Theme |
Precancerous Conditions and Cancer High-risk Lesions in the Esophagus and the Stomach |
Title |
Epstein-Barr Virus Infection and Gastric Cancer |
Publish Date |
2010/03 |
Author |
Jun Nishikawa |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
Author |
Mari Saito |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
Author |
Toshiyuki Okada |
Department of Oncology and Laboratory Medicine, Yamaguchi University Graduate School of Medicine |
Author |
Yuki Fukagawa |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
Author |
Shu Kiyotoki |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
Author |
Kouichi Hamabe |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
Author |
Takeshi Okamoto |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
Author |
Yutaka Suehiro |
Department of Oncology and Laboratory Medicine, Yamaguchi University Graduate School of Medicine |
Author |
Yuji Hinoda |
Department of Oncology and Laboratory Medicine, Yamaguchi University Graduate School of Medicine |
Author |
Isao Sakaida |
Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine |
[ Summary ] |
The Epstein-Barr virus(EBV) is detected in about 10% of gastric carcinoma cases throughout the world. In EBV-associated gastric carcinomas, all tumor cells harbor the clonal EBV genome. It is considered that EBV plays an important role in the development of EBV-associated gastric carcinomas. Most EBV-associated gastric carcinomas exhibit lymphocyte infiltration rich histology, which may indicate a relatively favorable prognosis in EBV-positive cases. The role of EBV in gastric epithelial oncogenesis is now being elucidated. Up-regulation of IGF1 (insulin-like growth factor 1) and DNA methylation of tumor suppressor genes may also be involved. |