseases and sciences
container_volume 63
creator Varga, Matthew G.
Cai, Hui
Waterboer, Tim
Murphy, Gwen
Shimazu, Taichi
Taylor, Phil R.
Qiao, You-Lin
Park, Sue K.
Yoo, Keun-Young
Jee, Sun Ha
Cho, Eo Rin
Kim, Jeongseon
Abnet, Christian C.
Tsugane, Shoichiro
Cai, Qiuyin
Zheng, Wei
Pawlita, Michael
Shu, Xiao-Ou
Epplein, Meira
description Background Epstein–Barr virus (EBV)-positive gastric cancers represent a distinct subtype of gastric cancers and account for nearly 10% of the gastric cancer burden, yet risk detection strategies for this cancer subtype are lacking. Methods We conducted a nested case–control study where we assayed 4 EBV antigens [viral capsid antigen (VCA), early antigen (EA), Epstein–Barr nuclear antigen (EBNA), and BZLF1-encoded replication activator protein (ZEBRA)] in either sera or plasma from 1447 gastric cancer cases and 1797 controls obtained from seven prospective cohorts representing individuals from the high gastric cancer-risk countries of China, Japan, and Korea. Results The prevalence of EBV sero-positivity was universal with the exception of one sero-negative individual, and the highest titers of the EBV antigens VCA (OR 0.95, 95% CI 0.78–1.17), EBNA (OR 0.88, 95% CI 0.72–1.08), EA (OR 0.97, 95% CI 0.79–1.19), and ZEBRA (OR 0.87, 95% CI 0.71–1.07) were not associated with risk of incident gastric cancer. When we stratified these data by H. pylori status, there was no change in the association. Conclusions Multiplex serology of the aforementioned EBV antigens in serum may not be a suitable biomarker for predicting gastric cancer risk in East Asian populations.
doi_str_mv 10.1007/s10620-018-5154-9
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Methods We conducted a nested case–control study where we assayed 4 EBV antigens [viral capsid antigen (VCA), early antigen (EA), Epstein–Barr nuclear antigen (EBNA), and BZLF1-encoded replication activator protein (ZEBRA)] in either sera or plasma from 1447 gastric cancer cases and 1797 controls obtained from seven prospective cohorts representing individuals from the high gastric cancer-risk countries of China, Japan, and Korea. Results The prevalence of EBV sero-positivity was universal with the exception of one sero-negative individual, and the highest titers of the EBV antigens VCA (OR 0.95, 95% CI 0.78–1.17), EBNA (OR 0.88, 95% CI 0.72–1.08), EA (OR 0.97, 95% CI 0.79–1.19), and ZEBRA (OR 0.87, 95% CI 0.71–1.07) were not associated with risk of incident gastric cancer. When we stratified these data by H. pylori status, there was no change in the association. Conclusions Multiplex serology of the aforementioned EBV antigens in serum may not be a suitable biomarker for predicting gastric cancer risk in East Asian populations.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-018-5154-9</identifier><identifier>PMID: 29948559</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Antibodies ; Antigens ; Biochemistry ; Cancer ; Epstein-Barr virus ; Gastric cancer ; Gastroenterology ; Health aspects ; Health risk assessment ; Hepatology ; Medicine ; Medicine &amp; Public Health ; Oncology ; Oncology, Experimental ; Original Article ; Risk factors ; Stomach cancer ; Transplant Surgery ; Viral antibodies</subject><ispartof>Digestive diseases and sciences, 2018-10, Vol.63 (10), p.2765-2772</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Digestive Diseases and Sciences is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-16c37b6f5cf41dd6d8f13070081de5da5c801f571222548787f59426048b7eae3</citedby><cites>FETCH-LOGICAL-c537t-16c37b6f5cf41dd6d8f13070081de5da5c801f571222548787f59426048b7eae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-018-5154-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-018-5154-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29948559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Varga, Matthew G.</creatorcontrib><creatorcontrib>Cai, Hui</creatorcontrib><creatorcontrib>Waterboer, Tim</creatorcontrib><creatorcontrib>Murphy, Gwen</creatorcontrib><creatorcontrib>Shimazu, Taichi</creatorcontrib><creatorcontrib>Taylor, Phil R.</creatorcontrib><creatorcontrib>Qiao, You-Lin</creatorcontrib><creatorcontrib>Park, Sue K.</creatorcontrib><creatorcontrib>Yoo, Keun-Young</creatorcontrib><creatorcontrib>Jee, Sun Ha</creatorcontrib><creatorcontrib>Cho, Eo Rin</creatorcontrib><creatorcontrib>Kim, Jeongseon</creatorcontrib><creatorcontrib>Abnet, Christian C.