俞 霞, 季明芳, 余元龙, 程伟民, 吴标华, 洪明晃. 鼻咽癌高发区居民EB病毒感染流行病学研究[J]. 中国肿瘤临床, 2011, 38(24): 1551-1554. DOI: 10.3969/j.issn.1000-8179.2011.24.019
引用本文: 俞 霞, 季明芳, 余元龙, 程伟民, 吴标华, 洪明晃. 鼻咽癌高发区居民EB病毒感染流行病学研究[J]. 中国肿瘤临床, 2011, 38(24): 1551-1554. DOI: 10.3969/j.issn.1000-8179.2011.24.019
Xia YU, Mingfang JI, Yuanlong YU, Weimin CHENG, Biaohua WU, Minghuang HONG. Epidemiological Study of Epstein-barr Virus Infection for Nasopharyngeal Carcinoma Screening in High-incidence Areas[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(24): 1551-1554. DOI: 10.3969/j.issn.1000-8179.2011.24.019
Citation: Xia YU, Mingfang JI, Yuanlong YU, Weimin CHENG, Biaohua WU, Minghuang HONG. Epidemiological Study of Epstein-barr Virus Infection for Nasopharyngeal Carcinoma Screening in High-incidence Areas[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(24): 1551-1554. DOI: 10.3969/j.issn.1000-8179.2011.24.019

鼻咽癌高发区居民EB病毒感染流行病学研究

Epidemiological Study of Epstein-barr Virus Infection for Nasopharyngeal Carcinoma Screening in High-incidence Areas

  • 摘要: 分析广东省鼻咽癌高发区30~59岁16 355人EB病毒EBNA1/IgA和VCA/IgA抗体在不同性别、年龄人群中的分布及患鼻咽癌概率情况。方法:应用ELISA法检测EBNA1/IgA和VCA/IgA抗体,计算抗体阳性率和鼻咽癌风险概率,从不同层面分析血清EB病毒抗体特征。结果:人群EBNA1/IgA阳性率为4.04%,男、女分别为5.11%和3.23%,除30~39岁年龄段以外,EBNA1/IgA阳性率均显示男性高于女性(P<0.05)。人群VCA/IgA阳性率为5.84%,男女性分别为5.97%和5.74%,35~59岁年龄段VCA/IgA阳性率表现与性别无关(P>0.05)。男性EBNA1/IgA和VCA/IgA阳性率与年龄呈正相关(P<0.05),各年龄段抗体阳性率分布与鼻咽癌发病年龄趋势基本吻合,尤其是EBNA1/IgA与年龄显示了较好的一致性。女性中以上指标未见随年龄增长而上升。结论:鼻咽癌高发区人群EBNA1/IgA抗体分布存在性别上的差异。男性人群的EBNA1/IgA和VCA/IgA阳性率随着年龄增长逐渐上升,女性以上指标与年龄无显著相关。EBNA1/IgA抗体阳性率高峰年龄段与鼻咽癌高发年龄段具有较好的一致性,有望成为鼻咽癌筛查的理想指标。

     

    Abstract: To analyze the distribution of Epstien-Barr virus ( EBV ) antibodies, EBNA1/IgA and VCA/IgA, in people of different ages or genders, and to understand the probability of suffering from nasopharyngeal carcinoma ( NPC ) in people aged from 30 years to 59 years, through a survey of 16 to 355 persons in high-incidence areas of NPC. Methods: ELISA was used to detect the serum levels of EBNA1/IgA and VCA/IgA. The positive rates of antibodies and the probability of suffering from NPC in different population were calculated, and the characteristics of EBV antibodies from different aspects were analyzed. Results: The positive rates of EBNA1/IgA in the total population ( in males and in females ) were 4.04%, 5.11%, and 3.23%,  respectively.  The positive rate of EBNA1/IgA in males tended to increase ( P < 0.05 ), except for the 30 to 39 age-brackets compared with the females. The positive rates of VCA/IgA in total population ( in males and in females ) were 5.84%, 5.97%, and 5.74%, respectively. The positive rate of VCA/IgA was unrelated to the gender ( P > 0.05 ) in 35 to 59 age-brackets. The positive rates of EBNA1/IgA and VCA/IgA in males were positively associated with the age of the respondents ( P < 0.05 ). The distributions of the two positive rates of antibodies, especially EBNA1/IgA, as well as the incidence of NPC in different age-brackets had good consistency. No significant association between the above indices and the ages in females were found. Conclusion: (1) EBNA1/IgA is related to gender for NPC screening in high-incidence areas. (2) The positive rates of EBNA1/IgA and VCA/IgA in males are positively associated with ages, whereas no significant association was observed between the above indices and the ages in females. (3) Good consistency was observed between the distribution of EBNA1/IgA positive rates and the NPC incidence in age-brackets. Finally, EBNA1/IgA may be ideal index for NPC screening.

     

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