Skip to main content
Top
Published in: Infectious Agents and Cancer 1/2023

Open Access 01-12-2023 | Kaposi's Sarcoma-Associated Herpesvirus | Research

Comparison of Epstein–Barr virus and Kaposi’s sarcoma-associated herpesvirus viral load in peripheral blood mononuclear cells and oral fluids of HIV-negative individuals aged 3–89 years from Uganda

Authors: Angela Nalwoga, Vickie Marshall, Wendell Miley, Nazzarena Labo, Denise Whitby, Robert Newton, Rosemary Rochford

Published in: Infectious Agents and Cancer | Issue 1/2023

Login to get access

Abstract

We previously found that age, sex and malaria were associated with KSHV in individuals from Uganda. In this study, we have evaluated these same factors in relation to EBV in the same specimens. Overall, 74% (oral fluids) and 46% (PBMCs) had detectable EBV. This was significantly higher than observed for KSHV (24% oral fluids and 11% PBMCs). Individuals with EBV in PBMCs were more likely to have KSHV in PBMCs (P = 0.011). The peak age for detection of EBV in oral fluids was 3–5 years while that of KSHV was 6–12 years. In PBMCs, there was a bimodal peak age for detection of EBV (at 3–5 years and 66 + years) while for KSHV there was a single peak at 3–5 years. Individuals with malaria had higher levels of EBV in PBMCs compared to malaria-negative individuals (P = 0.002). In summary, our results show that younger age and malaria are associated with higher levels of EBV and KSHV in PBMCs suggesting malaria impacts immunity to both gamma-herpesviruses.
Appendix
Available only for authorised users
Literature
1.
go back to reference Biological agents. Volume 100 B. A review of human carcinogens. IARC Monogr Eval Carcinog Risks Hum 2012;100(Pt B):1–441. Biological agents. Volume 100 B. A review of human carcinogens. IARC Monogr Eval Carcinog Risks Hum 2012;100(Pt B):1–441.
3.
4.
go back to reference Mack AA, Sugden B. EBV is necessary for proliferation of dually infected primary effusion lymphoma cells. Can Res. 2008;68(17):6963–8.CrossRef Mack AA, Sugden B. EBV is necessary for proliferation of dually infected primary effusion lymphoma cells. Can Res. 2008;68(17):6963–8.CrossRef
5.
go back to reference Rochford R. Epstein-Barr virus infection of infants: implications of early age of infection on viral control and risk for Burkitt lymphoma. Bol Med Hosp Infant Mex. 2016;73(1):41–6.PubMed Rochford R. Epstein-Barr virus infection of infants: implications of early age of infection on viral control and risk for Burkitt lymphoma. Bol Med Hosp Infant Mex. 2016;73(1):41–6.PubMed
6.
go back to reference Piriou E, Asito AS, Sumba PO, Fiore N, Middeldorp JM, Moormann AM, Ploutz-Snyder R, et al. Early age at time of primary Epstein–Barr virus infection results in poorly controlled viral infection in infants from Western Kenya: clues to the etiology of endemic Burkitt lymphoma. J Infect Dis. 2012;205(6):906–13.CrossRefPubMedPubMedCentral Piriou E, Asito AS, Sumba PO, Fiore N, Middeldorp JM, Moormann AM, Ploutz-Snyder R, et al. Early age at time of primary Epstein–Barr virus infection results in poorly controlled viral infection in infants from Western Kenya: clues to the etiology of endemic Burkitt lymphoma. J Infect Dis. 2012;205(6):906–13.CrossRefPubMedPubMedCentral
7.
go back to reference Sabourin KR, Daud I, Ogolla S, Labo N, Miley W, Lamb M, Newton R, et al. Malaria is associated with Kaposi sarcoma-associated herpesvirus seroconversion in a cohort of western Kenyan children. J Infect Dis. 2021;224(2):303–11.CrossRefPubMed Sabourin KR, Daud I, Ogolla S, Labo N, Miley W, Lamb M, Newton R, et al. Malaria is associated with Kaposi sarcoma-associated herpesvirus seroconversion in a cohort of western Kenyan children. J Infect Dis. 2021;224(2):303–11.CrossRefPubMed
8.
