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- W4313492893 abstract "Abstract Background We aimed to investigate associations between pre-diagnostic anti-Epstein-Barr virus (EBV) antibodies, including interactions with hepatitis B virus (HBV), and risk of primary liver cancer in southern China. Methods In a nested population-based case-control study, we measured pre-diagnostic immunoglobulin A (IgA) against EBV nuclear antigen 1 (EBNA1) and viral capsid antigen (VCA) in 125 primary liver cancer cases and 2077 matched controls. We also explored the interaction between HBV surface antigen (HBsAg) and anti-EBV antibodies. Results Participants with positive EBNA1-IgA, positive VCA-IgA or single-positive anti-EBV antibodies had 50–60% greater risk of developing liver cancer, compared with seronegative subjects. The odds ratios (ORs) between the relative optical density of EBNA1-IgA and VCA-IgA and primary cancer, controlling for age and HBsAg, were 1.59 (95% confidence interval (CI): 1.17, 2.14) and 1.60 (95% CI: 1.07, 2.41), respectively. Subjects with both HBsAg and anti-EBV antibody seropositivity were at 50-fold increased risk compared with those negative for both biomarkers (OR: 50.67, 95% CI: 18.28, 140.46), yielding a relative excess risk due to interaction of 30.81 (95% CI: 3.42, 114.93). Conclusion Pre-diagnostic seropositivity for EBNA1-IgA and/or VCA-IgA was positively associated with primary liver cancer risk, especially in combination with HBsAg positivity. EBV may interact with HBV in the development of primary liver cancer, and anti-EBV antibodies might be potential biomarkers for primary liver cancer in this high-risk population." @default.
- W4313492893 created "2023-01-06" @default.
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- W4313492893 date "2023-01-04" @default.
- W4313492893 modified "2023-10-17" @default.
- W4313492893 title "Pre-diagnostic anti-EBV antibodies and primary liver cancer risk: a population-based nested case-control study in southern China" @default.
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- W4313492893 doi "https://doi.org/10.21203/rs.3.rs-2171692/v1" @default.
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