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Blood, Vol. 93 No. 11 (June 1), 1999:
pp. 3949-3955
From the Department of Hematology, Academical Medical Center,
Amsterdam; the Department of Clinical Viro-Immunology, CLB, Sanquin
Blood Supply Foundation, Laboratory for Experimental and Clinical
Immunology, Academical Medical Center, University of Amsterdam,
Amsterdam; the Department of Immunology and Medical Oncology,
Netherlands Cancer Institute, Antoni van Leeuwenhoek Ziekenhuis,
Amsterdam; and the Department of Human Retrovirology, Academical
Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
In the literature, a correlation has been suggested between the
occurrence of acquired immunodeficiency syndrome (AIDS)-related non-Hodgkin's lymphomas (NHL) and Epstein-Barr virus (EBV) type 2 infection. To further investigate a possible role for EBV type 2 infection in the development of AIDS-NHL, we developed a sensitive and
type-specific nested polymerase chain reaction (PCR) assay and analyzed
EBV types directly on peripheral blood mononuclear cells (PBMC) in
three subgroups of human immunodeficiency virus (HIV)-1 infected
individuals: 30 AIDS-NHL patients, 42 individuals progressing to
AIDS without lymphoma (PROG), either developing opportunistic infections (AIDS-OI) or Kaposi's sarcoma (AIDS-KS), and
18 long-term asymptomatic individuals (LTA). Furthermore, EBV type
analysis was performed on PBMC samples obtained from AIDS-NHL patients
in the course of HIV-1 infection. The results showed that: (1) direct
analysis of PBMC is superior to analysis of B-lymphoblastoid cell lines
(B-LCL) grown from the same PBMC samples; (2) in HIV-1 infected
individuals, there is a high prevalence of EBV type 2 infection (50%
in LTA, 62% in progressors, and 53% in AIDS-NHL) and superinfection
with both type 1 and 2 (24% in LTA, 40% in progressors, and 47% in
AIDS-NHL); (3) EBV type 2 (super)infection is not associated with an
increased risk for development of AIDS-NHL; (4) type 2 infection can be found early in HIV-1 infection, and neither type 2 infection nor superinfection correlates with a failing immune system.
This article has been cited by other articles:
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