Epstein-Barr virus is a ubiquitous virus and is associated with several human malignances, including the significant subset of gastric
carcinoma, Epstein-Barr virus-associated gastric
carcinoma. Some Epstein-Barr virus-associated diseases are uniquely prevalent in populations with different geographic origins. However, the features of the disease and geographically associated Epstein-Barr virus genetic variation as well as the roles that the variation plays in
carcinogenesis and evolution remain unclear. Therefore, in this study, we sequenced 95 geographically distinct Epstein-Barr virus isolates from Epstein-Barr virus-associated gastric
carcinoma biopsies and saliva of healthy donors to detect variants and genes associated with gastric
carcinoma and population structure from a genome-wide spectrum. We demonstrated that Epstein-Barr virus revealed the population structure between North China and South China. In addition, we observed population stratification between Epstein-Barr virus strains from gastric
carcinoma and healthy controls, indicating that certain Epstein-Barr virus subtypes are associated with different gastric
carcinoma risks. We identified that the BRLF1, BBRF3, and BBLF2/BBLF3 genes had significant associations with gastric
carcinoma. LMP1 and BNLF2a genes were strongly geographically associated genes in Epstein-Barr virus. Our study provides insights into the genetic basis of oncogenic Epstein-Barr virus for gastric
carcinoma, and the genetic variants associated with gastric
carcinoma can serve as
biomarkers for oncogenic Epstein-Barr virus.