論文

査読有り 国際誌
2020年1月28日

Potential prognostic impact of EBV RNA-seq reads in gastric cancer: A reanalysis of The Cancer Genome Atlas cohort.

FEBS open bio
  • Daichi Sadato
  • ,
  • Mina Ogawa
  • ,
  • Chizuko Hirama
  • ,
  • Tsunekazu Hishima
  • ,
  • Shin-Ichiro Horiguchi
  • ,
  • Yuka Harada
  • ,
  • Tatsu Shimoyama
  • ,
  • Masanari Itokawa
  • ,
  • Kazuteru Ohashi
  • ,
  • Keisuke Oboki

10
3
開始ページ
455
終了ページ
467
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1002/2211-5463.12803

Epstein-Barr virus (EBV)-associated gastric cancer (EBVaGC), whose prognosis remains controversial, is diagnosed by in situ hybridization of EBV-derived EBER1/2 small RNAs. In the Cancer Genome Atlas (TCGA)-Stomach Adenocarcinoma (STAD) project, the EBV molecular subtype was determined through a combination of multiple next-generation sequencing methods, but not by the gold standard in situ hybridization method. This leaves unanswered questions regarding the discordance of EBV positivity detected by different approaches and the threshold of sequencing reads. Therefore, we re-analyzed the TCGA-STAD RNA-seq dataset including 375 tumor and 32 normal samples, using our analysis pipeline. We defined a reliable threshold for EBV-derived next-generation sequencing reads by mapping them to the EBV genome with three different random arbitrary alignments. We analyzed the prognostic impact of EBV status on the histopathological subtypes of gastric cancer. EBV-positive cases identified by re-analysis comprised nearly half of the cases (49.6%) independent from infiltrating lymphocyte signatures, and showed significantly longer overall survival for adenocarcinomas of the "not otherwise specified" (NOS) type [P = 0.016 (log-rank test); HR 0.476; 95% CI 0.260-0.870, P = 0.016 (Cox univariate analysis)], but shorter overall survival for the tubular adenocarcinoma type [P = 0.005 (log-rank test); HR 3.329; 95% CI 1.406-7.885, P = 0.006 (Cox univariate analysis)]. These results demonstrate that the EBV-positivity rates were higher when determined by RNA-seq than when determined by EBER1/2 in situ hybridization. The RNA-seq-based EBV-positivity demonstrated distinct results for gastric cancer prognosis depending on the histopathological subtype, suggesting its potential to be used in clinical prognoses.

リンク情報
DOI
https://doi.org/10.1002/2211-5463.12803
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31991047
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7050242
ID情報
  • DOI : 10.1002/2211-5463.12803
  • PubMed ID : 31991047
  • PubMed Central 記事ID : PMC7050242

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