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人疱疹病毒8与多发性骨髓瘤之间关联的免疫组织化学研究

Immunohistochemical study association between human herpesvirus 8 and multiple myeloma.

作者信息

Sadeghian Mohammad Hadi, Katebi Mehrdad, Ayatollahi Hossein, Keramati Mohammad Reza

机构信息

Hematology and Blood Banking Department, Faculty of Medicine, Mashhad University of Medical Science (MUMS), Mashhad, Iran.

MUMS, Mashhad, Iran.

出版信息

Int J Hematol. 2008 Oct;88(3):283-286. doi: 10.1007/s12185-008-0135-y. Epub 2008 Jul 16.

Abstract

Multiple myeloma (MM) is a plasma cell neoplasm characterized by a clonal proliferation of plasma cells that produce a monoclonal protein and involve the skeleton at multiple sites. Although human herpesvirus-8(HHV-8) has been implicated in pathogenesis of disease, but this role is not clear. The aim of this study was to show direct evidence of HHV-8 in bone marrow tissue of MM patients with use of immunohistochemical method. Standard immunohistochemstry was performed with HHV-8 marker on formalin fixed paraffin embedded bone marrow tissue in 30 MM cases and 30 subjects with normal bone marrow tissue. Slides were examined for nuclear immunoreactivity by two pathologists. The data were analyzed with 2 x 2 contingency tables and Fischer's exact test, also differences with P-value under 0.05 (P <or= 0.05) was considered statistically significant. Nuclear immunoreactivity for HHV-8 was detected in four patients (13.3%) with MM but was not detectable in any normal bone marrow cells. Fisher exact test showed no difference for HHV-8 immunoreactivity between two groups of case and control (P = 0.11). Our finding demonstrated that HHV-8 infection did not seem influence on pathogenesis of multiple myeloma.

摘要

多发性骨髓瘤(MM)是一种浆细胞肿瘤,其特征为产生单克隆蛋白的浆细胞克隆性增殖,并累及多个部位的骨骼。虽然人类疱疹病毒8型(HHV-8)被认为与该疾病的发病机制有关,但其作用尚不清楚。本研究的目的是通过免疫组化方法在MM患者的骨髓组织中显示HHV-8的直接证据。对30例MM病例和30例正常骨髓组织的福尔马林固定石蜡包埋骨髓组织进行HHV-8标记的标准免疫组化。由两位病理学家检查玻片的核免疫反应性。数据用2×2列联表和费舍尔精确检验进行分析,P值小于0.05(P≤0.05)的差异被认为具有统计学意义。在4例(13.3%)MM患者中检测到HHV-8的核免疫反应性,但在任何正常骨髓细胞中均未检测到。费舍尔精确检验显示病例组和对照组之间HHV-8免疫反应性无差异(P = 0.11)。我们的研究结果表明,HHV-8感染似乎对多发性骨髓瘤的发病机制没有影响。

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