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Pathogenesis of B cell lymphoma in a patient with AIDS
JE Groopman, JL Sullivan, C Mulder, D Ginsburg, SH Orkin, CJ O'Hara, K Falchuk, F Wong-Staal and RC Gallo
Lymphoma occurs at increased frequency in patients with the acquired
immunodeficiency syndrome (AIDS). We studied, using serologic and molecular
techniques, one such lymphoma for (a) evidence of infection with human T
lymphotropic virus, type III (HTLV-III), and Epstein-Barr virus (EBV), (b)
monoclonal rearrangement of immunoglobulin and T cell receptor genes, and
(c) rearrangement of the c-myc oncogene. Immunoglobulin and T cell receptor
gene studies demonstrated that the tumor was of monoclonal B cell origin.
Similar to cases of Burkitt's lymphoma unrelated to AIDS, there were DNA
sequences in the lymphoma that hybridized to EBV-specific probes and
demonstrated evidence of c- myc rearrangement. HTLV-III sequences were not
detected in the malignant B cells. The pathogenesis of some B cell
neoplasms in patients with the syndrome may involve transformation by EBV
and deregulation of oncogene expression without direct infection of the
malignant B cells by HTLV-III.
Volume 67,
Issue 3,
pp. 612-615,
03/01/1986
Copyright © 1986 by The American Society of Hematology

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