go back to reference Aalam F, Nabiee R, Castano JR, Totonchy J. Analysis of KSHV B lymphocyte lineage tropism in human tonsil reveals efficient infection of CD138+ plasma cells. PLoS Pathog. 2020;16(10):e1008968.CrossRefPubMedPubMedCentral Aalam F, Nabiee R, Castano JR, Totonchy J. Analysis of KSHV B lymphocyte lineage tropism in human tonsil reveals efficient infection of CD138+ plasma cells. PLoS Pathog. 2020;16(10):e1008968.CrossRefPubMedPubMedCentral
9.
go back to reference Shannon-Lowe C, Rowe M. Epstein Barr virus entry; kissing and conjugation. Curr Opin Virol. 2014;4:78–84.CrossRefPubMed Shannon-Lowe C, Rowe M. Epstein Barr virus entry; kissing and conjugation. Curr Opin Virol. 2014;4:78–84.CrossRefPubMed
10.
go back to reference Dedicoat M, Newton R, Alkharsah KR, Sheldon J, Szabados I, Ndlovu B, Page T, et al. Mother-to-child transmission of human herpesvirus-8 in South Africa. J Infect Dis. 2004;190(6):1068–75.CrossRefPubMed Dedicoat M, Newton R, Alkharsah KR, Sheldon J, Szabados I, Ndlovu B, Page T, et al. Mother-to-child transmission of human herpesvirus-8 in South Africa. J Infect Dis. 2004;190(6):1068–75.CrossRefPubMed
11.
go back to reference Heid CA, Stevens J, Livak KJ, Williams PM. Real time quantitative PCR. Genome Res. 1996;6(10):986–94.CrossRefPubMed Heid CA, Stevens J, Livak KJ, Williams PM. Real time quantitative PCR. Genome Res. 1996;6(10):986–94.CrossRefPubMed
12.
go back to reference Kimura H, Morita M, Yabuta Y, Kuzushima K, Kato K, Kojima S, Matsuyama T, et al. Quantitative analysis of Epstein–Barr virus load by using a real-time PCR assay. J Clin Microbiol. 1999;37(1):132–6.CrossRefPubMedPubMedCentral Kimura H, Morita M, Yabuta Y, Kuzushima K, Kato K, Kojima S, Matsuyama T, et al. Quantitative analysis of Epstein–Barr virus load by using a real-time PCR assay. J Clin Microbiol. 1999;37(1):132–6.CrossRefPubMedPubMedCentral
13.
go back to reference Nalwoga A, Nakibuule M, Marshall V, Miley W, Labo N, Cose S, Whitby D, et al. Risk factors for Kaposi’s sarcoma-associated herpesvirus DNA in blood and in saliva in rural Uganda. Clin Infect Dis. 2020;71(4):1055–62.CrossRefPubMed Nalwoga A, Nakibuule M, Marshall V, Miley W, Labo N, Cose S, Whitby D, et al. Risk factors for Kaposi’s sarcoma-associated herpesvirus DNA in blood and in saliva in rural Uganda. Clin Infect Dis. 2020;71(4):1055–62.CrossRefPubMed
14.
go back to reference Haq IU, Dalla Pria A, Papanastasopoulos P, Stegmann K, Bradshaw D, Nelson M, Bower M. The clinical application of plasma Kaposi sarcoma herpesvirus viral load as a tumour biomarker: results from 704 patients. HIV Med. 2016;17(1):56–61.CrossRefPubMed Haq IU, Dalla Pria A, Papanastasopoulos P, Stegmann K, Bradshaw D, Nelson M, Bower M. The clinical application of plasma Kaposi sarcoma herpesvirus viral load as a tumour biomarker: results from 704 patients. HIV Med. 2016;17(1):56–61.CrossRefPubMed
15.
go back to reference Min J, Katzenstein DA. Detection of Kaposi’s sarcoma-associated herpesvirus in peripheral blood cells in human immunodeficiency virus infection: association with Kaposi’s sarcoma, CD4 cell count, and HIV RNA levels. AIDS Res Hum Retroviruses. 1999;15(1):51–5.CrossRefPubMed Min J, Katzenstein DA. Detection of Kaposi’s sarcoma-associated herpesvirus in peripheral blood cells in human immunodeficiency virus infection: association with Kaposi’s sarcoma, CD4 cell count, and HIV RNA levels. AIDS Res Hum Retroviruses. 1999;15(1):51–5.CrossRefPubMed
16.
go back to reference Quinlivan EB, Zhang C, Stewart PW, Komoltri C, Davis MG, Wehbie RS. Elevated virus loads of Kaposi’s sarcoma-associated human herpesvirus 8 predict Kaposi’s sarcoma disease progression, but elevated levels of human immunodeficiency virus type 1 do not. J Infect Dis. 2002;185(12):1736–44.CrossRefPubMed Quinlivan EB, Zhang C, Stewart PW, Komoltri C, Davis MG, Wehbie RS. Elevated virus loads of Kaposi’s sarcoma-associated human herpesvirus 8 predict Kaposi’s sarcoma disease progression, but elevated levels of human immunodeficiency virus type 1 do not. J Infect Dis. 2002;185(12):1736–44.CrossRefPubMed
17.
