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Frequent traces of EBV infection in Hodgkin and non-Hodgkin lymphomas classified as EBV-negative by routine methods: expanding the landscape of EBV-related lymphomas.
Mundo, Lucia; Del Porro, Leonardo; Granai, Massimo; Siciliano, Maria Chiara; Mancini, Virginia; Santi, Raffaella; Marcar, Lynnette; Vrzalikova, Katerina; Vergoni, Federica; Di Stefano, Gioia; Schiavoni, Gianluca; Segreto, Giovanna; Onyango, Noel; Nyagol, Joshua Akelo; Amato, Teresa; Bellan, Cristiana; Anagnostopoulos, Ioannis; Falini, Brunangelo; Leoncini, Lorenzo; Tiacci, Enrico; Lazzi, Stefano.
Afiliación
  • Mundo L; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Del Porro L; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Granai M; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Siciliano MC; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Mancini V; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Santi R; Section of Pathology, University of Florence, Florence, Italy.
  • Marcar L; BioMaterials Cluster, Bernal Institute, University of Limerick, Limerick, Ireland.
  • Vrzalikova K; Ireland, Health Research Institute (HRI), University of Limerick, Limerick, Ireland.
  • Vergoni F; Institute of immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
  • Di Stefano G; Section of Pathology, University of Florence, Florence, Italy.
  • Schiavoni G; Section of Pathology, University of Florence, Florence, Italy.
  • Segreto G; Section of Haematology and Clinical Immunology, Department of Medicine, University and Hospital of Perugia, Perugia, Italy.
  • Onyango N; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Nyagol JA; Department of Clinical Medicine and Therapeutics, Unit of Medical Oncology, University of Nairobi, Nairobi, Kenya.
  • Amato T; Department of Clinical Medicine and Therapeutics, Unit of Medical Oncology, University of Nairobi, Nairobi, Kenya.
  • Bellan C; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Anagnostopoulos I; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Falini B; Department of Anatomical Pathology, University of Charité Berlin, Berlin, Germany.
  • Leoncini L; Section of Haematology and Clinical Immunology, Department of Medicine, University and Hospital of Perugia, Perugia, Italy.
  • Tiacci E; Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy.
  • Lazzi S; Section of Haematology and Clinical Immunology, Department of Medicine, University and Hospital of Perugia, Perugia, Italy. enrico.tiacci@unipg.it.
Mod Pathol ; 33(12): 2407-2421, 2020 12.
Article en En | MEDLINE | ID: mdl-32483241
The Epstein-Barr virus (EBV) is linked to various B-cell lymphomas, including Burkitt lymphoma (BL), classical Hodgkin lymphoma (cHL) and diffuse large B-cell lymphoma (DLBCL) at frequencies ranging, by routine techniques, from 5 to 10% of cases in DLBCL to >95% in endemic BL. Using higher-sensitivity methods, we recently detected EBV traces in a few EBV-negative BL cases, possibly suggesting a "hit-and-run" mechanism. Here, we used routine and higher-sensitivity methods (qPCR and ddPCR for conserved EBV genomic regions and miRNAs on microdissected tumor cells; EBNA1 mRNA In situ detection by RNAscope) to assess EBV infection in a larger lymphoma cohort [19 BL, 34 DLBCL, 44 cHL, 50 follicular lymphomas (FL), 10 T-lymphoblastic lymphomas (T-LL), 20 hairy cell leukemias (HCL), 10 mantle cell lymphomas (MCL)], as well as in several lymphoma cell lines (9 cHL and 6 BL). qPCR, ddPCR, and RNAscope consistently documented the presence of multiple EBV nucleic acids in rare tumor cells of several cases EBV-negative by conventional methods that all belonged to lymphoma entities clearly related to EBV (BL, 6/9 cases; cHL, 16/32 cases; DLBCL, 11/30 cases), in contrast to fewer cases (3/47 cases) of FL (where the role of EBV is more elusive) and no cases (0/40) of control lymphomas unrelated to EBV (HCL, T-LL, MCL). Similarly, we revealed traces of EBV infection in 4/5 BL and 6/7 HL cell lines otherwise conventionally classified as EBV negative. Interestingly, additional EBV-positive cases (1 DLBCL, 2 cHL) relapsed as EBV-negative by routine methods while showing EBNA1 expression in rare tumor cells by RNAscope. The relapse specimens were clonally identical to their onset biopsies, indicating that the lymphoma clone can largely loose the EBV genome over time but traces of EBV infection are still detectable by high-sensitivity methods. We suggest EBV may contribute to lymphoma pathogenesis more widely than currently acknowledged.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfoma no Hodgkin / ARN Mensajero / ARN Viral / Enfermedad de Hodgkin / Herpesvirus Humano 4 / Antígenos Nucleares del Virus de Epstein-Barr / Infecciones por Virus de Epstein-Barr Tipo de estudio: Clinical_trials / Diagnostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Mod Pathol Asunto de la revista: PATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfoma no Hodgkin / ARN Mensajero / ARN Viral / Enfermedad de Hodgkin / Herpesvirus Humano 4 / Antígenos Nucleares del Virus de Epstein-Barr / Infecciones por Virus de Epstein-Barr Tipo de estudio: Clinical_trials / Diagnostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Mod Pathol Asunto de la revista: PATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos