Li D, Oda K, Mikata A, Yumoto N
First Department of Pathology, School of Medicine, Chiba University, Japan.
Pathol Int. 1995 Oct;45(10):735-41. doi: 10.1111/j.1440-1827.1995.tb03390.x.
Seventeen of 40 cases of Hodgkin's disease (HD) and eight of 46 non-Hodgkin's lymphomas (NHL) were associated with Epstein-Barr virus (EBV) infection, judged by the EBER-1 in situ hybridization (ISH) method. Approximately 40% incidence in HD was comparable to previous reports. Young children and elderly HD patients were more prone to be found EBV positive. Fourteen of 17 HD and two of 8 NHL cases with positive EBER-1 ISH were also positive on LMP-1 immunostaining. EBV might have a role in lymphomagenesis in these cases. The fact that 7 of 8 EBV-related NHL were peripheral T cell lymphoma indicates the necessity of a larger-scale survey on this subject. As the present study revealed four cases with positive LMP-1 immunostaining but negative EBER-1 ISH (1 HD, 3 NHL), LMP-1 alone should not be regarded as a tool to prove EBV infection.
通过EBER-1原位杂交(ISH)方法判断,40例霍奇金淋巴瘤(HD)中有17例、46例非霍奇金淋巴瘤(NHL)中有8例与EB病毒(EBV)感染相关。HD中约40%的发生率与既往报道相当。幼儿和老年HD患者更容易被发现EBV呈阳性。17例EBER-1 ISH呈阳性的HD病例中有14例、8例NHL病例中有2例LMP-1免疫染色也呈阳性。在这些病例中,EBV可能在淋巴瘤发生过程中起作用。8例EBV相关NHL中有7例为外周T细胞淋巴瘤,这一事实表明有必要对该主题进行更大规模的调查。由于本研究发现4例LMP-1免疫染色呈阳性但EBER-1 ISH呈阴性的病例(1例HD,3例NHL),因此不应仅将LMP-1视为证明EBV感染的工具。