Boldorini Renzo, Pagani Elisabetta, Car Pier Giorgio, Omodeo-Zorini Elisabetta, Borghi Elisa, Tarantini Letizia, Bellotti Carlo, Ferrante Pasquale, Monga Guido
Dipartimento di Scienze Mediche Facoltà di Medicina e Chirurgia Università del Piemonte Orientale Amedeo Avogadro, Novara, Italy.
Pathology. 2003 Jun;35(3):248-53. doi: 10.1080/0031302031000123245.
The aim of this study was to evaluate the presence and significance of JC virus (JCV) in human brain tumours.
Histology, immunohistochemistry (IHC) and molecular biology techniques were employed to examine specimens of tumour tissue, peripheral blood and cerebrospinal fluid taken from 22 patients with primary neuro-epithelial tumours. Furthermore, the coding viral protein (VP1) region and non-coding transcription control region (TCR) of JCV genome isolated from the tumours were submitted to sequence analysis in order to detect viral rearrangements or mutations.
JCV genome was found in nine of the 22 tumour specimens (40.9%), including eight astrocyte-derived tumours (seven glioblastomas and one astrocytoma) and one oligodendroglioma, and in two of the 15 cerebrospinal fluid specimens (13.3%) with positive tumour tissue (one glioblastoma and one astrocytoma). Sequence analysis of JCV VP1, which was amplified in seven tissue samples and the two cerebrospinal fluid samples, revealed only genotype 1 (four 1a and three 1b), whereas TCR was amplified in six tissue samples and only one cerebrospinal fluid sample. TCR sequence analysis was possible in four cases and identified three Mad-4 and one type II sequences; the TCR genomic structures of JCV isolated from cerebrospinal fluid were the same as those sequenced from corresponding tumour tissue, thus indicating a possible cerebrospinal fluid dissemination of neoplastic cells carrying viral DNA.
Our results suggest a possible role of JCV in the induction of brain tumours, especially in those originating from brain cells normally targeted by JCV infection.
本研究旨在评估JC病毒(JCV)在人脑肿瘤中的存在情况及其意义。
采用组织学、免疫组织化学(IHC)和分子生物学技术,对22例原发性神经上皮肿瘤患者的肿瘤组织、外周血和脑脊液标本进行检测。此外,对从肿瘤中分离出的JCV基因组的编码病毒蛋白(VP1)区域和非编码转录控制区域(TCR)进行序列分析,以检测病毒重排或突变。
在22例肿瘤标本中的9例(40.9%)发现了JCV基因组,其中包括8例星形胶质细胞来源的肿瘤(7例胶质母细胞瘤和1例星形细胞瘤)和1例少突胶质细胞瘤,在15例肿瘤组织阳性的脑脊液标本中的2例(13.3%)也发现了JCV基因组(1例胶质母细胞瘤和1例星形细胞瘤)。对在7个组织样本和2个脑脊液样本中扩增出的JCV VP1进行序列分析,仅发现基因型1(4个1a和3个1b),而在6个组织样本和仅1个脑脊液样本中扩增出了TCR。4例病例可进行TCR序列分析,鉴定出3个Mad-4和1个II型序列;从脑脊液中分离出的JCV的TCR基因组结构与从相应肿瘤组织中测序得到的结构相同,这表明携带病毒DNA的肿瘤细胞可能通过脑脊液播散。
我们的结果提示JCV在脑肿瘤诱发中可能发挥作用,尤其是在那些起源于通常被JCV感染靶向的脑细胞的肿瘤中。