Abstract:Primary BL in Malawian children has a very high frequency association, approaching 100%, with the human herpesvirus EBV. A detailed study carried out on viral gene expression in these tumours, using both fresh material and methanol-fixed FNAs, showed, contrary to prediction, that most belong to a variant "class II" latency category, with lytic cycle-related genes also expressed. That is, in addition to EBNA1 expression, membrane proteins (LMP1/2A), immediate early (BZLF1) and early (IR2 and IR4) genes, a putat… Show more
“…53 Induction of LMP-1 by external stimuli, such as IL-10, could also partly explain the heterogeneous expression of LMP-1 in some EBV-positive B-cell malignancies 17 and the intriguing finding of scattered LMP-1-positive cells in BLs. [11][12][13][14][15] IL-10 could be produced by the malignant cells or it could be provided by the surrounding, infiltrating cells.…”
Section: Discussionmentioning
confidence: 99%
“…10 Furthermore, rare B cells expressing type II EBV latency were detected in several lymphoid malignancies, such as Burkitt lymphomas [11][12][13][14][15] and posttransplantation lymphoproliferative disease, 16,17 and in B cells of angioimmunoblastic T-cell lymphomas, 18 pleural effusion lymphomas, 19 and plasmablastic lymphomas. 20 In these conditions LMP-1 is expressed in the absence of the trans-activators EBNA-2 and EBNA-5, implying that yet unknown cellular or viral factors are responsible for its expression.…”
IntroductionThe human gammaherpesvirus Epstein-Barr virus (EBV) is ubiquitous and it persists for the lifetime of the individual after the first encounter. In spite of the efficient transforming potential of the virus for B lymphocytes in vitro, the infection with EBV is largely harmless in vivo due to the vigorous immune response directed against the virus-encoded proteins expressed in proliferating cells, 1 combined with the viral strategy to downregulate the expression of the immunogenic viral proteins in the infected memory B cells. 2 A variety of lymphomas and carcinomas were found to carry EBV genome and to express virally encoded proteins. 1 Except for the lymphomas in immunosuppressed individuals, the role of the virus in the genesis of the tumors is unknown.EBV readily infects B-lymphocyte cultures in vitro and transforms them into proliferating lymphoblastoid cell lines (LCLs). These cells carry the virus in a latent form and express a set of viral genes that in concert with cellular genes induce the immunoblastic transformation and proliferation of the B cells. 1 The emerging lymphoblastoid cell lines (LCLs) express 6 nuclear (EBNA1-6) and 3 membrane viral proteins (latent membrane protein 1 [LMP-1], -2A, -2B). This expression pattern is termed type III latency or growth program. 1,2 In this program the expression of LMPs is driven by the trans-activator EBNA-2 together with EBNA-5 (EBNA-2-dependent expression of LMPs). 1 In EBV-positive malignant cells the virus expresses only a few viral genes, such as only EBNA-1 in Burkitt lymphoma (BL), whereas in nasopharyngeal carcinoma, 3 Hodgkin lymphoma, 4 and T and NK lymphomas 5 EBNA-1 is expressed together with LMP-1 and LMP-2 (EBNA-2-independent LMP expression). 1 EBER and BART RNAs are expressed in all latency forms. 1 LMP-1 is required for in vitro transformation and proliferation of B cells in vitro. 6,7 Acting as a constitutively active receptor, 8 LMP-1 activates similar pathways as the triggering of the CD40 receptor and is therefore regarded as a functional homologue of CD40.B cells with all 3 EBV latency types have been detected in the lymphoid tissues of patients with clinically manifest primary EBV infection (infectious mononucleosis [IM]) and also in healthy EBV carriers. 2 In healthy individuals, transcripts of type III latency-associated genes were found exclusively in naive B cells, whereas germinal center (GC) and memory B cells expressed the restricted type II and type I latency, respectively. 2 It has been proposed that EBV exploits the normal B-cell differentiation pathway to get access to the memory compartment. LMP-1 and LMP-2A are believed to provide survival signals for the EBV-infected GC B lymphocytes by mimicking the externally activated CD40 and B-cell receptor (BCR) pathways, respectively.Type II latent B cells were also found by immunohistochemical analysis of tonsillar sections of healthy EBV carriers 9 and IM patients. 10 Furthermore, rare B cells expressing type II EBV latency were detected in several lymphoid malignancies,...
