Evidence map›Paper›PMID 36819809›Full record

ArticleEcancermedicalscience2022

Epstein-Barr virus dynamics and its prognostic impact on nasopharyngeal cancers in a non-endemic region.

Rajitha Ganapathi, Rejnish Ravi Kumar, Kainickal Cessal Thomas, Malu Rafi, Kannan Sankara Reddiar, Preethi Sara George, Kunnambath Ramadas

Open access · goldAbstract read
In one paragraph

Article in Ecancermedicalscience, 2022. 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
0.5field-weighted citation impact, top 32% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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

7 authors at 1 institution in 1 country.

Rajitha GanapathiDepartment of Radiation Oncology, Regional Cancer Centre, Trivandrum, Kerala 695011, India (Current Address: Department of Health Services, Government of Kerala, Kerala 695035, India).
Rejnish Ravi KumarDepartment of Radiation Oncology, Regional Cancer Centre, Trivandrum, Kerala 695011, India (Current Address: Department of Health Services, Government of Kerala, Kerala 695035, India).
Kainickal Cessal ThomasDepartment of Radiation Oncology, Regional Cancer Centre, Trivandrum, Kerala 695011, India (Current Address: Department of Health Services, Government of Kerala, Kerala 695035, India).
Malu RafiDepartment of Radiation Oncology, Regional Cancer Centre, Trivandrum, Kerala 695011, India (Current Address: Department of Health Services, Government of Kerala, Kerala 695035, India).
Kannan Sankara ReddiarDivision of Cancer Research, Regional Cancer Centre, Trivandrum, Kerala 695011, India.
Preethi Sara GeorgeDepartment of Cancer Epidemiology and Biostatistics, Regional Cancer Centre, Trivandrum, Kerala 695011, India.
Kunnambath RamadasDepartment of Radiation Oncology, Regional Cancer Centre, Trivandrum, Kerala 695011, India (Current address: Director - Radiation and Allied Services, KARKINOS, Ernakulum, Kerala 682017, India).
Regional Cancer Center, Thiruvananthapuram · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Epstein-Barr virus (EBV) DNA quantification in nasopharyngeal cancer (NPC) is an indicator of the tumour burden, stage and survival. Although EBV dynamics in endemic regions has been extensively studied and reported, the data from non-endemic regions is sparse. This study attempts to investigate the EBV dynamics in NPC patients from a non-endemic region and also to identify the factors impacting the outcomes. Materials and methods: This was a prospective observational study conducted at a tertiary care centre in South India and enrolled patients with non-metastatic, biopsy proven NPC, who were suitable for radical chemo-radiotherapy with or without induction chemotherapy. Two blood samples, one prior to initiation of any anticancer treatment, and second at 6 weeks post treatment, were collected to quantify EBV DNA using real-time quantitative polymerase chain reaction. Antibodies against EBV viral capsid antigen (EBV VCA IgM), EBV Early Antigen (EBV EA IgG) and EBV Nuclear Antigen (EBV EBNA IgG) were also measured in the sample. The impact of EBV dynamics on the outcomes was then analysed. Results: The study included a total of 35 patients. Thirty-three had identifiable EBV DNA (94.3%) and a histological diagnosis of non-keratinising undifferentiated type of squamous cell carcinoma. There was no correlation between the EBV DNA and anti-EBV antibodies. There was a significant association between composite stage and pre-treatment DNA titre ( Conclusion: Plasma EBV DNA is an accurate and reliable biomarker for NPC for WHO type 2 and 3 tumours even in non-endemic regions.

Indexed as

EBV DNA dynamicsEBV serologyfactors affecting treatment outcomesnasopharyngeal cancernon-endemic region

Identifiers

PMID36819809
PMCPMC9934968
OpenAlexW4311185468

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.