Abstract
Background
Human herpesvirus type 8 (HHV-8), a gamma herpesvirus associated with Kaposi’s sarcoma, has been proposed as a candidate risk factor for prostate cancer (PCa) because of its detection in benign and malignant prostate specimens, and its relation with histologic prostatic inflammation. We investigated the possible relation between pre-diagnostic HHV-8 infection and PCa risk in a case–control study sampled from the placebo arm of the Prostate Cancer Prevention Trial.
Methods
We defined cases as men with a confirmed diagnosis of PCa after visit 2 (n = 315) and controls as men not diagnosed with PCa during the trial who also had a negative end-of-study prostate biopsy (n = 315). We tested sera from visit 2 for IgG antibodies against HHV-8 using a monoclonal antibody-enhanced immunofluorescence assay against multiple lytic HHV-8 antigens.
Results
The adjusted seroprevalence of HHV-8 infection was 11.6 % for cases and 11.0 % for controls (p = 0.81). No association was observed between HHV-8 seropositivity and PCa risk (OR 1.06, 95 % CI 0.65–1.76).
Conclusion
Our findings of a null association between HHV-8 seropositivity and PCa risk do not support an association between HHV-8 infection and PCa development, consistent with the general tendency of the epidemiologic literature to date.
Similar content being viewed by others
References
Boyle P, Levin B (2008) Chronic infections. World Cancer Report International Agency for Research on Cancer, Lyon, p 131
Monini P, de Lellis L, Fabris M, Rigolin F, Cassai E (1996) Kaposi’s sarcoma-associated herpesvirus DNA sequences in prostate tissue and human semen. N Engl J Med 334(18):1168–1172
Montgomery JD, Jacobson LP, Dhir R, Jenkins FJ (2006) Detection of human herpesvirus 8 (HHV-8) in normal prostates. Prostate 66(12):1302–1310
Corbellino M, Poirel L, Bestetti G, Pizzuto M, Aubin JT, Capra M et al (1996) Restricted tissue distribution of extralesional Kaposi’s sarcoma-associated herpesvirus-like DNA sequences in AIDS patients with Kaposi’s sarcoma. AIDS Res Hum Retroviruses 12(8):651–657
Diamond C, Brodie SJ, Krieger JN, Huang ML, Koelle DM, Diem K et al (1998) Human herpesvirus 8 in the prostate glands of men with Kaposi’s sarcoma. J Virol 72(7):6223–6227
Capuano M, La Parola IL, Cattani P, Cerimele F, Sasso F, Masini C et al (1998) Kaposi’s sarcoma associated herpesvirus deoxyribonucleic acid sequences: lack of detection in prostatic tissue of human immunodeficiency virus-negative immunocompetent adults. J Urol 160(2):505–506
Pauk J, Huang ML, Brodie SJ, Wald A, Koelle DM, Schacker T et al (2000) Mucosal shedding of human herpesvirus 8 in men. N Engl J Med 343(19):1369–1377
De Marzo AM, Platz EA, Sutcliffe S, Xu J, Gronberg H, Drake CG et al (2007) Inflammation in prostate carcinogenesis. Nat Rev Cancer 7(4):256–269
Hoffman LJ, Bunker CH, Pellett PE, Trump DL, Patrick AL, Dollard SC et al (2004) Elevated seroprevalence of human herpesvirus 8 among men with prostate cancer. J Infect Dis 189(1):15–20
Korodi Z, Wang X, Tedeschi R, Knekt P, Dillner J (2005) No serological evidence of association between prostate cancer and infection with herpes simplex virus type 2 or human herpesvirus type 8: a nested case–control study. J Infect Dis 191(12):2008–2011
Jenkins FJ, Hayes RB, Jackson A, Pizza G, Mbisa G, Whitby D et al (2007) Human herpesvirus 8 seroprevalence among prostate cancer case patients and control subjects. J Infect Dis 196(2):208–211
Sutcliffe S, Giovannucci E, Gaydos CA, Viscidi RP, Jenkins FJ, Zenilman JM et al (2007) Plasma antibodies against Chlamydia trachomatis, human papillomavirus, and human herpesvirus type 8 in relation to prostate cancer: a prospective study. Cancer Epidemiol Biomark Prev 16(8):1573–1580
Huang WY, Hayes R, Pfeiffer R, Viscidi RP, Lee FK, Wang YF et al (2008) Sexually transmissible infections and prostate cancer risk. Cancer Epidemiol Biomark Prev 17(9):2374–2381
McDonald AC, Jenkins FJ, Bunker CH, Wilson JW, Patrick AL, Weissfeld JL (2011) A case–cohort study of human herpesvirus 8 seropositivity and incident prostate cancer in Tobago. Infect Agent Cancer 6:25
