RT Journal Article SR Electronic T1 Genome sequencing analysis identifies high-risk Epstein-Barr virus subtypes for nasopharyngeal carcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 486613 DO 10.1101/486613 A1 Miao Xu A1 Youyuan Yao A1 Hui Chen A1 Shanshan Zhang A1 Tong Xiang A1 Su-Mei Cao A1 Zhe Zhang A1 Bing Luo A1 Zhiwei Liu A1 Zilin Li A1 Guiping He A1 Qi-Sheng Feng A1 Li-Zhen Chen A1 Xiang Guo A1 Weihua Jia A1 Ming-Yuan Chen A1 Bingchun Zhao A1 Xiao Zhang A1 Shang-Hang Xie A1 Roujun Peng A1 Ellen T. Chang A1 Vincent Pedergnana A1 Lin Feng A1 Jin-Xin Bei A1 Ruihua Xu A1 Mu Sheng Zeng A1 Weimin Ye A1 Hans-Olov Adami A1 Xihong Lin A1 Weiwei Zhai A1 Yi-Xin Zeng A1 Jianjun Liu YR 2018 UL http://biorxiv.org/content/early/2018/12/04/486613.abstract AB Epstein-Barr virus (EBV) infection is ubiquitous worldwide and associated with multiple cancers including nasopharyngeal carcinoma (NPC). The role of EBV viral genomic variation in NPC development and its striking endemicity in southern China has been poorly explored. Through large-scale genome sequencing and association study of EBV isolates from China, we identified two non-synonymous EBV variants within BALF2 strongly associated with NPC risk (conditional P value 1.75×10-6 for SNP162476_C and 3.23×10-13 for SNP163364_T), whose cumulative effects contributed to 83% of the overall risk in southern China. Phylogenetic analysis of the risk variants revealed a unique origin in southern China followed by clonal expansion. EBV BALF2 haplotype carrying the risk variants were shown to reduce viral lytic DNA replication, as a result potentially promoting viral latency. Our discovery has not only provided insight to the unique endemic pattern of NPC occurrence in southern China, but also paved the way for the identification of individuals at high risk of NPC and effective intervention program to reduce the disease burden in southern China.