Chabay Paola, De Matteo Elena, Lorenzetti Mario, Barón Anahí Vijnovich, Valva Pamela, Preciado María Victoria
Pathology Division, Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina.
Pediatr Dev Pathol. 2009 Jan-Feb;12(1):28-34. doi: 10.2350/07-11-0378.1.
T-cell non-Hodgkin's lymphomas (NHLs) represent 10% to 15% of all diagnosed lymphomas in Western countries. Various geographic frequencies of T-cell NHL have been documented, in part reflecting increased exposure to pathogenic factors such as Epstein-Barr virus (EBV). Our aims were to assess EBV and p53 expression in Argentine pediatric T-cell lymphoma and to correlate them with patients' survival. Epstein-Barr encoded RNAs (EBERs) in situ hybridization and LMP1 and p53 immunohistochemical staining were performed on formalin-fixed paraffin-embedded lymph node biopsies from 25 pediatric T-lymphoma patients. In 17 of 25 samples good-quality DNA was obtained, and EBER polymerase chain reaction was assessed to confirm in situ hybridization and immunohistochemical results. Epstein-Barr virus expression was found in 8.0% of cases. p53-positive staining was distributed in 92% of pediatric cases. Kaplan-Meier survival analysis showed that neither EBV nor p53 expression was statistically significantly associated with event-free survival. Our data showed a low frequency of EBV association with pediatric T-cell lymphoma. It seems that p53 plays an important role in proliferation in our studied population, since it is overexpressed in 92% of T-cell lymphoma cases.
在西方国家,T细胞非霍奇金淋巴瘤(NHL)占所有确诊淋巴瘤的10%至15%。已记录到T细胞NHL在不同地区的发病率各异,部分反映出诸如爱泼斯坦-巴尔病毒(EBV)等致病因素暴露增加。我们的目的是评估阿根廷儿童T细胞淋巴瘤中EBV和p53的表达情况,并将它们与患者的生存率相关联。对25例儿童T细胞淋巴瘤患者的福尔马林固定石蜡包埋淋巴结活检组织进行了爱泼斯坦-巴尔编码RNA(EBER)原位杂交以及LMP1和p53免疫组织化学染色。在25个样本中的17个获得了高质量DNA,并进行了EBER聚合酶链反应以确认原位杂交和免疫组织化学结果。8.0%的病例中发现了EBV表达。92%的儿童病例中存在p53阳性染色。Kaplan-Meier生存分析表明,EBV和p53表达均与无事件生存率无统计学显著关联。我们的数据显示EBV与儿童T细胞淋巴瘤的关联频率较低。在我们研究的人群中,p53似乎在增殖中起重要作用,因为它在92%的T细胞淋巴瘤病例中过表达。