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de Lima MAP, Silva ÁDL, do Nascimento Filho ACS, Cordeiro TL, Bezerra JPDS, Rocha MAB, Pinheiro SDFL, Pinheiro Junior RFF, Gadelha MDSV, da Silva CGL. Epstein-Barr Virus-Associated Carcinoma of the Larynx: A Systematic Review with Meta-Analysis. Pathogens 2021; 10:pathogens10111429. [PMID: 34832585 PMCID: PMC8618428 DOI: 10.3390/pathogens10111429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 10/30/2021] [Accepted: 11/02/2021] [Indexed: 12/24/2022] Open
Abstract
Over the past few decades, several publications have investigated the role of Epstein-Barr virus (EBV) in head and neck squamous cell carcinomas, and an increasing number of them have shown its presence in laryngeal tumors. The purpose of this meta-analysis was to evaluate the association of EBV with laryngeal carcinoma. The search was carried out in two databases, Scopus and PubMed, using the following terms: “Epstein-Barr virus” and “laryngeal carcinoma”. A total of 187 records were found, of which 31 were selected for meeting the inclusion and exclusion criteria. The meta-analysis yielded an overall pooled prevalence of 43.72% (95% confidence interval (CI): 34.35–53.08). Studies carried out in Europe and Eurasia had slightly higher pooled prevalence than other subgroups, while the prevalence of studies performed in developed countries was higher than in developing countries (46.37% vs. 34.02%). Furthermore, laryngeal carcinoma occurred almost three times as often among EBV-infected individuals compared to those without EBV infection (odds ratio = 2.86 (95% CI: 1.18–6.90); Begg’s test, p = 0.843 and Egger’s test, p = 0.866). Our findings support the idea that EBV is related to laryngeal carcinoma. However, further studies are needed before recognizing a definitive etiological role of EBV in the development and/or progression of laryngeal carcinomas.
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Affiliation(s)
- Marcos Antonio Pereira de Lima
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
- Ceará Cancer Institute, ICC, Fortaleza 60430-230, Ceará, Brazil
- Correspondence: ; Tel.: +55-88-3221-9600
| | - Álife Diêgo Lima Silva
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Antônio Carlos Silva do Nascimento Filho
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Thiago Lima Cordeiro
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - João Pedro de Souza Bezerra
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Maria Aline Barroso Rocha
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Sally de França Lacerda Pinheiro
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Roberto Flávio Fontenelle Pinheiro Junior
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Maria do Socorro Vieira Gadelha
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
| | - Cláudio Gleidiston Lima da Silva
- School of Medicine, Federal University of Cariri, UFCA, Barbalha 63180-000, Ceará, Brazil; (Á.D.L.S.); (A.C.S.d.N.F.); (T.L.C.); (J.P.d.S.B.); (M.A.B.R.); (S.d.F.L.P.); (R.F.F.P.J.); (M.d.S.V.G.); (C.G.L.d.S.)
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Hai-rong J, Peng W, Yong L, Tao N, Xiao-song R, Bao-guo L. Detection of human papilloma virus type 16 E6 mRNA in laryngeal squamous cell carcinoma by in situ hybridization. Chin J Cancer Res 2010. [DOI: 10.1007/s11670-010-0218-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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