Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis

Quantification of plasma cell-free Epstein Barr virus DNA (cf EBV DNA) has been suggested as a promising liquid biopsy assay for screening and early detection of nasopharyngeal carcinoma (NPC). However, the diagnostic value of this assay is currently not known in the population of Vietnam, one of th...

Full description

Bibliographic Details
Main Authors: Vu Nguyen Quynh Anh BA, Nguyen Van Ba MD, PhD, Do Tram Anh MD, Nguyen Dinh Ung MD, Nguyen Hoang Hiep PhD, Vu Thi Ly BA, Dinh Thi Thu Hang PhD, Bui Tien Sy MD, PhD, Hoang Dao Chinh MD, Le Minh Ky MD, PhD, Vu Truong Phong MD, PhD, Nguyen Kim Luu MD, PhD, Nguyen Thanh Trung BA, Ho Anh Son MD, PhD, Hoang Van Luong MD, PhD, Nghiem Duc Thuan MD, PhD, Ngo Thanh Tung MD, PhD, Ho Huu Tho MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-07-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/1073274820944286
_version_ 1818841350456475648
author Vu Nguyen Quynh Anh BA
Nguyen Van Ba MD, PhD
Do Tram Anh MD
Nguyen Dinh Ung MD
Nguyen Hoang Hiep PhD
Vu Thi Ly BA
Dinh Thi Thu Hang PhD
Bui Tien Sy MD, PhD
Hoang Dao Chinh MD
Le Minh Ky MD, PhD
Vu Truong Phong MD, PhD
Nguyen Kim Luu MD, PhD
Nguyen Thanh Trung BA
Ho Anh Son MD, PhD
Hoang Van Luong MD, PhD
Nghiem Duc Thuan MD, PhD
Ngo Thanh Tung MD, PhD
Ho Huu Tho MD, PhD
author_facet Vu Nguyen Quynh Anh BA
Nguyen Van Ba MD, PhD
Do Tram Anh MD
Nguyen Dinh Ung MD
Nguyen Hoang Hiep PhD
Vu Thi Ly BA
Dinh Thi Thu Hang PhD
Bui Tien Sy MD, PhD
Hoang Dao Chinh MD
Le Minh Ky MD, PhD
Vu Truong Phong MD, PhD
Nguyen Kim Luu MD, PhD
Nguyen Thanh Trung BA
Ho Anh Son MD, PhD
Hoang Van Luong MD, PhD
Nghiem Duc Thuan MD, PhD
Ngo Thanh Tung MD, PhD
Ho Huu Tho MD, PhD
author_sort Vu Nguyen Quynh Anh BA
collection DOAJ
description Quantification of plasma cell-free Epstein Barr virus DNA (cf EBV DNA) has been suggested as a promising liquid biopsy assay for screening and early detection of nasopharyngeal carcinoma (NPC). However, the diagnostic value of this assay is currently not known in the population of Vietnam, one of the countries which contributed the most to the NPC cases. Herein, we have reported a highly sensitive quantitative polymerase chain reaction (qPCR)-based assay targeting cf EBV DNA for the detection of NPC. A standard curve with linear regression, R 2 = 0.9961 (range: 25-150 000 copies/mL) and a detection limit of 25 copies/mL were obtained using an EBV standard panel provided by the Chinese University of Hong Kong. The clinical performance of this assay was assessed using plasma samples obtained from 261 Vietnamese individuals. The optimized qPCR assay detected cf EBV DNA in plasma with a sensitivity of 97.4% and a specificity of 98.2%. The absolute quantitative results of pretreatment cf EBV DNA and patient overall clinical stages were statistically correlated ( P < .05). In summary, the remarkably high sensitivity and specificity of our optimized qPCR assay strongly supports the wide use of cf EBV DNA quantification as a routine noninvasive method in early diagnosis and management of patients with NPC.
first_indexed 2024-12-19T04:24:41Z
format Article
id doaj.art-c7553214cd72426488d49edf25339a20
institution Directory Open Access Journal
issn 1073-2748
language English
last_indexed 2024-12-19T04:24:41Z
publishDate 2020-07-01
publisher SAGE Publishing
record_format Article
series Cancer Control
spelling doaj.art-c7553214cd72426488d49edf25339a202022-12-21T20:36:04ZengSAGE PublishingCancer Control1073-27482020-07-012710.1177/1073274820944286Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma DiagnosisVu Nguyen Quynh Anh BA0Nguyen Van Ba MD, PhD1Do Tram Anh MD2Nguyen Dinh Ung MD3Nguyen Hoang Hiep PhD4Vu Thi Ly BA5Dinh Thi Thu Hang PhD6Bui Tien Sy MD, PhD7Hoang Dao Chinh MD8Le Minh Ky MD, PhD9Vu Truong Phong MD, PhD10Nguyen Kim Luu MD, PhD11Nguyen Thanh Trung BA12Ho Anh Son MD, PhD13Hoang Van Luong MD, PhD14Nghiem Duc Thuan MD, PhD15Ngo Thanh Tung MD, PhD16Ho Huu Tho MD, PhD17 Department of Genomics and Cytogenetics, Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam Oncology Centre, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam ENT Department, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam Department of Genomics and Cytogenetics, Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam Department of Genomics and Cytogenetics, Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam Department of Genomics and Cytogenetics, Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam Department of Microbiology, 108 Military Central