INVESTIGATE THE STATUS OF EBV INFECTION IN GASTRIC CANCER PATIENTS IN VIET NAM

Hồng Khánh Phạm 1,, Quang Huy Dương1, Quang Duật Nguyễn1, Thị Huyền Trang Trần 2, Văn Khiên Vũ 2
1 103 Military Hospital, Vietnam Military Medical Academy
2 108 Military Central Hospital

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Abstract

Background: Along with H. pylori, EBV is emerging as a risk factor for gastric cancer. Vietnam is a country with a high prevalence of EBV, but there are no studies on EBV infection in gastric cancer patients. This study aims to determine the status of EBV infection and the characteristics of EBV-positive gastric cancer. Subjects and methods: Cross-sectional study of 179 patients: gastric cancer (n = 89) and chronic gastritis (n = 90) with diagnosed by histopathology. EBV infection was determined by realtime-PCR. Results: The rate of EBV infection of this population was 133/179 (74.3%), of which the gastric cancer group was higher than the chronic gastritis group (80.9% versus 67.8%), the difference was statistically significant (p < 0.05). Gastric cancer has the highest prevalence of EBV infection in the young age group (under 45) and is common in the cardia and body (100% and 92.9%, respectively). Conclusion: EBV infection may increase the "risk" of gastric cancer in Vietnam. EBV-positive gastric cancer is more common at young age and the tumor location is in the upper part of the stomach.

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References

1. Shinozaki-Ushiku A., A. Kunita, and M. Fukayama (2015), "Update on Epstein-Barr virus and gastric cancer (review)", Int J Oncol. 46(4), p. 1421-1434.
2. Lee Ju‐Han. , Seo‐Hee Kim, Sun‐Hee Han, et al (2009), "Clinicopathological and molecular characteristics of Epstein–Barr virus‐associated gastric carcinoma: A meta‐analysis", Journal of gastroenterology and hepatology. 24(3), p. 354-365.
3. De Souza Carolina Rosal Teixeira, Kátia Soares de Oliveira, Jefferson José Sodré Ferraz, et al (2014), "Occurrence of Helicobacter pylori and Epstein-Barr virus infection in endoscopic and gastric cancer patients from Northern Brazil", BMC gastroenterology. 14(1), p. 1-9.
4. Tavakoli Ahmad, Seyed Hamidreza Monavari, Farid Solaymani Mohammadi, et al (2020), "Association between Epstein-Barr virus infection and gastric cancer: a systematic review and meta-analysis", BMC Cancer. 20(1), p. 1-14.
5. Del Moral-Hernández Oscar, Carlos Alberto Castañón-Sánchez, Salomón Reyes-Navarrete, et al (2019), "Multiple infections by EBV, HCMV and Helicobacter pylori are highly frequent in patients with chronic gastritis and gastric cancer from Southwest Mexico: An observational study", Medicine. 98(3).
6. Rihane Fatima Ezzahra, Driss Erguibi, Othmane Elyamine, et al (2021), "Helicobacter pylori co-infection with Epstein-Barr virus and the risk of developing gastric adenocarcinoma at an early age: Observational study infectious agents and cancer", Annals of Medicine. 68, p. 102651.
7. Chen Xin-Zu, Hongda Chen, Felipe A Castro, et al (2015), "Epstein–Barr virus infection and gastric cancer: a systematic review", Medicine. 94(20).
8. Shuto Takuya, Jun Nishikawa, Kanami Shimokuri, et al (2019), "Establishment of a screening method for epstein-barr virus-associated gastric carcinoma by droplet digital pcr", Microorganisms. 7(12), p. 628.
9. Yanagi Ayaka, Jun Nishikawa, Kanami Shimokuri, et al (2019), "Clinicopathologic Characteristics of Epstein–Barr Virus-Associated Gastric Cancer Over the Past Decade in Japan", Microorganisms. 7(9), p. 305.