Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis

Abstract Infection with certain viruses is an important cause of cancer. The Pan‐Cancer Analysis of Whole Genomes (PCAWG) Consortium recently analyzed the whole‐genome sequencing (WGS) data from 2656 cases across 21 cancer types, and indicated that Epstein–Barr virus (EBV) is detected in many differ...

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Main Authors: Norikazu Yogi, Genki Usui, Keisuke Matsusaka, Masaki Fukuyo, Ryoji Fujiki, Motoaki Seki, Shigetsugu Takano, Hiroyuki Abe, Teppei Morikawa, Tetsuo Ushiku, Masayuki Ohtsuka, Atsushi Kaneda
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.4967
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author Norikazu Yogi
Genki Usui
Keisuke Matsusaka
Masaki Fukuyo
Ryoji Fujiki
Motoaki Seki
Shigetsugu Takano
Hiroyuki Abe
Teppei Morikawa
Tetsuo Ushiku
Masayuki Ohtsuka
Atsushi Kaneda
author_facet Norikazu Yogi
Genki Usui
Keisuke Matsusaka
Masaki Fukuyo
Ryoji Fujiki
Motoaki Seki
Shigetsugu Takano
Hiroyuki Abe
Teppei Morikawa
Tetsuo Ushiku
Masayuki Ohtsuka
Atsushi Kaneda
author_sort Norikazu Yogi
collection DOAJ
description Abstract Infection with certain viruses is an important cause of cancer. The Pan‐Cancer Analysis of Whole Genomes (PCAWG) Consortium recently analyzed the whole‐genome sequencing (WGS) data from 2656 cases across 21 cancer types, and indicated that Epstein–Barr virus (EBV) is detected in many different cancer cases at a higher frequency than previously reported. However, whether EBV‐positive cancer cases detected by WGS‐based screening correspond to those detected by conventional histopathological techniques is still unclear. In this study, to elucidate the involvement of EBV in various cancers, we reanalyzed the WGS data of the PCAWG cohort combined with the analysis of clinical samples of gastric and pancreatic cancer in our cohort. Based on EBV copy number in each case, we classified tumors into three subgroups: EBV‐High, EBV‐Low, and EBV‐Negative. The EBV‐High subgroup was found to be EBV‐positive in the cancer cells themselves, whereas the EBV‐Low subgroup was EBV‐positive in the surrounding lymphocytes. Further, the EBV‐Low subgroup showed a significantly worse prognosis for both gastric cancer and across cancer types. In summary, we classified tumors based on EBV copy number and found a unique cancer subgroup, EBV‐positive in the surrounding lymphocytes, which was associated with a poor prognosis.
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spelling doaj.art-eef0e6833b7a4b999cf1edde36f2c1942023-01-28T05:30:04ZengWileyCancer Medicine2045-76342023-01-011221122113610.1002/cam4.4967Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosisNorikazu Yogi0Genki Usui1Keisuke Matsusaka2Masaki Fukuyo3Ryoji Fujiki4Motoaki Seki5Shigetsugu Takano6Hiroyuki Abe7Teppei Morikawa8Tetsuo Ushiku9Masayuki Ohtsuka10Atsushi Kaneda11Department of General Surgery, Graduate School of Medicine Chiba University JapanDepartment of Molecular Oncology, Graduate School of Medicine Chiba University JapanDepartment of Molecular Oncology, Graduate School of Medicine Chiba University JapanDepartment of Molecular Oncology, Graduate School of Medicine Chiba University JapanDepartment of Molecular Oncology, Graduate School of Medicine Chiba University JapanDepartment of Molecular Oncology, Graduate School of Medicine Chiba University JapanDepartment of General Surgery, Graduate School of Medicine Chiba University JapanDepartment of Pathology, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Diagnostic Pathology NTT Medical Center Tokyo Tokyo JapanDepartment of Pathology, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of General Surgery, Graduate School of Medicine Chiba University JapanDepartment of Molecular Oncology, Graduate School of Medicine Chiba University JapanAbstract Infection with certain viruses is an important cause of cancer. The Pan‐Cancer Analysis of Whole Genomes (PCAWG) Consortium recently analyzed the whole‐genome sequencing (WGS) data from 2656 cases across 21 cancer types, and indicated that Epstein–Barr virus (EBV) is detected in many different cancer cases at a higher frequency than previously reported. However, whether EBV‐positive cancer cases detected by WGS‐based screening correspond to those detected by conventional histopathological techniques is still unclear. In this study, to elucidate the involvement of EBV in various cancers, we reanalyzed the WGS data of the PCAWG cohort combined with the analysis of clinical samples of gastric and pancreatic cancer in our cohort. Based on EBV copy number in each case, we classified tumors into three subgroups: EBV‐High, EBV‐Low, and EBV‐Negative. The EBV‐High subgroup was found to be EBV‐positive in the cancer cells themselves, whereas the EBV‐Low subgroup was EBV‐positive in the surrounding lymphocytes. Further, the EBV‐Low subgroup showed a significantly worse prognosis for both gastric cancer and across cancer types. In summary, we classified tumors based on EBV copy number and found a unique cancer subgroup, EBV‐positive in the surrounding lymphocytes, which was associated with a poor prognosis.https://doi.org/10.1002/cam4.4967Epstein–Barr virus (EBV)gastric cancerlymphocytepancreatic cancer
spellingShingle Norikazu Yogi
Genki Usui
Keisuke Matsusaka
Masaki Fukuyo
Ryoji Fujiki
Motoaki Seki
Shigetsugu Takano
Hiroyuki Abe
Teppei Morikawa
Tetsuo Ushiku
Masayuki Ohtsuka
Atsushi Kaneda
Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis
Cancer Medicine
Epstein–Barr virus (EBV)
gastric cancer
lymphocyte
pancreatic cancer
title Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis
title_full Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis
title_fullStr Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis
title_full_unstemmed Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis
title_short Association of tumors having Epstein–Barr virus in surrounding lymphocytes with poor prognosis
title_sort association of tumors having epstein barr virus in surrounding lymphocytes with poor prognosis
topic Epstein–Barr virus (EBV)
gastric cancer
lymphocyte
pancreatic cancer
url https://doi.org/10.1002/cam4.4967
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