Document Detail

Hodgkin lymphoma and Epstein-Barr virus (EBV): no evidence to support hit-and-run mechanism in cases classified as non-EBV-associated.
MedLine Citation:
PMID:  12594818     Owner:  NLM     Status:  MEDLINE    
The Epstein-Barr virus (EBV) is associated with a proportion of Hodgkin lymphoma (HL) cases, and this association is believed to be causal. The aetiology of cases lacking EBV in the tumour cells (EBV HRS-ve), which make up the majority of cases in western countries, is obscure. It has been suggested that EBV may also cause these tumours by using a hit-and-run mechanism. Support for this idea comes from the finding that most young adult patients, who are likely to have a good immune response to EBV, have EBV HRS-ve HL. We investigated this possibility using a combined serologic and molecular approach. Analysis of EBV seroprevalence rates in an epidemiologic study of young adult HL revealed that cases with EBV HRS-ve HL were more likely to be EBV-seronegative than controls. Furthermore, additional studies clearly showed that some HL patients have never been infected by EBV. Quantitative PCR was used to look for the presence of deleted EBV genomes in a series of adult cases with both EBV HRS+ve and HRS-ve HL. Subgenomic fragments were detected in equimolar proportions. This study, therefore, found no evidence to support the idea that a hit-and-run mechanism involving EBV plays a role in the pathogenesis of HL.
Alice Gallagher; Jacqueline Perry; June Freeland; Freda E Alexander; William F Carman; Lesley Shield; Ray Cartwright; Ruth F Jarrett
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of cancer. Journal international du cancer     Volume:  104     ISSN:  0020-7136     ISO Abbreviation:  Int. J. Cancer     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-02-20     Completed Date:  2003-04-10     Revised Date:  2007-07-24    
Medline Journal Info:
Nlm Unique ID:  0042124     Medline TA:  Int J Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  624-30     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc.
LRF Virus Centre, Institute of Comparative Medicine, University of Glasgow, Glasgow, United Kingdom.
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MeSH Terms
Herpesvirus 4, Human / genetics,  pathogenicity,  physiology*
Hodgkin Disease / classification,  etiology*,  virology*
Middle Aged
Models, Biological*
Polymerase Chain Reaction
RNA-Binding Proteins / blood,  genetics
Reproducibility of Results
Ribosomal Proteins*
Viral Matrix Proteins / blood,  genetics
Reg. No./Substance:
0/EBV-associated membrane antigen, Epstein-Barr virus; 0/RNA-Binding Proteins; 0/Ribosomal Proteins; 0/Viral Matrix Proteins; 135844-68-7/RPL22 protein, human

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