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Clinical values of multiple Epstein-Barr virus (EBV) serological biomarkers detected by xMAP technology

Serological examination of Epstein-Barr virus (EBV) antibodies has been performed for screening nasopharyngeal carcinoma (NPC) and other EBV-associated diseases. By using xMAP technology, we examined immunoglobulin (Ig) A antibodies against Epstein-Barr virus (EBV) VCA-gp125, p18 and IgA/IgG against...

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Published in:Journal of translational medicine 2009-08, Vol.7 (1), p.73-73, Article 73
Main Authors: Gu, Ai-Di, Lu, Li-Xia, Xie, Yan-Bo, Chen, Li-Zhen, Feng, Qi-Sheng, Kang, Tiebang, Jia, Wei-Hua, Zeng, Yi-Xin
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description Serological examination of Epstein-Barr virus (EBV) antibodies has been performed for screening nasopharyngeal carcinoma (NPC) and other EBV-associated diseases. By using xMAP technology, we examined immunoglobulin (Ig) A antibodies against Epstein-Barr virus (EBV) VCA-gp125, p18 and IgA/IgG against EA-D, EBNA1 and gp78 in populations with distinct diseases, or with different genetic or geographic background. Sera from Cantonese NPC patients (n = 547) and healthy controls (n = 542), 90 members of high-risk NPC families and 52 non-endemic healthy individuals were tested. Thirty-five of NPC patients were recruited to observe the kinetics of EBV antibody levels during and after treatment. Patients with other EBV-associated diseases were collected, including 16 with infectious mononucleosis, 28 with nasal NK/T cell lymphoma and 14 with Hodgkin's disease. Both the sensitivity and specificity of each marker for NPC diagnosis ranged 61-84%, but if combined, they could reach to 84.5% and 92.4%, respectively. Almost half of NPC patients displayed decreased EBV immunoactivities shortly after therapy and tumor recurrence was accompanied with high EBV antibody reactivates. Neither the unaffected members from high-risk NPC families nor non-endemic healthy population showed statistically different EBV antibody levels compared with endemic controls. Moreover, elevated levels of specific antibodies were observed in other EBV-associated diseases, but all were lower than those in NPC. Combined EBV serological biomarkers could improve the diagnostic values for NPC. Diverse EBV serological spectrums presented in populations with different EBV-associated diseases, but NPC patients have the highest EBV activity.
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subjects Adult
Antibodies, Viral - blood
Asian Continental Ancestry Group
Biological markers
Biomarkers
Biomarkers - metabolism
Cancer
Child
China
Diagnosis
Disease
Drug therapy
Epstein-Barr virus
Epstein-Barr Virus Infections - blood
Epstein-Barr Virus Infections - immunology
Health aspects
Herpesvirus 4, Human - immunology
Humans
Immunoglobulin A - blood
Immunoglobulin A - immunology
Infections
Lymphoma
Medical research
Middle Aged
Nasopharyngeal cancer
Nasopharyngeal Neoplasms - diagnosis
Nasopharyngeal Neoplasms - immunology
Peptides
Peptides - genetics
Peptides - metabolism
Risk Factors
Sensitivity and Specificity
Viral Proteins - immunology
title Clinical values of multiple Epstein-Barr virus (EBV) serological biomarkers detected by xMAP technology
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