Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region

Background: The purpose of this study was to evaluate the status of Epstein–Barr virus (EBV) infection and the expression of programmed cell death ligand-1 (PD-L1) in tumor samples from patients with nasopharyngeal carcinoma (NPC). Methods: Evaluation of EBV infection was performed through the detec...

Full description

Bibliographic Details
Main Authors: Josiane M. Dias, Iara V. V. Santana, Vinicius D. da Silva, André L. Carvalho, Lidia M. R. B. Arantes
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/19/11720
_version_ 1797478887627685888
author Josiane M. Dias
Iara V. V. Santana
Vinicius D. da Silva
André L. Carvalho
Lidia M. R. B. Arantes
author_facet Josiane M. Dias
Iara V. V. Santana
Vinicius D. da Silva
André L. Carvalho
Lidia M. R. B. Arantes
author_sort Josiane M. Dias
collection DOAJ
description Background: The purpose of this study was to evaluate the status of Epstein–Barr virus (EBV) infection and the expression of programmed cell death ligand-1 (PD-L1) in tumor samples from patients with nasopharyngeal carcinoma (NPC). Methods: Evaluation of EBV infection was performed through the detection of EBV-encoded small ribonucleic acids (EBER) by in situ hybridization, and PD-L1 expression was performed through immunohistochemistry. Results: In total, 124 samples were evaluated for EBER and 120 for PD-L1 expression. A total of 86.3% of cases were positive for EBER and 55.8% were positive for PD-L1. There was a correlation between EBER positivity and the presence of undifferentiated carcinoma histology (<i>p</i> = 0.007) as well as the absence of tobacco history (<i>p</i> = 0.019). There was a correlation between PD-L1 expression and EBER positivity (<i>p</i> = 0.004). There was no statistically significant difference between overall survival (OS) and EBER (<i>p</i> = 0.290) or PD-L1 (<i>p</i> = 0.801) expression. Conclusions: This study corresponds to one of the largest cohorts of NPC in a non-endemic region. Phase III studies with checkpoint inhibitors are ongoing and may provide more data about the role of PD-L1 expression in this disease.
first_indexed 2024-03-09T21:37:59Z
format Article
id doaj.art-227be15019ff4bb4a66ccbc8060d3ecc
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T21:37:59Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-227be15019ff4bb4a66ccbc8060d3ecc2023-11-23T20:38:10ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-10-0123191172010.3390/ijms231911720Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic RegionJosiane M. Dias0Iara V. V. Santana1Vinicius D. da Silva2André L. Carvalho3Lidia M. R. B. Arantes4Clinical Oncology Department, Barretos Cancer Hospital, Barretos 14784-400, SP, BrazilPathology Department, Barretos Cancer Hospital, Barretos 14784-400, SP, BrazilPathology Department, Barretos Cancer Hospital, Barretos 14784-400, SP, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos 14784-400, SP, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos 14784-400, SP, BrazilBackground: The purpose of this study was to evaluate the status of Epstein–Barr virus (EBV) infection and the expression of programmed cell death ligand-1 (PD-L1) in tumor samples from patients with nasopharyngeal carcinoma (NPC). Methods: Evaluation of EBV infection was performed through the detection of EBV-encoded small ribonucleic acids (EBER) by in situ hybridization, and PD-L1 expression was performed through immunohistochemistry. Results: In total, 124 samples were evaluated for EBER and 120 for PD-L1 expression. A total of 86.3% of cases were positive for EBER and 55.8% were positive for PD-L1. There was a correlation between EBER positivity and the presence of undifferentiated carcinoma histology (<i>p</i> = 0.007) as well as the absence of tobacco history (<i>p</i> = 0.019). There was a correlation between PD-L1 expression and EBER positivity (<i>p</i> = 0.004). There was no statistically significant difference between overall survival (OS) and EBER (<i>p</i> = 0.290) or PD-L1 (<i>p</i> = 0.801) expression. Conclusions: This study corresponds to one of the largest cohorts of NPC in a non-endemic region. Phase III studies with checkpoint inhibitors are ongoing and may provide more data about the role of PD-L1 expression in this disease.https://www.mdpi.com/1422-0067/23/19/11720nasopharyngeal carcinomaEpstein–Barr virus (EBV)programmed cell death ligand-1 (PD-L1)non-endemic region
spellingShingle Josiane M. Dias
Iara V. V. Santana
Vinicius D. da Silva
André L. Carvalho
Lidia M. R. B. Arantes
Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region
International Journal of Molecular Sciences
nasopharyngeal carcinoma
Epstein–Barr virus (EBV)
programmed cell death ligand-1 (PD-L1)
non-endemic region
title Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region
title_full Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region
title_fullStr Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region
title_full_unstemmed Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region
title_short Analysis of Epstein–Barr Virus (EBV) and PD-L1 Expression in Nasopharyngeal Carcinoma Patients in a Non-Endemic Region
title_sort analysis of epstein barr virus ebv and pd l1 expression in nasopharyngeal carcinoma patients in a non endemic region
topic nasopharyngeal carcinoma
Epstein–Barr virus (EBV)
programmed cell death ligand-1 (PD-L1)
non-endemic region
url https://www.mdpi.com/1422-0067/23/19/11720
work_keys_str_mv AT josianemdias analysisofepsteinbarrvirusebvandpdl1expressioninnasopharyngealcarcinomapatientsinanonendemicregion
AT iaravvsantana analysisofepsteinbarrvirusebvandpdl1expressioninnasopharyngealcarcinomapatientsinanonendemicregion
AT viniciusddasilva analysisofepsteinbarrvirusebvandpdl1expressioninnasopharyngealcarcinomapatientsinanonendemicregion
AT andrelcarvalho analysisofepsteinbarrvirusebvandpdl1expressioninnasopharyngealcarcinomapatientsinanonendemicregion
AT lidiamrbarantes analysisofepsteinbarrvirusebvandpdl1expressioninnasopharyngealcarcinomapatientsinanonendemicregion