Deciphering the Differences Between Epstein-Barr Virus-Associated and Negative Gastric Cancer in the Prospect of CDKN2A Genomic Alterations and Lymphoid Infiltration

从 CDKN2A 基因组改变和淋巴浸润的角度解读 Epstein-Barr 病毒相关胃癌与阴性胃癌之间的差异

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作者:Fuda Xie ,Bonan Chen ,Yang Lyu ,Peiyao Yu ,Canbin Fang ,Kam Tong Leung ,Shouyu Wang ,Dazhi Xu ,Jun Yu ,Kwok Wai Lo ,Ka Fai To ,Wei Kang

Abstract

Background: Gastric cancer (GC) is a major health concern worldwide. One important contributing factor is the presence of the Epstein-Barr virus (EBV). However, the molecular pattern of how EBV participates in the malignant transition process remains unclear. Methods: GC samples were stained by immunohistochemistry, fluorescent and EBV-encoded small RNA in situ hybridization to identify CD8 expression, CDKN2A genomic alteration, and EBV existence. Functional potentials of EBV infection were predicted by bioinformatic enrichment analysis. Results: CDKN2A genestayed intact in all EBV-associated GC cases. Meanwhile, CDKN2A deletion (8.43% cases) was exclusive to EBV-negative GC cases. Furthermore, EBV infection was positively correlated with CD8+T cell infiltration, and both of them predicted better prognosis. Conclusion: This study highlighted the comprehensive impact of EBV infection in GC formation and proposed a thought-provoking observation for further investigation into the roles of CDKN2A and EBV infection in gastric tumorigenesis.

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