Evidence map›Paper›PMID 25972916›Full record

ArticleInfectious agents and cancer2015

Aberrant Epstein-Barr virus antibody patterns and chronic lymphocytic leukemia in a Spanish multicentric case-control study.

Delphine Casabonne, Yolanda Benavente, Claudia Robles, Laura Costas, Esther Alonso, Eva Gonzalez-Barca, Adonina Tardón, Trinidad Dierssen-Sotos, Eva Gimeno Vázquez, Marta Aymerich and 8 more

Abstract read
In one paragraph

Article in Infectious agents and cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Delphine CasabonneUnit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Av. Gran Via 199 - 203, 2°; 08908 L'Hospitalet de Llobregat, Barcelona, Spain ; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Yolanda BenaventeUnit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Av. Gran Via 199 - 203, 2°; 08908 L'Hospitalet de Llobregat, Barcelona, Spain ; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Claudia RoblesUnit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Av. Gran Via 199 - 203, 2°; 08908 L'Hospitalet de Llobregat, Barcelona, Spain.
Laura CostasUnit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Av. Gran Via 199 - 203, 2°; 08908 L'Hospitalet de Llobregat, Barcelona, Spain ; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Esther AlonsoDepartment of Pathology, Hospital Universitari de Bellvitge, L'Hospitalet de LLobregat, Barcelona, Spain.
Eva Gonzalez-BarcaHematology, L' Hospitalet de Llobregat, IDIBELL, Institut Català d' Oncologia, Barcelona, Spain.
Adonina TardónFaculty of Medicine, University of Oviedo, Oviedo, Asturias.
Trinidad Dierssen-SotosCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain ; Faculty of Medicine, University of Cantabria- IDIVAL, Santander, Spain.
Eva Gimeno VázquezHematology, Hospital del Mar, Barcelona, Spain.
Marta AymerichHematopathology Unit, Pathology Department, Hospital Clínic and University of Barcelona, Institute of Biomedical Research August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Elias CampoHematopathology Unit, Pathology Department, Hospital Clínic and University of Barcelona, Institute of Biomedical Research August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Gemma Castaño-VinyalsCentre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain ; Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain ; Universitat Pompeu Fabra (UPF), Barcelona, Spain ; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Nuria AragonesCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain ; National Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain ; Instituto de Investigación Sanitaria (IIS) of Hierro, Majadahonda, Spain.
Marina PollanCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain ; National Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain ; Instituto de Investigación Sanitaria (IIS) of Hierro, Majadahonda, Spain.
Manolis KogevinasCentre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain ; Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain ; Universitat Pompeu Fabra (UPF), Barcelona, Spain ; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain ; National School of Public Health, Athens, Greece.
Hedy JuwanaDepartment Pathology, VU University medical center, Amsterdam, The Netherlands.
Jaap MiddeldorpDepartment Pathology, VU University medical center, Amsterdam, The Netherlands.
Silvia de SanjoseUnit of Infections and Cancer (UNIC), IDIBELL, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Av. Gran Via 199 - 203, 2°; 08908 L'Hospitalet de Llobregat, Barcelona, Spain ; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpstein-Barr virus (EBV)-related malignancies harbour distinct serological responses to EBV antigens. We hypothesized that EBV serological patterns can be useful to identify different stages of chronic lymphocytic leukemia.

methodsInformation on 150 cases with chronic lymphocytic leukemia and 157 frequency-matched (by age, sex and region) population-based controls from a Spanish multicentre case-control study was obtained. EBV immunoglobulin G serostatus was evaluated through a peptide-based ELISA and further by immunoblot analysis to EBV early antigens (EA), nuclear antigen (EBNA1), VCA-p18, VCA-p40 and Zebra. Two independent individuals categorized the serological patterns of the western blot analysis. Patients with very high response and diversity in EBV-specific polypeptides, in particular with clear responses to EA-associated proteins, were categorized as having an abnormal reactive pattern (ab_EBV). Adjusted odds ratios (OR) and 95% confidence interval (CI) were estimated using logistic regression models.

resultsAlmost all subjects were EBV-IgG positive (>95% of cases and controls) whereas ab_EBV patterns were detected in 23% of cases (N = 34) and 11% of controls (N = 17; OR: 2.44, 95% CI, 1.29 to 4.62; P = 0.006), particularly in intermediate/high risk patients. Although based on small numbers, the association was modified by smoking with a gradual reduction of ab_EBV-related OR for all Rai stages from never smokers to current smokers.

conclusionsHighly distinct EBV antibody diversity patterns revealed by immunoblot analysis were detected in cases compared to controls, detectable at very early stages of the disease and particularly among non smokers. This study provides further evidence of an abnormal immunological response against EBV in patients with chronic lymphocytic leukemia.

Indexed as

Case-controlChronic lymphocytic leukemiaEpstein-Barr virusSerologySmoking

Identifiers

PMID25972916
PMCPMC4429596

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