Hospital, Hanoi, Vietnam Department of Oncology and Radiation, 108 Military Central Hospital, Hanoi, Vietnam Oncology and Head & Neck Surgery Centre, Vietnam National ENT Hospital, Hanoi, Vietnam Oncology and Head & Neck Surgery Centre, Vietnam National ENT Hospital, Hanoi, Vietnam Department of Radiation, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam HUS High School for Gifted Students, Hanoi, Vietnam Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, Vietnam ENT Department, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam Department of Head & Neck Cancer and Radiation Oncology, Vietnam National K Hospital, Hanoi, Vietnam Department of Genomics and Cytogenetics, Institute of Biomedicine & Pharmacy, Vietnam Military Medical University, Hanoi, VietnamQuantification of plasma cell-free Epstein Barr virus DNA (cf EBV DNA) has been suggested as a promising liquid biopsy assay for screening and early detection of nasopharyngeal carcinoma (NPC). However, the diagnostic value of this assay is currently not known in the population of Vietnam, one of the countries which contributed the most to the NPC cases. Herein, we have reported a highly sensitive quantitative polymerase chain reaction (qPCR)-based assay targeting cf EBV DNA for the detection of NPC. A standard curve with linear regression, R 2 = 0.9961 (range: 25-150 000 copies/mL) and a detection limit of 25 copies/mL were obtained using an EBV standard panel provided by the Chinese University of Hong Kong. The clinical performance of this assay was assessed using plasma samples obtained from 261 Vietnamese individuals. The optimized qPCR assay detected cf EBV DNA in plasma with a sensitivity of 97.4% and a specificity of 98.2%. The absolute quantitative results of pretreatment cf EBV DNA and patient overall clinical stages were statistically correlated ( P < .05). In summary, the remarkably high sensitivity and specificity of our optimized qPCR assay strongly supports the wide use of cf EBV DNA quantification as a routine noninvasive method in early diagnosis and management of patients with NPC.https://doi.org/10.1177/1073274820944286
spellingShingle Vu Nguyen Quynh Anh BA
Nguyen Van Ba MD, PhD
Do Tram Anh MD
Nguyen Dinh Ung MD
Nguyen Hoang Hiep PhD
Vu Thi Ly BA
Dinh Thi Thu Hang PhD
Bui Tien Sy MD, PhD
Hoang Dao Chinh MD
Le Minh Ky MD, PhD
Vu Truong Phong MD, PhD
Nguyen Kim Luu MD, PhD
Nguyen Thanh Trung BA
Ho Anh Son MD, PhD
Hoang Van Luong MD, PhD
Nghiem Duc Thuan MD, PhD
Ngo Thanh Tung MD, PhD
Ho Huu Tho MD, PhD
Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis
Cancer Control
title Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis
title_full Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis
title_fullStr Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis
title_full_unstemmed Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis
title_short Validation of a Highly Sensitive qPCR Assay for the Detection of Plasma Cell-Free Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma Diagnosis
title_sort validation of a highly sensitive qpcr assay for the detection of plasma cell free epstein barr virus dna in nasopharyngeal carcinoma diagnosis
url https://doi.org/10.1177/1073274820944286
work_keys_str_mv AT vunguyenquynhanhba validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT nguyenvanbamdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT dotramanhmd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT nguyendinhungmd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT nguyenhoanghiepphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT vuthilyba validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT dinhthithuhangphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT buitiensymdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT hoangdaochinhmd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT leminhkymdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT vutruongphongmdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT nguyenkimluumdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT nguyenthanhtrungba validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT hoanhsonmdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT hoangvanluongmdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT nghiemducthuanmdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT ngothanhtungmdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis
AT hohuuthomdphd validationofahighlysensitiveqpcrassayforthedetectionofplasmacellfreeepsteinbarrvirusdnainnasopharyngealcarcinomadiagnosis