“…53 Induction of LMP-1 by external stimuli, such as IL-10, could also partly explain the heterogeneous expression of LMP-1 in some EBV-positive B-cell malignancies 17 and the intriguing finding of scattered LMP-1-positive cells in BLs. [11][12][13][14][15] IL-10 could be produced by the malignant cells or it could be provided by the surrounding, infiltrating cells.…”
Section: Discussionmentioning
confidence: 99%
“…10 Furthermore, rare B cells expressing type II EBV latency were detected in several lymphoid malignancies, such as Burkitt lymphomas [11][12][13][14][15] and posttransplantation lymphoproliferative disease, 16,17 and in B cells of angioimmunoblastic T-cell lymphomas, 18 pleural effusion lymphomas, 19 and plasmablastic lymphomas. 20 In these conditions LMP-1 is expressed in the absence of the trans-activators EBNA-2 and EBNA-5, implying that yet unknown cellular or viral factors are responsible for its expression.…”
IntroductionThe human gammaherpesvirus Epstein-Barr virus (EBV) is ubiquitous and it persists for the lifetime of the individual after the first encounter. In spite of the efficient transforming potential of the virus for B lymphocytes in vitro, the infection with EBV is largely harmless in vivo due to the vigorous immune response directed against the virus-encoded proteins expressed in proliferating cells, 1 combined with the viral strategy to downregulate the expression of the immunogenic viral proteins in the infected memory B cells. 2 A variety of lymphomas and carcinomas were found to carry EBV genome and to express virally encoded proteins. 1 Except for the lymphomas in immunosuppressed individuals, the role of the virus in the genesis of the tumors is unknown.EBV readily infects B-lymphocyte cultures in vitro and transforms them into proliferating lymphoblastoid cell lines (LCLs). These cells carry the virus in a latent form and express a set of viral genes that in concert with cellular genes induce the immunoblastic transformation and proliferation of the B cells. 1 The emerging lymphoblastoid cell lines (LCLs) express 6 nuclear (EBNA1-6) and 3 membrane viral proteins (latent membrane protein 1 [LMP-1], -2A, -2B). This expression pattern is termed type III latency or growth program. 1,2 In this program the expression of LMPs is driven by the trans-activator EBNA-2 together with EBNA-5 (EBNA-2-dependent expression of LMPs). 1 In EBV-positive malignant cells the virus expresses only a few viral genes, such as only EBNA-1 in Burkitt lymphoma (BL), whereas in nasopharyngeal carcinoma, 3 Hodgkin lymphoma, 4 and T and NK lymphomas 5 EBNA-1 is expressed together with LMP-1 and LMP-2 (EBNA-2-independent LMP expression). 1 EBER and BART RNAs are expressed in all latency forms. 1 LMP-1 is required for in vitro transformation and proliferation of B cells in vitro. 6,7 Acting as a constitutively active receptor, 8 LMP-1 activates similar pathways as the triggering of the CD40 receptor and is therefore regarded as a functional homologue of CD40.B cells with all 3 EBV latency types have been detected in the lymphoid tissues of patients with clinically manifest primary EBV infection (infectious mononucleosis [IM]) and also in healthy EBV carriers. 2 In healthy individuals, transcripts of type III latency-associated genes were found exclusively in naive B cells, whereas germinal center (GC) and memory B cells expressed the restricted type II and type I latency, respectively. 2 It has been proposed that EBV exploits the normal B-cell differentiation pathway to get access to the memory compartment. LMP-1 and LMP-2A are believed to provide survival signals for the EBV-infected GC B lymphocytes by mimicking the externally activated CD40 and B-cell receptor (BCR) pathways, respectively.Type II latent B cells were also found by immunohistochemical analysis of tonsillar sections of healthy EBV carriers 9 and IM patients. 10 Furthermore, rare B cells expressing type II EBV latency were detected in several lymphoid malignancies,...
“…Although EBV latency patterns can be classified grossly into these four types, this classification is not very strict, and heterogeneous patterns are reported in EBV-associated diseases [27,28]. Patterns of viral gene expression can differ between different cell subsets in the same individual or even tissue.…”
Section: Classification Of Ebv-associated Diseases By Ebv Latent Genesmentioning
Because Epstein-Barr virus (EBV) is ubiquitous and persists latently in lymphocytes, simply detecting EBV is insufficient to diagnose EBV-associated diseases. Therefore, measuring the EBV load is necessary to diagnose EBVassociated diseases and to explore EBV pathogenesis. Due to the diverse biology of EBV, the significance of measuring EBV DNA and the optimal type of specimen differ among EBV-associated diseases. Recent advances in molecular technology have enabled the EBV genome to be quantitated rapidly and accurately. Real-time polymerase chain reaction (PCR) is a rapid and reliable method to quantify DNA and is widely used not only as a diagnostic tool, but also as a management tool for EBV-associated diseases. However, each laboratory currently measures EBV load with its own ''homebrew'' system, and there is no consensus on sample type, sample preparation protocol, or assay units. The EBV real-time PCR assay system must be standardised for large-scale studies and international comparisons.
“…For histochemical analyses, paraffin blocks were kept at À201C. Other controls used for this study included a North African NPC (C15) passaged as a xenograft in nude mice and containing 30 copies of the EBV genome (Busson et al, 1988), a primary African Burkitt's lymphoma (from Xue et al, 2002), Asian NPCs (from Hong Kong) and numerous EBV-carrying lymphocyte cell lines.…”
The presence and transcriptional expression of Epstein -Barr virus (EBV)-encoded genes, oestrogen receptor (ER) status and degree of lymphocyte infiltration were evaluated in 15 mastectomy-removed breast cancer samples, mostly of ductal origin. With regard to these parameters, the tumours were heterogeneous. Viral genes, including EBNA1 -a universal EBV marker -and others, selected in part on the basis of expression in other EBV-associated carcinomas and/or presence in an epithelial cell immortalising subfragment p31 of viral DNA, were detected in up to 40% of the breast malignancies. The small viral RNAs, EBERs, were not observed. In culture, p31 EBV DNA, alone among EBV fragments, stimulated the growth of human breast-milk epithelial cells. There was no correlation between viral and ER expression and tumours were heterogeneous with regard to their invasive lymphocytes: of three studied in detail, one contained none, another had (mainly) T-lymphocyte aggregates on the tumour periphery, and a third (BC 12) was infiltrated with both T-and B-lymphocytes. BC 12 differed in several aspects from other malignancies in expressing a transcriptional activator (BZLF1) associated with overcoming virus latency, and failing to express a viral oncogene, BARF1. Arguments are given for EBV as a protagonist cocarcinogen in some breast malignancies.
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