Epstein-Barr virus related gastric cancer in Japan: a molecular patho-epidemiological study.

M Tokunaga, Y Uemura, T Tokudome, T Ishidate, H Masuda, E Okazaki, K Kaneko, S Naoe, M Ito, A Okamura
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引用次数: 126

Abstract

Epstein-Barr virus (EBV) involvement in gastric carcinoma has been demonstrated by the presence of EBV genomes and EBV-encoded small RNA (EBER) in the carcinoma cells, monoclonal proliferation of EBV-infected carcinoma cells and elevated antibody titers. The present study was conducted to investigate the prevalence of EBV involvement among gastric carcinomas observed in nine Japanese cities with varying gastric cancer rates. In situ hybridization of EBER-1 was applied to paraffin sections from 1848 carcinomas observed in 1795 cases and EBV involvement was detected based on uniform hybridization in carcinoma cells. Epstein-Barr virus was detected in 6.6% of lesions and 6.7% of cases. The rate of EBV involvement did not vary significantly for each city and there was no correlation with underlying gastric cancer mortality rates. Thus, geographic variation of gastric cancer rates within Japan cannot be explained in terms of EBV involvement. Epstein-Barr virus-related gastric carcinoma is one of the most common EBV-related tumors in Japan. The involvement of EBV was significantly more frequent among males than among females, mainly for cancers occurring in the upper and middle part of the stomach, and exhibited more variation by cell type among males. These observations suggest that other factors yet to be discovered may modulate the causal role of EBV in gastric carcinogenesis.

日本Epstein-Barr病毒相关胃癌的分子病理流行病学研究
EBV基因组和EBV编码的小RNA (EBER)存在于胃癌细胞中,EBV感染的癌细胞单克隆增殖和抗体滴度升高,证明了EBV与胃癌的关系。本研究旨在调查日本9个胃癌发病率不同的城市中EBV在胃癌中的患病率。对1795例肿瘤标本中的1848例石蜡切片进行EBER-1原位杂交,通过均匀杂交检测EBV的浸润。在6.6%的病变和6.7%的病例中检测到eb病毒。EBV侵袭率在每个城市没有显著差异,与潜在的胃癌死亡率没有相关性。因此,日本胃癌发病率的地理差异不能用EBV的参与来解释。eb病毒相关胃癌是日本最常见的ebv相关肿瘤之一。EBV的参与在男性中明显比女性更频繁,主要发生在胃的上部和中部,并且在男性中表现出更多的细胞类型差异。这些观察结果表明,其他尚未发现的因素可能调节EBV在胃癌发生中的因果作用。
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