Association of Epstein-Barr virus with invasive breast carcinoma and its impact on well-known clinicopathologic parameters in Iranian women

Authors

1 Department of Pathology, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Pathology, School of Nursery and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The association between Epstein-Barr virus (EBV) and breast carcinoma in Iranian women is uncertain. We examined EBV latent membrane protein-1 (LMP-1) antigen expression in breast carcinoma and its relationship with clinicopathologic parameters among a population of Iranian patients.
Materials and Methods: This study was performed on formalin fixed and paraffin embedded tissue specimens with a diagnosis of invasive breast carcinoma archived at one university hospital in Isfahan city, Iran. We used immunohistochemistry to detect LMP-1 of EBV in carcinoma and its adjacent normal tissue. The frequency of LMP-1 expression in breast carcinoma and its relationship with age, tumor size, tumor type, tumor grade and lymph node status were then determined.
Results: A total of 80 cases were evaluated including 77 (96.3%) ductal, 1 (1.3%) lobular, 1 (1.3%) medullary and 1 (1.3%) mucinous carcinoma. LMP-1 expression was seen in 6 cases (7.5%) of breast carcinoma whereas normal breast tissue adjacent to carcinoma was negative for LMP-1 in all of the cases. A statistically significant association was seen between EBV and invasive breast carcinoma (P = 0.03). No significant relationship was observed between LMP-1 expression on one hand and age, tumor size, tumor type, tumor grade and lymph node status on the other.
Conclusion: EBV may play an etiological role in some of the cases of breast carcinoma in Iranian women. EBV expression does not seem to have a significant impact on the major clinicopathologic prognostic determinants of breast carcinoma

Keywords

1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010;127:2893-917.  Back to cited text no. 1
    
2. Sadjadi A, Nouraie M, Ghorbani A, Alimohammadian M, Malekzadeh R. Epidemiology of breast cancer in the Islamic Republic of Iran: First results from a population-based cancer registry. East Mediterr Health J 2009;15:1426-31.  Back to cited text no. 2
    
3. Joshi D, Quadri M, Gangane N, Joshi R, Gangane N. Association of Epstein Barr virus infection with breast cancer in rural Indian women. PLoS One 2009;4:e8180.  Back to cited text no. 3
    
4. Mant C, Hodgson S, Hobday R, D'Arrigo C, Cason J. A viral aetiology for breast cancer: Time to re-examine the postulate. Intervirology 2004;47:2-13.  Back to cited text no. 4
    
5. Pan X, Zhu X, Li QQ. Case report of concurrent primary malignancies of the breast and nasopharynx. Oncol Lett 2012;4:285-8.  Back to cited text no. 5
    
6. Yilmaz K, Koptur B, Dede DS, Aksoy S, Altundag K. Nasopharyngeal carcinoma with synchronous breast cancer; possible role of Epstein-Barr virus infection in the carcinogenesis of both cancers. J BUON 2012;17:600.  Back to cited text no. 6
    
7. Hippocrate A, Oussaief L, Joab I. Possible role of EBV in breast cancer and other unusually EBV-associated cancers. Cancer Lett 2011;305:144-9.  Back to cited text no. 7
    
8. Joshi D, Buehring GC. Are viruses associated with human breast cancer? Scrutinizing the molecular evidence. Breast Cancer Res Treat 2012;135:1-15.  Back to cited text no. 8
    
9. Kadivar M, Monabati A, Joulaee A, Hosseini N. Epstein-Barr virus and breast cancer: Lack of evidence for an association in Iranian women. Pathol Oncol Res 2011;17:489-92.  Back to cited text no. 9
    
10. Mazouni C, Fina F, Romain S, Ouafik L, Bonnier P, Brandone JM, et al. Epstein-Barr virus as a marker of biological aggressiveness in breast cancer. Br J Cancer 2011;104:332-7.  Back to cited text no. 10
    
11. Fawzy S, Sallam M, Awad NM. Detection of Epstein-Barr virus in breast carcinoma in Egyptian women. Clin Biochem 2008;41:486-92.  Back to cited text no. 11
    
12. Preciado MV, Chabay PA, De Matteo EN, Gonzalez P, Grinstein S, Actis A, et al. Epstein-Barr virus in breast carcinoma in Argentina. Arch Pathol Lab Med 2005;129:377-81.  Back to cited text no. 12
    
13. Labrecque LG, Barnes DM, Fentiman IS, Griffin BE. Epstein-Barr virus in epithelial cell tumors: A breast cancer study. Cancer Res 1995;55:39-45.  Back to cited text no. 13
    
14. Glenn WK, Heng B, Delprado W, Iacopetta B, Whitaker NJ, Lawson JS. Epstein-Barr virus, human papillomavirus and mouse mammary tumour virus as multiple viruses in breast cancer. PLoS One 2012;7:e48788.  Back to cited text no. 14
    
15. Zekri AR, Bahnassy AA, Mohamed WS, El-Kassem FA, El-Khalidi SJ, Hafez MM, et al. Epstein-Barr virus and breast cancer: Epidemiological and molecular study on Egyptian and Iraqi women. J Egypt Natl Canc Inst 2012;24:123-31.  Back to cited text no. 15
    
16. Hachana M, Amara K, Ziadi S, Romdhane E, Gacem RB, Trimeche M. Investigation of Epstein-Barr virus in breast carcinomas in Tunisia. Pathol Res Pract 2011;207:695-700.  Back to cited text no. 16
    
17. Trabelsi A, Rammeh S, Stita W, Mokni M, Mourou A, Korbi S. Detection of Epstein-Barr virus in breast cancers with lymphoid stroma. Ann Biol Clin (Paris) 2008;66:59-62.  Back to cited text no. 17
    
18. He JR, Tang LY, Yu DD, Su FX, Song EW, Lin Y, et al. Epstein-Barr virus and breast cancer: Serological study in a high-incidence area of nasopharyngeal carcinoma. Cancer Lett 2011;309:128-36.  Back to cited text no. 18
    
19. Huo Q, Zhang N, Yang Q. Epstein-Barr virus infection and sporadic breast cancer risk: A meta-analysis. PLoS One 2012;7:e31656.  Back to cited text no. 19
    
20. Perrigoue JG, den Boon JA, Friedl A, Newton MA, Ahlquist P, Sugden B. Lack of association between EBV and breast carcinoma. Cancer Epidemiol Biomarkers Prev 2005;14:809-14.  Back to cited text no. 20
    
21. Baltzell K, Buehring GC, Krishnamurthy S, Kuerer H, Shen HM, Sison JD. Epstein-Barr virus is seldom found in mammary epithelium of breast cancer tissue using in situ molecular methods. Breast Cancer Res Treat 2012;132:267-74.  Back to cited text no. 21
    
22. Chu PG, Chang KL, Chen YY, Chen WG, Weiss LM. No significant association of Epstein-Barr virus infection with invasive breast carcinoma. Am J Pathol 2001;159:571-8.  Back to cited text no. 22
    
23. He JR, Chen LJ, Su Y, Cen YL, Tang LY, Yu DD, et al. Joint effects of Epstein-Barr virus and polymorphisms in interleukin-10 and interferon-γ on breast cancer risk. J Infect Dis 2012;205:64-71.  Back to cited text no. 23