</creatorcontrib><creatorcontrib>Tsugane, Shoichiro</creatorcontrib><creatorcontrib>Cai, Qiuyin</creatorcontrib><creatorcontrib>Zheng, Wei</creatorcontrib><creatorcontrib>Pawlita, Michael</creatorcontrib><creatorcontrib>Shu, Xiao-Ou</creatorcontrib><creatorcontrib>Epplein, Meira</creatorcontrib><title>Epstein–Barr Virus Antibody Titers Are Not Associated with Gastric Cancer Risk in East Asia</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background Epstein–Barr virus (EBV)-positive gastric cancers represent a distinct subtype of gastric cancers and account for nearly 10% of the gastric cancer burden, yet risk detection strategies for this cancer subtype are lacking. Methods We conducted a nested case–control study where we assayed 4 EBV antigens [viral capsid antigen (VCA), early antigen (EA), Epstein–Barr nuclear antigen (EBNA), and BZLF1-encoded replication activator protein (ZEBRA)] in either sera or plasma from 1447 gastric cancer cases and 1797 controls obtained from seven prospective cohorts representing individuals from the high gastric cancer-risk countries of China, Japan, and Korea. Results The prevalence of EBV sero-positivity was universal with the exception of one sero-negative individual, and the highest titers of the EBV antigens VCA (OR 0.95, 95% CI 0.78–1.17), EBNA (OR 0.88, 95% CI 0.72–1.08), EA (OR 0.97, 95% CI 0.79–1.19), and ZEBRA (OR 0.87, 95% CI 0.71–1.07) were not associated with risk of incident gastric cancer. When we stratified these data by H. pylori status, there was no change in the association. Conclusions Multiplex serology of the aforementioned EBV antigens in serum may not be a suitable biomarker for predicting gastric cancer risk in East Asian populations.</description><subject>Antibodies</subject><subject>Antigens</subject><subject>Biochemistry</subject><subject>Cancer</subject><subject>Epstein-Barr virus</subject><subject>Gastric cancer</subject><subject>Gastroenterology</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Hepatology</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Risk factors</subject><subject>Stomach cancer</subject><subject>Transplant Surgery</subject><subject>Viral antibodies</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kt9uFCEUxonR2G31AbwxJN54M5XD8G9uTNbNWk0aTUz1zhCWYbbUWViB0fSu7-Ab-iSy2dpao-ECOPy-Dw75EHoC5BgIkS8yEEFJQ0A1HDhruntoBly2DeVC3UczAqKuAcQBOsz5ghDSSRAP0QHtOqY472bo83Kbi_Ph59WPVyYl_MmnKeN5KH4V-0t85otLdZ8cfhcLnuccrTfF9fi7L-f4xOSSvMULE6xL-IPPX7APeFnLlfXmEXowmDG7x9fzEfr4enm2eNOcvj95u5ifNpa3sjQgbCtXYuB2YND3olcDtEQSoqB3vDfcKgIDl0Ap5UxJJQfeMSoIUyvpjGuP0Mu973ZabVxvXSjJjHqb_MakSx2N13dPgj_X6_hNC2g7Kkk1eH5tkOLXyeWiNz5bN44muDhlTYkgSjIFbUWf_YVexCmF2l6leH0fYy2_pdZmdNqHIdZ77c5Uz2sfXSuZ6Cp1_A-qjt5tvI3BDb7W7whgL7Ap5pzccNMjEL3LhN5nQtdM6F0m9E7z9M_PuVH8DkEF6B7I9SisXbrt6P-uvwCMfL_0</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Varga, Matthew G.</creator><creator>Cai, Hui</creator><creator>Waterboer, Tim</creator><creator>Murphy, Gwen</creator><creator>Shimazu, Taichi</creator><creator>Taylor, Phil R.</creator><creator>Qiao, You-Lin</creator><creator>Park, Sue K.</creator><creator>Yoo, Keun-Young</creator><creator>Jee, Sun Ha</creator><creator>Cho, Eo Rin</creator><creator>Kim, Jeongseon</creator><creator>Abnet, Christian C.</creator><creator>Tsugane, Shoichiro</creator><creator>Cai, Qiuyin</creator><creator>Zheng, Wei</creator><creator>Pawlita, Michael</creator><creator>Shu, Xiao-Ou</creator><creator>Epplein, Meira</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181001</creationdate><title>Epstein–Barr Virus Antibody Titers Are Not Associated with Gastric Cancer Risk in East Asia</title><author>Varga, Matthew G. ; 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Methods We conducted a nested case–control study where we assayed 4 EBV antigens [viral capsid antigen (VCA), early antigen (EA), Epstein–Barr nuclear antigen (EBNA), and BZLF1-encoded replication activator protein (ZEBRA)] in either sera or plasma from 1447 gastric cancer cases and 1797 controls obtained from seven prospective cohorts representing individuals from the high gastric cancer-risk countries of China, Japan, and Korea. Results The prevalence of EBV sero-positivity was universal with the exception of one sero-negative individual, and the highest titers of the EBV antigens VCA (OR 0.95, 95% CI 0.78–1.17), EBNA (OR 0.88, 95% CI 0.72–1.08), EA (OR 0.97, 95% CI 0.79–1.19), and ZEBRA (OR 0.87, 95% CI 0.71–1.07) were not associated with risk of incident gastric cancer. When we stratified these data by H. pylori status, there was no change in the association. Conclusions Multiplex serology of the aforementioned EBV antigens in serum may not be a suitable biomarker for predicting gastric cancer risk in East Asian populations.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29948559</pmid><doi>10.1007/s10620-018-5154-9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Antibodies
Antigens
Biochemistry
Cancer
Epstein-Barr virus
Gastric cancer
Gastroenterology
Health aspects
Health risk assessment
Hepatology
Medicine
Medicine & Public Health
Oncology
Oncology, Experimental
Original Article
Risk factors
Stomach cancer
Transplant Surgery
Viral antibodies
title Epstein–Barr Virus Antibody Titers Are Not Associated with Gastric Cancer Risk in East Asia
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