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Table 1 Selected clinical characteristics of EBV and HPV infections across West Europe, East Europe, and East Asia

From: The most important questions in cancer research and clinical oncology

Clinical characteristic

West Europe

East Europe

East Asia

Early EBV infection

+

++

++++

Late EBV infection: infectious mononucleosis (IM)

++++

++

+

 Male-to-female ratio (IM)

1:1.5

Not available

Not available

Prevalence of (hypothesized late EBV infection) multiple sclerosis (MS) (per 105)

>30

5–30

<5

 Male-to-female ratio (MS)

1:2

Not available

1:5

Hypothesized early infection with EBV in males

+

++

++++

Hypothesized early infection with EBV in females

Rare

+

++

Hypothesized early infection with HPV in males

++++

++

+

Hypothesized early infection with HPV in females

+++

++

+++

Proportion of patients with HPV-positive OPC (%)

66

30

10

Proportion of female OPC patients who are HPV-positive (%)

45

40

60

Proportion of male OPC patients who are HPV-positive (%)

65

40

30

 Male-to-female ratio

1.5

1.0

0.5

Socio-economic status (1950s–1960s)

++++

++

+

Associated chronic infections (e.g., chronic periodontitis and tuberculosis)

+

+++

++++

Male HPV-positive OPC

++++

+

Rare

Female nasopharyngeal carcinoma

Rare

+

++

Male nasopharyngeal carcinoma

+

++

++++

Female non-smoking lung adenocarcinoma

+

++

++++

Triple-negative breast cancer

+

++

+++

  1. EBV Epstein–Barr virus, HPV human papilloma virus, OPC oropharyngeal carcinoma