go back to reference Martró E, Cannon MJ, Dollard SC, Spira TJ, Laney AS, Ou CY, Pellett PE. Evidence for both lytic replication and tightly regulated human herpesvirus 8 latency in circulating mononuclear cells, with virus loads frequently below common thresholds of detection. J Virol. 2004;78(21):11707–14.CrossRefPubMedPubMedCentral Martró E, Cannon MJ, Dollard SC, Spira TJ, Laney AS, Ou CY, Pellett PE. Evidence for both lytic replication and tightly regulated human herpesvirus 8 latency in circulating mononuclear cells, with virus loads frequently below common thresholds of detection. J Virol. 2004;78(21):11707–14.CrossRefPubMedPubMedCentral
18.
go back to reference Ito Y, Suzuki M, Kawada J, Kimura H. Diagnostic values for the viral load in peripheral blood mononuclear cells of patients with chronic active Epstein–Barr virus disease. J Infect Chemother. 2016;22(4):268–71.CrossRefPubMed Ito Y, Suzuki M, Kawada J, Kimura H. Diagnostic values for the viral load in peripheral blood mononuclear cells of patients with chronic active Epstein–Barr virus disease. J Infect Chemother. 2016;22(4):268–71.CrossRefPubMed
19.
go back to reference Kanakry JA, Hegde AM, Durand CM, Massie AB, Greer AE, Ambinder RF, Valsamakis A. The clinical significance of EBV DNA in the plasma and peripheral blood mononuclear cells of patients with or without EBV diseases. Blood. 2016;127(16):2007–17.CrossRefPubMedPubMedCentral Kanakry JA, Hegde AM, Durand CM, Massie AB, Greer AE, Ambinder RF, Valsamakis A. The clinical significance of EBV DNA in the plasma and peripheral blood mononuclear cells of patients with or without EBV diseases. Blood. 2016;127(16):2007–17.CrossRefPubMedPubMedCentral
20.
go back to reference Nalwoga A, Nakibuule M, Marshall V, Miley W, Labo N, Cose S, Whitby D, et al. Risk factors for Kaposi’s sarcoma associated herpesvirus (KSHV) DNA in blood and in saliva in rural Uganda. Clin Infect Dis. 2019;77:543–8. Nalwoga A, Nakibuule M, Marshall V, Miley W, Labo N, Cose S, Whitby D, et al. Risk factors for Kaposi’s sarcoma associated herpesvirus (KSHV) DNA in blood and in saliva in rural Uganda. Clin Infect Dis. 2019;77:543–8.
21.
go back to reference Labo N, Marshall V, Miley W, Davis E, McCann B, Stolka KB, Ndom P, et al. Mutual detection of Kaposi’s sarcoma-associated herpesvirus and Epstein–Barr virus in blood and saliva of Cameroonians with and without Kaposi’s sarcoma. Int J Cancer J Int Cancer. 2019;145(9):2468–77.CrossRef Labo N, Marshall V, Miley W, Davis E, McCann B, Stolka KB, Ndom P, et al. Mutual detection of Kaposi’s sarcoma-associated herpesvirus and Epstein–Barr virus in blood and saliva of Cameroonians with and without Kaposi’s sarcoma. Int J Cancer J Int Cancer. 2019;145(9):2468–77.CrossRef
22.
go back to reference Newton R, Labo N, Wakeham K, Miley W, Asiki G, Johnston WT, Whitby D. Kaposi’s sarcoma associated herpesvirus in a rural Ugandan cohort: 1992–2008. J Infect Dis. 2017;217:263–9.CrossRefPubMedCentral Newton R, Labo N, Wakeham K, Miley W, Asiki G, Johnston WT, Whitby D. Kaposi’s sarcoma associated herpesvirus in a rural Ugandan cohort: 1992–2008. J Infect Dis. 2017;217:263–9.CrossRefPubMedCentral
23.
go back to reference Moormann AM, Chelimo K, Sumba OP, Lutzke ML, Ploutz-Snyder R, Newton D, Kazura J, et al. Exposure to holoendemic malaria results in elevated Epstein–Barr virus loads in children. J Infect Dis. 2005;191(8):1233–8.CrossRefPubMed Moormann AM, Chelimo K, Sumba OP, Lutzke ML, Ploutz-Snyder R, Newton D, Kazura J, et al. Exposure to holoendemic malaria results in elevated Epstein–Barr virus loads in children. J Infect Dis. 2005;191(8):1233–8.CrossRefPubMed
24.
go back to reference Daud II, Ogolla S, Amolo AS, Namuyenga E, Simbiri K, Bukusi EA, Ng’ang’a ZW, et al. Plasmodium falciparum infection is associated with Epstein–Barr virus reactivation in pregnant women living in malaria holoendemic area of Western Kenya. Matern Child Health J. 2015;19(3):606–14.CrossRefPubMedPubMedCentral Daud II, Ogolla S, Amolo AS, Namuyenga E, Simbiri K, Bukusi EA, Ng’ang’a ZW, et al. Plasmodium falciparum infection is associated with Epstein–Barr virus reactivation in pregnant women living in malaria holoendemic area of Western Kenya. Matern Child Health J. 2015;19(3):606–14.CrossRefPubMedPubMedCentral
