History of chickenpox in glioma risk: A report from the Glioma International Case-Control Study (GICC) Journal Article


Authors: Amirian, E. S.; Scheurer, M. E.; Zhou, R.; Wrensch, M. R.; Armstrong, G.; Lachance, D.; Olson, S. H.; Lau, C. C.; Claus, E. B.; Barnholtz-Sloan, J.; Il'yasova, D.; Schildkraut, J.; Ali-Osman, F.; Sadetzki, S.; Jenkins, R. B.; Bernstein, J. L.; Merrell, R. T.; Davis, F. G.; Lai, R.; Shete, S.; Amos, C. I.; Melin, B. S.; Bondy, M. L.
Article Title: History of chickenpox in glioma risk: A report from the Glioma International Case-Control Study (GICC)
Abstract: Varicella zoster virus (VZV) is a neurotropic α-herpesvirus that causes chickenpox and establishes life-long latency in the cranial nerve and dorsal root ganglia of the host. To date, VZV is the only virus consistently reported to have an inverse association with glioma. The Glioma International Case-Control Study (GICC) is a large, multisite consortium with data on 4533 cases and 4171 controls collected across five countries. Here, we utilized the GICC data to confirm the previously reported associations between history of chickenpox and glioma risk in one of the largest studies to date on this topic. Using two-stage random-effects restricted maximum likelihood modeling, we found that a positive history of chickenpox was associated with a 21% lower glioma risk, adjusting for age and sex (95% confidence intervals (CI): 0.65–0.96). Furthermore, the protective effect of chickenpox was stronger for high-grade gliomas. Our study provides additional evidence that the observed protective effect of chickenpox against glioma is unlikely to be coincidental. Future studies, including meta-analyses of the literature and investigations of the potential biological mechanism, are warranted. © 2016 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
Keywords: adult; controlled study; aged; major clinical study; disease course; cancer risk; cancer staging; brain tumor; glioma; cancer grading; evidence based medicine; disease association; risk factor; risk assessment; population research; sex difference; age distribution; cancer classification; ethnicity; chickenpox; varicella zoster virus; shingles; very elderly; human; male; female; priority journal; article
Journal Title: Cancer Medicine
Volume: 5
Issue: 6
ISSN: 2045-7634
Publisher: Wiley Blackwell  
Date Published: 2016-06-01
Start Page: 1352
End Page: 1358
Language: English
DOI: 10.1002/cam4.682
PUBMED: 26972449
PROVIDER: scopus
PMCID: PMC4924393
DOI/URL:
Notes: Article -- Export Date: 2 November 2016 -- Source: Scopus
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  1. Sara H Olson
    234 Olson
  2. Jonine L Bernstein
    142 Bernstein