Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis

Over the past few decades, several publications have investigated the role of Epstein-Barr virus (EBV) in head and neck squamous cell carcinomas, and an increasing number of them have shown its presence in laryngeal tumors. The purpose of this meta-analysis was to evaluate the association of EBV wit...

Full description

Bibliographic Details
Main Authors: Marcos Antonio Pereira de Lima, Álife Diêgo Lima Silva, Antônio Carlos Silva do Nascimento Filho, Thiago Lima Cordeiro, João Pedro de Souza Bezerra, Maria Aline Barroso Rocha, Sally de França Lacerda Pinheiro, Roberto Flávio Fontenelle Pinheiro Junior, Maria do Socorro Vieira Gadelha, Cláudio Gleidiston Lima da Silva
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/10/11/1429
_version_ 1797508854577102848
author Marcos Antonio Pereira de Lima
Álife Diêgo Lima Silva
Antônio Carlos Silva do Nascimento Filho
Thiago Lima Cordeiro
João Pedro de Souza Bezerra
Maria Aline Barroso Rocha
Sally de França Lacerda Pinheiro
Roberto Flávio Fontenelle Pinheiro Junior
Maria do Socorro Vieira Gadelha
Cláudio Gleidiston Lima da Silva
author_facet Marcos Antonio Pereira de Lima
Álife Diêgo Lima Silva
Antônio Carlos Silva do Nascimento Filho
Thiago Lima Cordeiro
João Pedro de Souza Bezerra
Maria Aline Barroso Rocha
Sally de França Lacerda Pinheiro
Roberto Flávio Fontenelle Pinheiro Junior
Maria do Socorro Vieira Gadelha
Cláudio Gleidiston Lima da Silva
author_sort Marcos Antonio Pereira de Lima
collection DOAJ
description Over the past few decades, several publications have investigated the role of Epstein-Barr virus (EBV) in head and neck squamous cell carcinomas, and an increasing number of them have shown its presence in laryngeal tumors. The purpose of this meta-analysis was to evaluate the association of EBV with laryngeal carcinoma. The search was carried out in two databases, Scopus and PubMed, using the following terms: “Epstein-Barr virus” and “laryngeal carcinoma”. A total of 187 records were found, of which 31 were selected for meeting the inclusion and exclusion criteria. The meta-analysis yielded an overall pooled prevalence of 43.72% (95% confidence interval (CI): 34.35–53.08). Studies carried out in Europe and Eurasia had slightly higher pooled prevalence than other subgroups, while the prevalence of studies performed in developed countries was higher than in developing countries (46.37% vs. 34.02%). Furthermore, laryngeal carcinoma occurred almost three times as often among EBV-infected individuals compared to those without EBV infection (odds ratio = 2.86 (95% CI: 1.18–6.90); Begg’s test, <i>p</i> = 0.843 and Egger’s test, <i>p</i> = 0.866). Our findings support the idea that EBV is related to laryngeal carcinoma. However, further studies are needed before recognizing a definitive etiological role of EBV in the development and/or progression of laryngeal carcinomas.
first_indexed 2024-03-10T05:09:47Z
format Article
id doaj.art-3781b08378954dafbec18c1c953bca8a
institution Directory Open Access Journal
issn 2076-0817
language English
last_indexed 2024-03-10T05:09:47Z
publishDate 2021-11-01
publisher MDPI AG
record_format Article
series Pathogens
spelling doaj.art-3781b08378954dafbec18c1c953bca8a2023-11-23T00:53:11ZengMDPI AGPathogens2076-08172021-11-011011142910.3390/pathogens10111429Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-AnalysisMarcos Antonio Pereira de Lima0Álife Diêgo Lima Silva1Antônio Carlos Silva do Nascimento Filho2Thiago Lima Cordeiro3João Pedro de Souza Bezerra4Maria Aline Barroso Rocha5Sally de França Lacerda Pinheiro6Roberto Flávio Fontenelle Pinheiro Junior7Maria do Socorro Vieira Gadelha8Cláudio Gleidiston Lima da Silva9School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilSchool of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, BrazilOver the past few decades, several publications have investigated the role of Epstein-Barr virus (EBV) in head and neck squamous cell carcinomas, and an increasing number of them have shown its presence in laryngeal tumors. The purpose of this meta-analysis was to evaluate the association of EBV with laryngeal carcinoma. The search was carried out in two databases, Scopus and PubMed, using the following terms: “Epstein-Barr virus” and “laryngeal carcinoma”. A total of 187 records were found, of which 31 were selected for meeting the inclusion and exclusion criteria. The meta-analysis yielded an overall pooled prevalence of 43.72% (95% confidence interval (CI): 34.35–53.08). Studies carried out in Europe and Eurasia had slightly higher pooled prevalence than other subgroups, while the prevalence of studies performed in developed countries was higher than in developing countries (46.37% vs. 34.02%). Furthermore, laryngeal carcinoma occurred almost three times as often among EBV-infected individuals compared to those without EBV infection (odds ratio = 2.86 (95% CI: 1.18–6.90); Begg’s test, <i>p</i> = 0.843 and Egger’s test, <i>p</i> = 0.866). Our findings support the idea that EBV is related to laryngeal carcinoma. However, further studies are needed before recognizing a definitive etiological role of EBV in the development and/or progression of laryngeal carcinomas.https://www.mdpi.com/2076-0817/10/11/1429Epstein-Barr virus (EBV)laryngeal carcinomacarcinogenesisoncovirus
spellingShingle Marcos Antonio Pereira de Lima
Álife Diêgo Lima Silva
Antônio Carlos Silva do Nascimento Filho
Thiago Lima Cordeiro
João Pedro de Souza Bezerra
Maria Aline Barroso Rocha
Sally de França Lacerda Pinheiro
Roberto Flávio Fontenelle Pinheiro Junior
Maria do Socorro Vieira Gadelha
Cláudio Gleidiston Lima da Silva
Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis
Pathogens
Epstein-Barr virus (EBV)
laryngeal carcinoma
carcinogenesis
oncovirus
title Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis
title_full Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis
title_fullStr Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis
title_full_unstemmed Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis
title_short Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis
title_sort epstein barr virus associated carcinoma of the larynx a systematic review with meta analysis
topic Epstein-Barr virus (EBV)
laryngeal carcinoma
carcinogenesis
oncovirus
url https://www.mdpi.com/2076-0817/10/11/1429
work_keys_str_mv AT marcosantoniopereiradelima epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT alifediegolimasilva epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT antoniocarlossilvadonascimentofilho epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT thiagolimacordeiro epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT joaopedrodesouzabezerra epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT mariaalinebarrosorocha epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT sallydefrancalacerdapinheiro epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT robertoflaviofontenellepinheirojunior epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT mariadosocorrovieiragadelha epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis
AT claudiogleidistonlimadasilva epsteinbarrvirusassociatedcarcinomaofthelarynxasystematicreviewwithmetaanalysis