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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Varga, MG; Cai, H; Waterboer, T; Murphy, G; Shimazu, T; Taylor, PR; Qiao, Y-L; Park, SK; Yoo, K-Y; Jee, SH; Cho, ER; Kim, J; Abnet, CC; Tsugane, S; Cai, Q; Zheng, W; Pawlita, M; Shu, X-O; Epplein, M

Published Date

  • October 2018

Published In

Volume / Issue

  • 63 / 10

Start / End Page

  • 2765 - 2772

PubMed ID

  • 29948559

Pubmed Central ID

  • PMC6139270

Electronic International Standard Serial Number (EISSN)

  • 1573-2568

Digital Object Identifier (DOI)

  • 10.1007/s10620-018-5154-9


  • eng

Conference Location

  • United States