Epstein-Barr virus and risk of breast cancer: a systematic review and meta-analysis

Future Oncol. 2019 Aug;15(24):2873-2885. doi: 10.2217/fon-2019-0232. Epub 2019 Jul 25.

Abstract

Despite the numerous publications regarding the role of Epstein-Barr virus (EBV) in breast cancer development, the topic has still remained controversial. The aim of the meta-analysis was to estimate the overall prevalence of EBV in the breast cancer population, and to investigate the association between EBV and breast cancer risk. The overall prevalence of EBV was calculated 26.37% (95% CI: 22-31%) from the 44 included studies. Meta-analysis of 30 case-control studies showed that the pooled association between EBV and risk of breast cancer is odds ratio 4.74 (95% CI: 2.92-7.69; Z = 6.30; p < 0.0001). Our analyses indicate a strong statistical relationship between EBV infection and risk of breast cancer, suggesting a potential role of EBV infection in the development of breast cancer.

Keywords: EBV; Epstein–Barr virus; breast cancer; breast carcinoma; meta-analysis.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Breast Neoplasms / etiology*
  • Breast Neoplasms / virology*
  • Case-Control Studies
  • Epstein-Barr Virus Infections / complications*
  • Epstein-Barr Virus Infections / virology
  • Female
  • Herpesvirus 4, Human / pathogenicity*
  • Humans
  • Odds Ratio
  • Prevalence