PMID- 33917480 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210502 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 7 DP - 2021 Apr 6 TI - Effects of Epstein-Barr Virus Infection on the Risk and Prognosis of Primary Laryngeal Squamous Cell Carcinoma: A Hospital-Based Case-Control Study in Taiwan. LID - 10.3390/cancers13071741 [doi] LID - 1741 AB - Mounting molecular evidence supports Epstein-Barr virus (EBV) involvement in the pathogenesis of laryngeal squamous cell carcinoma (LSCC); however, the epidemiological data are inconsistent. In this retrospective case-control study, we aimed to determine whether EBV infection underlies the risk and prognosis of LSCC. The prevalence of EBV infection, as analyzed using an EBV DNA polymerase chain reaction assay, was significantly higher in 42 Taiwanese patients with newly diagnosed primary LSCC, compared to 39 age- and sex-matched control patients without cancer (48% vs. 19%). Furthermore, most of the EBER signals detected using in situ hybridization were localized to the nuclei of tumor-infiltrating lymphocytes. In multivariate analysis, EBV DNA positivity, age >/= 55 years, cigarette smoking, and high BCL-2, B2M, and CD161 expression (assessed using immunohistochemistry) were identified as independent risk factors for LSCC. Furthermore, five-year local recurrence and disease-free survival rates were 34% and 58%, respectively, with a high EBER signal and low CD3 expression independently predicting five-year local recurrence and disease-free survival. Our comprehensive profiling data accurately identified patients at risk for LSCC development, local recurrence, or disease-free survival. The information obtained in this study improves our understanding of EBV infection in LSCC, and may guide precision medicine for patients with LSCC. FAU - Lee, Li-Ang AU - Lee LA AUID- ORCID: 0000-0001-8414-595X AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Fang, Tuan-Jen AU - Fang TJ AUID- ORCID: 0000-0002-7805-3458 AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Li, Hsueh-Yu AU - Li HY AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Chuang, Hai-Hua AU - Chuang HH AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. AD - Department of Family Medicine, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan 33305, Taiwan. AD - Department of Industrial Engineering and Management, National Taipei University of Technology, Taipei 10608, Taiwan. FAU - Kang, Chung-Jan AU - Kang CJ AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Chang, Kai-Ping AU - Chang KP AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Liao, Chun-Ta AU - Liao CT AD - Department of Otorhinolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Chen, Tse-Ching AU - Chen TC AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. AD - Department of Pathology, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. FAU - Huang, Chung-Guei AU - Huang CG AD - Department of Laboratory Medicine, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. AD - Research Center for Emerging Viral Infections, Graduate Institute of Biomedical Sciences, Chang Gung University, Taoyuan City 33302, Taiwan. FAU - Yen, Tzu-Chen AU - Yen TC AD - Faculty of Medicine, Chang Gung University, Taoyuan City 33302, Taiwan. AD - Department of Nuclear Medicine and Molecular Imaging Center, Chang Gung Memorial Hospital, Linkou Main Branch, Taoyuan City 33305, Taiwan. LA - eng GR - 3C0661, 3C0662, 3C0663, and 3F1092/Chang Gung Medical Foundation/ PT - Journal Article DEP - 20210406 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8038767 OTO - NOTNLM OT - B2M OT - BCL-2 OT - CD161 OT - CD3 OT - EBER OT - Epstein-Barr virus OT - disease-free survival OT - laryngeal squamous cell carcinoma OT - local recurrence OT - risk COIS- The authors declare no conflict of interest. EDAT- 2021/05/01 06:00 MHDA- 2021/05/01 06:01 PMCR- 2021/04/06 CRDT- 2021/04/30 01:06 PHST- 2021/03/16 00:00 [received] PHST- 2021/04/01 00:00 [revised] PHST- 2021/04/01 00:00 [accepted] PHST- 2021/04/30 01:06 [entrez] PHST- 2021/05/01 06:00 [pubmed] PHST- 2021/05/01 06:01 [medline] PHST- 2021/04/06 00:00 [pmc-release] AID - cancers13071741 [pii] AID - cancers-13-01741 [pii] AID - 10.3390/cancers13071741 [doi] PST - epublish SO - Cancers (Basel). 2021 Apr 6;13(7):1741. doi: 10.3390/cancers13071741.