Background & Aims. Approximately 10% of gastric adenocarcinomas carry the h
uman pathogenic Epstein-Barr virus (EBV). The role of EBV in the pathogenes
is of these carcinomas remains to be established. Methods: To obtain a comp
rehensive overview of chromosomal aberrations in EBV-carrying and EBV-negat
ive gastric carcinomas we performed comparative genomic hybridization (CGH)
on 44 gastric carcinomas, 10 EBV-positive, and 34 EBV-negative. Additional
ly, DNA flow cytometry was done. Results: Loss of chromosome 4p (P < 0.001)
and of 11p (P < 0.02) was exclusively restricted to EBV-carrying gastric c
arcinomas. In addition, loss of :18q (P < 0.02) was significantly more freq
uent in EBV-carrying gastric carcinomas. The latter involves loci, which ha
ve already been linked to gastric carcinogenesis such as the DCC and SMAD4
gene. In contrast, the losses on chromosome 4 and JA do not yet harbor a ge
ne related to gastric carcinogenesis. No significant correlation was found
between DNA-ploidy and the EBV-status. A number of chromosomal aberrations
were found at-comparable frequencies in both groups, i.e., losses of chromo
some 17, 12q, and loss of 1p. Interestingly, gains of 13q (10/34) and 3q (5
/34) and loss of 1q (5/34) were solely observed in EBV-negative gastric car
cinomas. Conclusions: These data indicate that EBV-carrying and EBV-negativ
e gastric carcinomas have different pathogenetic pathways in which EBV migh
t play a crucial role.