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KMID : 0388420040140010117
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Konkuk Journal of Medical Sciences
2004 Volume.14 No. 1 p.117 ~ p.125
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Epstein-Barr Virus-associated Gastric Carcinoma in Korea
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Shim Kwang-Yong
Baik Soon-Koo
Kwon Sang-Ok
Kim Hyo-Youl
Cho Mee-Yon
Lee Jong-In
Kim Ho-Young
Lee Chang-Hoon
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Abstract
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Objectives: Epstein-Barr virus (EBV) has been known to be linked to a spectrum of neoplastic conditions, including nasopharyngeal carcinoma, Burkitt’s lymphoma, peripheral T-cell lymphoma and Hodgkin’s disease. This study aims to investigate the association of EBV with gastric carcinoma in Korea.
Methods: Fifty-three cases of gastric adenocarcinoma were studied for evidence of EBV infection by EBV-encoded small RNA (EBER) in situ hybridization (ISH) on the paraffin sections and amplifying the EBV genome encoding envelop glycoprotein (gp220) with polymerase chain reaction (PCR) in fresh gastric cancer specimens.
Results: EBER was detected in 7 (13.2%) of 53 gastric carcinomas and all cases were male. In 6 (85.7%) of 7 EBER-positive cases, the tumors were located in the upper and middle part of the stomach. EBER ISH study showed strong positivity in all the tumor cells, but negativity in surrouning lymphocytes, stromal cells and normal gastric mucosa. DNA PCR was positive in 23 (43.4%) of 53 gastric carcinomas, including all of 7 EBER-positive cases.
Conclusion: We could observe some association of EBV with gastric carcinoma, and our findings about the charateristics of EBV-positive gastric cancers involving sex, site and histological type are similar to those in Japan. However, EBV-positive rate of gastric cancer is higher than in Japan and lower than in Western countries. Further studies to elucidate oncogenic mechanism of EBV in gastric cancer should be performed.
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KEYWORD
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Epstein-Barr Virus-associated, Gastric, Carcinoma in Korea
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