25.
go back to reference Yuan CC, Miley W, Waters D. A quantification of human cells using an ERV-3 real time PCR assay. J Virol Methods. 2001;91(2):109–17.CrossRefPubMed Yuan CC, Miley W, Waters D. A quantification of human cells using an ERV-3 real time PCR assay. J Virol Methods. 2001;91(2):109–17.CrossRefPubMed
26.
go back to reference de Sanjose S, Marshall V, Sola J, Palacio V, Almirall R, Goedert JJ, Bosch FX, et al. Prevalence of Kaposi’s sarcoma-associated herpesvirus infection in sex workers and women from the general population in Spain. Int J Cancer J Int Cancer. 2002;98(1):155–8.CrossRef de Sanjose S, Marshall V, Sola J, Palacio V, Almirall R, Goedert JJ, Bosch FX, et al. Prevalence of Kaposi’s sarcoma-associated herpesvirus infection in sex workers and women from the general population in Spain. Int J Cancer J Int Cancer. 2002;98(1):155–8.CrossRef
27.
go back to reference Newton R, Labo N, Wakeham K, Marshall V, Roshan R, Nalwoga A, Sebina I, et al. Determinants of gammaherpesvirus shedding in saliva among Ugandan children and their mothers. J Infect Dis. 2018;218(6):892–900.CrossRefPubMedPubMedCentral Newton R, Labo N, Wakeham K, Marshall V, Roshan R, Nalwoga A, Sebina I, et al. Determinants of gammaherpesvirus shedding in saliva among Ugandan children and their mothers. J Infect Dis. 2018;218(6):892–900.CrossRefPubMedPubMedCentral
28.
go back to reference Labo N, Miley W, Marshall V, Gillette W, Esposito D, Bess M, Turano A, et al. Heterogeneity and breadth of host antibody response to KSHV infection demonstrated by systematic analysis of the KSHV proteome. PLoS Pathog. 2014;10(3):e1004046.CrossRefPubMedPubMedCentral Labo N, Miley W, Marshall V, Gillette W, Esposito D, Bess M, Turano A, et al. Heterogeneity and breadth of host antibody response to KSHV infection demonstrated by systematic analysis of the KSHV proteome. PLoS Pathog. 2014;10(3):e1004046.CrossRefPubMedPubMedCentral
29.
go back to reference Mbisa GL, Miley W, Gamache CJ, Gillette WK, Esposito D, Hopkins R, Busch MP, et al. Detection of antibodies to Kaposi’s sarcoma-associated herpesvirus: a new approach using K8.1 ELISA and a newly developed recombinant LANA ELISA. J Immunol Methods. 2010;356(1–2):39–46.CrossRefPubMedPubMedCentral Mbisa GL, Miley W, Gamache CJ, Gillette WK, Esposito D, Hopkins R, Busch MP, et al. Detection of antibodies to Kaposi’s sarcoma-associated herpesvirus: a new approach using K8.1 ELISA and a newly developed recombinant LANA ELISA. J Immunol Methods. 2010;356(1–2):39–46.CrossRefPubMedPubMedCentral
30.
34.
go back to reference Kafuko GW, Burkitt DP. Burkitt’s lymphoma and malaria. Int J Cancer J Int Cancer. 1970;6(1):1–9.CrossRef Kafuko GW, Burkitt DP. Burkitt’s lymphoma and malaria. Int J Cancer J Int Cancer. 1970;6(1):1–9.CrossRef
35.
go back to reference Robbiani DF, Bothmer A, Callen E, Reina-San-Martin B, Dorsett Y, Difilippantonio S, Bolland DJ, et al. AID is required for the chromosomal breaks in c-myc that lead to c-myc/IgH translocations. Cell. 2008;135(6):1028–38.CrossRefPubMedPubMedCentral Robbiani DF, Bothmer A, Callen E, Reina-San-Martin B, Dorsett Y, Difilippantonio S, Bolland DJ, et al. AID is required for the chromosomal breaks in c-myc that lead to c-myc/IgH translocations. Cell. 2008;135(6):1028–38.CrossRefPubMedPubMedCentral
36.
go back to reference Summerauer AM, Jäggi V, Ogwang R, Traxel S, Colombo L, Amundsen E, Eyer T, et al. Epstein–Barr virus and malaria upregulate AID and APOBEC3 enzymes, but only AID seems to play a major mutagenic role in Burkitt lymphoma. Eur J Immunol. 2022;52:1273–84.CrossRefPubMedPubMedCentral Summerauer AM, Jäggi V, