Zeytinoğlu Ayşin, Hekimgil Mine, Erensoy Selda, Aydemir Söhret, Berber Sahir, Cağirgan Seçkin, Soydan Saliha, Bilgiç Altinay
Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dali, Ege Universitesi Tip Fakültesi, izmir.
Mikrobiyol Bul. 2005 Oct;39(4):473-81.
Relation between Epstein-Barr virus (EBV) and nasopharyngeal carsinoma, Burkitt's lymphoma, and lymphomas in immunosupressed patients have been shown previously in different studies. The same relationship was also shown in Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) by some researchers. The aim of this study was to demonstrate EBV nucleic acids in tissue sections of adult patients with lymphoma. The presence of EBV encoded RNA (EBER) were investigated with in situ hybridization and EBV-DNA with PCR method in 29 formalin-fixed paraffin-embedded tissue sections (19 lymph nodes, the others being gastric, orbital, skin, salivary gland, testicle, small intestinal, tongue root, bone marrow and gingival tissues) of 8 patients with HL and 21 patients with NHL who were followed-up in Haematology Clinics of our university hospital. EBER and EBV-DNA positivity rates were found as follows respectively; 50% (n: 4) and 37.5% (n: 3) of 8 HL patients, and 23.8% (n: 5) and 47.6% (n: 10) of 21 NHL patients. In total evaluation EBER and/or EBV-DNA were positive in 5 of 8 (62.5%) HL, and 12 of 21 (57.1%) NHL tissue sections. There was no significant difference in EBER and EBV-DNA positivity between HL and NHL groups. As a result, our study emphasize a possible EBV related aetiology in HL and NHL.
此前在不同研究中已表明,爱泼斯坦-巴尔病毒(EBV)与鼻咽癌、伯基特淋巴瘤以及免疫抑制患者的淋巴瘤之间存在关联。一些研究人员在霍奇金淋巴瘤(HL)和非霍奇金淋巴瘤(NHL)中也发现了同样的关系。本研究的目的是在成年淋巴瘤患者的组织切片中检测EBV核酸。我们在大学医院血液科随访的8例HL患者和21例NHL患者的29份福尔马林固定石蜡包埋组织切片(19份淋巴结切片,其余为胃、眼眶、皮肤、唾液腺、睾丸、小肠、舌根、骨髓和牙龈组织切片)中,采用原位杂交法检测EBV编码RNA(EBER),采用PCR法检测EBV-DNA。EBER和EBV-DNA阳性率分别如下:8例HL患者中,EBER阳性率为50%(n = 4),EBV-DNA阳性率为37.5%(n = 3);21例NHL患者中,EBER阳性率为23.8%(n = 5),EBV-DNA阳性率为47.6%(n = 10)。总体评估显示,8例HL患者中有5例(62.5%)组织切片EBER和/或EBV-DNA呈阳性,21例NHL患者中有12例(57.1%)组织切片EBER和/或EBV-DNA呈阳性。HL组和NHL组在EBER和EBV-DNA阳性率方面无显著差异。因此,我们的研究强调HL和NHL可能存在与EBV相关的病因。