
NOVEL PATTERNS OF THE EPSTEIN-BARR NUCLEAR
ANTIGEN (EBNA-1) V-VAL SUBTYPE IN EBV-ASSOCIATED
NASOPHARYNGEAL CARCINOMA FROM VIETNAM Thuan LD1, Kha ND2, Minh NT3, Thuy LHA1,* *Corresponding Author: Thuy Le Huyen Ai, Ph.D., Associate Professor, Department of Pharmaceutical
and Medical Biotechnology, Faculty of Biotechnology, Room 304, 97 Vo Van Tan Street, Ward 6, District 3,
Ho Chi Minh City Open University, Ho Chi Minh City, Vietnam.
Tel: +84-905-784-471. E-mail: thuy.lha@ ou.edu.vn page: 61
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MATERIALS AND METHODS
Ethics Statement. The Institutional Ethics Board
approval, the decision number of the permission from
Ethics committee: 516/BVCR-HDDD, was obtained from
the Medical Ethics Committee of the Cho Ray Hospital,
Ho Chi Minh City, Vietnam. All the biopsy samples used
in current study were collected from participants, who
agreed and signed all the consent forms.
Sample Collection and DNA Isolation. Fifty-eight
NPC biopsy samples were collected from local patients
at the Cho Ray Hospital, Ho Chi Minh City, Vietnam.
All the sample were submitted to the histopathological
diagnosis center to confirm the NPC diagnosis. Notably,
all biopsies were collected from patients, who obeyed the
ethical approval for study of human samples, and patients
who agreed with the purpose of the study.
For DNA isolation, biopsies were lysed in lysis buffer,
containing 10 mM Tris-HCl pH 8, 10 mM EDTA, 150 nM
NaCl, 2.0% SDS, and 0.1 mg/mL Proteinase K, incubated
overnight at 56 °C. Total of genomic DNA of clinical samples
was extracted using a phenol/chloroform solution, pH 8.
The purification of DNA was done by a 99.0% ethanol solution.
The quality and purity of DNA isolates were measured
by the evaluation of A260/A280 proportion. The DNA solution
was stored in Tris-EDTA 0.5M, at –20 °C for further assays.
The PCR Amplification of EBNA-1 C-Terminal
Domain of Clinical Samples and C-Terminal Domain
Sequencing. Nested polymerase chain reaction (nested-
PCR) was applied to amplify the C-terminal region of
EBNA-1. The sequence and position of primers used in
two stages of nested-PCR are shown in Table 1 and Figure
1, respectively. The EBNA-1-1 and EBNA-1-2 primers
were used for stage 1 of nested-PCR, and EBNA-1-3 and
EBNA-1-4 primers were used in stage 2 of nested-PCR.
Both stages of nested-PCR were performed in a total of
15 μL, containing 100 ng genomic DNA template (stage
1) or 100 ng stage 1 PCR product (stage 2), 0.5 μM each
primer, and 7.5 μL MyTaqTM Mix (Cat. No. BIO-25041;
Bioline UK, London, UK). The PCR amplification was performed with an initial
denaturation at 94 °C for 5 min.; followed by 45 cycles
of denaturation at 94 °C for 30 seconds, annealing at 55
°C (stage 1) or 65 °C (stage 2) for 30 seconds, extension
at 72 °C for 30 seconds; and elongation step at 72 °C for
10 min. The nested-PCR products were visualized and
analyzed by electrophoresis through stained with ethidium
bromide, and 2.0% agarose gel. For EBNA-1 C-terminal
sequencing, 30 μL products of the second stage of nested-
PCR were sent to Nam Khoa Biotek Co. Ltd. (Ho Chi Minh
City, Vietnam) for direct sequencing in both direction with
primers EBNA-1-3 and EBNA-1-4.
Determination and Analysis of EBNA-1 V-Val
Subtypes. The results of EBNA-1 C-terminal sequencing
was read by Chromas 2.6.4 (Technelysium; https://
technelysium. com.au/wp/chromas/) and checked for sequencing
homology using BLAST [National Center for
Biotechnology Information (NCBI); https://www.ncbi.
nlm.nih.gov]. For determination of EBNA-1 C-terminal
subtypes, according to the study of Bhatia et al. [14] and
Gutiérrez et al. [15], amino acid at position 487 was used
as the signature residue for EBNA-1 subtypes. For the
current study, the valine residue at position 487, identified
as V-Val subtype, was enrolled into the analysis of V-Val
characteristics of Vietnamese NPC patients. All the V-Val
subtype sequence data were compared with the P-Ala B95-
8 strain (Genbank accession #V10555). The alignment
between data sequence and B95-8 strain sequence were
analyzed using BioEdit (www.mbio.nesu.edu/BiolEdit/
bioedit.html) sequence alignment editor.
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