Ge X, Wang X, Shen P (2013) Herpes simplex virus type 2 or human herpesvirus 8 infection and prostate cancer risk: a meta-analysis. Biomed Rep 1(3):433–439
Goodman PJ, Tangen CM, Crowley JJ, Carlin SM, Ryan A, Coltman CA Jr et al (2004) Implementation of the prostate cancer prevention trial (PCPT). Control Clin Trials 25(2):203–222
Thompson IM, Goodman PJ, Tangen CM, Lucia MS, Miller GJ, Ford LG et al (2003) The influence of finasteride on the development of prostate cancer. N Engl J Med 349(3):215–224
Lennette ET, Blackbourn DJ, Levy JA (1996) Antibodies to human herpesvirus type 8 in the general population and in Kaposi’s sarcoma patients. Lancet 348(9031):858–861
Spira TJ, Lam L, Dollard SC, Meng YX, Pau CP, Black JB et al (2000) Comparison of serologic assays and PCR for diagnosis of human herpesvirus 8 infection. J Clin Microbiol 38(6):2174–2180
Pellett PE, Wright DJ, Engels EA, Ablashi DV, Dollard SC, Forghani B et al (2003) Multicenter comparison of serologic assays and estimation of human herpesvirus 8 seroprevalence among US blood donors. Transfusion 43(9):1260–1268
Kristal AR, Arnold KB, Schenk JM, Neuhouser ML, Goodman P, Penson DF et al (2008) Dietary patterns, supplement use, and the risk of symptomatic benign prostatic hyperplasia: results from the prostate cancer prevention trial. Am J Epidemiol 167(8):925–934
Sutcliffe S, Alderete JF, Till C, Goodman PJ, Hsing AW, Zenilman JM et al (2009) Trichomonosis and subsequent risk of prostate cancer in the prostate cancer prevention trial. Int J Cancer 124(9):2082–2087
Sutcliffe S, Viscidi RP, Till C, Goodman PJ, Hoque AM, Hsing AW et al (2010) Human papillomavirus types 16, 18, and 31 serostatus and prostate cancer risk in the prostate cancer prevention trial. Cancer Epidemiol Biomark Prev 19(2):614–618
Sutcliffe S, Till C, Gaydos CA, Jenkins FJ, Goodman PJ, Hoque AM et al (2012) Prospective study of cytomegalovirus serostatus and prostate cancer risk in the prostate cancer prevention trial. Cancer Causes Control 23(9):1511–1518
Franceschi S, Geddes M (1995) Epidemiology of classic Kaposi’s sarcoma, with special reference to mediterranean population. Tumori 81(5):308–314
Dukers NH, Rezza G (2003) Human herpesvirus 8 epidemiology: what we do and do not know. Aids 17(12):1717–1730
Engels EA, Atkinson JO, Graubard BI, McQuillan GM, Gamache C, Mbisa G et al (2007) Risk factors for human herpesvirus 8 infection among adults in the United States and evidence for sexual transmission. J Infect Dis 196(2):199–207
Mygatt JG, Singhal A, Sukumar G, Dalgard CL, Kaleeba JA (2013) Oncogenic herpesvirus HHV-8 promotes androgen-independent prostate cancer growth. Cancer Res 73(18):5695–5708
Sitas F, Carrara H, Beral V, Newton R, Reeves G, Bull D et al (1999) Antibodies against human herpesvirus 8 in black South African patients with cancer. N Engl J Med 340(24):1863–1871
Acknowledgments
We thank the technicians from the PCPT Pathology and Genotyping Core directed by M. Scott Lucia for their efforts in providing serum specimens for testing, Britteny Zeher for HHV-8 antibody testing, the Baltimore City Health Department (Dr. Emily J. Erbelding, Vincent Marsiglia and Sarah Norman) for generous provision of quality control serum specimens, and Dr. Catherine M. Tangen for general statistical discussions. This project was funded by research Grants P01 CA108964 (Biology of the PCPT) and U01 CA37429 from the National Cancer Institute, National Institutes of Health, as well as the Barnes-Jewish Hospital Foundation. The content of this work is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sutcliffe, S., Till, C., Jenkins, F.J. et al. Prospective study of human herpesvirus type 8 serostatus and prostate cancer risk in the placebo arm of the Prostate Cancer Prevention Trial. Cancer Causes Control 26, 35–44 (2015). https://doi.org/10.1007/s10552-014-0480-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-014-0480-5