Detection of Epstein-Barr virus and genotyping based on EBNA2 protein in mexican patients with Hodgkin lymphoma: A comparative study in children and adults

Icela Palma, Ana Elena Sánchez, Elva Jiménez-Hernández, Francisco Alvarez-Rodríguez, Margarita Nava-Frias, Pedro Valencia-Mayoral, Citlatepet Salinas-Lara, Norma Velazquez-Guadarrama, Josefina Portilla-Aguilar, Rocio Y. Pena, Patricia Ramos-Salazar, Alejandra Contreras, Ana Alfaro, Ana Maria Espinosa, Nayelli Nájera, Gisela Gutierrez, Juan Manuel Mejia-Arangure, José Arellano-Galindo

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17 Scopus citations

Abstract

Background: Epstein-Barr virus (EBV) is a member of the Herpesviridae family and is associated with Hodgkin lymphoma (HL). Isolates of EBV are classified according to sequence variation in the latency genes such as Epstein-Barr virus nuclear antigen (EBNA). EBNA2 contains the most divergent locus and is classified into type 1 and type 2 or EBNA2A and EBNA2B, respectively. We compared the frequency of EBV and the distribution of EBNA genotypes in Mexican children and adults with HL. Patients and Methods: Lymph node biopsy specimens from children and adults with HL were embedded in paraffin. EBV was identified by LMP1 amplification and Epstein-Barr-encoded RNA EBER by in situ hybridization (ISH) and genotyped as EBNA2A or EBNA2B using nested polymerase chain reaction (PCR) and specific primers for the detection of subtype. Results: Sixty-six samples were obtained from 3 hospitals - 42 (63%) from children and 24 (37%) from adults with HL. Thirty-two of the 42 samples (76.1%) were positive for EBV in children and 16 of 24 (66.6%) samples were positive in adults (P =.41). In both children and adults, EBV was found more frequently in male patients. Thirty-four of 48 cases could be typed (70.8%). EBNA2A was found in 7/21 (33.3%) children and in 4/13 (30.8%) adults (P = 1.0), and EBNA2B was found in 10/21 (47.6%) children and in 9/13 (69.2%) adults (P =.22). A mix of subtypes was found in 4/21 (19%) children. Conclusion: EBV was found frequently in both children and adults with HL. EBNA2B was the most frequent subtype, and a high frequency of mixed subtypes was found in children.

Original languageEnglish
Pages (from-to)266-272
Number of pages7
JournalClinical Lymphoma, Myeloma and Leukemia
Volume13
Issue number3
DOIs
StatePublished - Jun 2013

Keywords

  • DNA
  • EBER
  • EBNA2A
  • EBNA2B
  • Epstein-Barr virus
  • In situ hybridization
  • LMP

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