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外周血单个核细胞中卡波西肉瘤(KS)相关的疱疹病毒样DNA序列:与KS的关联以及在接受抗疱疹病毒药物治疗患者中的持续性

Kaposi's sarcoma (KS)-associated herpesvirus-like DNA sequences in peripheral blood mononuclear cells: association with KS and persistence in patients receiving anti-herpesvirus drugs.

作者信息

Humphrey R W, O'Brien T R, Newcomb F M, Nishihara H, Wyvill K M, Ramos G A, Saville M W, Goedert J J, Straus S E, Yarchoan R

机构信息

Medicine Branch National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-1906, USA.

出版信息

Blood. 1996 Jul 1;88(1):297-301.

PMID:8704186
Abstract

Herpesvirus-like DNA sequences (KSHV/HHV-8) have recently been described in AIDS-associated Kaposi's sarcoma (KS) lesions. Many questions remain regarding the role of this virus in KS and the therapeutic implications of this finding. In the current study, KSHV/HHV-8 DNA was detected in peripheral blood mononuclear cells (PBMCs) from human immunodeficiency virus (HIV)-infected patients with KS (34/98) more often than in HIV-infected individuals without KS (12/64, P = .03). The detection of KSHV/HHV-8 DNA did not correlate with the CD4 lymphocyte count. Five patients demonstrated KSHV/HHV-8 DNA in their PBMCs during administration of intravenous foscarnet and/or ganciclovir. The continued detection of KSHV/HHV-8 DNA in the PBMCs of patients receiving these anti-herpesvirus drugs has potential implications regarding the virus-cell relationship of KSHV/HHV-8, as well as for the value of these drugs in treating or preventing KS, but additional studies are needed.

摘要

疱疹病毒样DNA序列(卡波西肉瘤相关疱疹病毒/人疱疹病毒8型,KSHV/HHV-8)最近在艾滋病相关的卡波西肉瘤(KS)病变中被发现。关于这种病毒在KS中的作用以及这一发现的治疗意义,仍有许多问题。在当前研究中,在感染人类免疫缺陷病毒(HIV)的KS患者(34/98)的外周血单个核细胞(PBMC)中检测到KSHV/HHV-8 DNA的频率高于未患KS的HIV感染个体(12/64,P = 0.03)。KSHV/HHV-8 DNA的检测与CD4淋巴细胞计数无关。5例患者在静脉注射膦甲酸钠和/或更昔洛韦期间,其PBMC中检测到KSHV/HHV-8 DNA。在接受这些抗疱疹病毒药物治疗的患者的PBMC中持续检测到KSHV/HHV-8 DNA,这对KSHV/HHV-8的病毒-细胞关系以及这些药物在治疗或预防KS中的价值具有潜在意义,但还需要进一步研究。

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