Epstein-Barr virus and cytomegalovirus in relation to testicular-cancer risk: a nested case-control study

Int J Cancer. 1999 Jul 2;82(1):1-5. doi: 10.1002/(sici)1097-0215(19990702)82:1<1::aid-ijc1>3.0.co;2-l.

Abstract

An infectious etiology of testicular cancer has been suggested. We have evaluated seroreactivity against cytomegalovirus (CMV) and Epstein-Barr virus (EBV) in relation to testicular-cancer risk in a case-control study, nested within a cohort of prospectively collected serum specimens from 293,692 individuals. For each of 81 cases of testicular cancer identified, 3 controls were randomly selected from the cohort. Serum IgG antibody titers against CMV and EBV were determined using enzyme-linked immunosorbent assays (ELISAs) and immunofluorescence methods. Odds ratios (OR) were obtained from conditional logistic-regression models. No association was found between CMV positivity and testicular cancer overall (OR = 1.08; 95% confidence interval 0.60-1.94); risk for testicular seminoma was increased among CMV seropositive [OR = 1.70 (0.80-3.59)], whereas seropositivity was associated with decreased risk for testicular non-seminoma [OR = 0.54 (0.19-1.56)] (p for heterogeneity, 0.09). For EBV, the risk for testicular cancer was increased among individuals seropositive for viral capsid antigen (VCA) [OR = 2.74 (0.62-12.12)]. The results lend some support to the hypothesis of an infectious etiology, and we propose that future studies should take into account age at infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Viral / blood
  • Case-Control Studies
  • Cytomegalovirus / immunology
  • Cytomegalovirus / isolation & purification*
  • Enzyme-Linked Immunosorbent Assay
  • Herpesvirus 4, Human / immunology
  • Herpesvirus 4, Human / isolation & purification*
  • Humans
  • Male
  • Prospective Studies
  • Risk
  • Testicular Neoplasms / etiology
  • Testicular Neoplasms / virology*

Substances

  • Antibodies, Viral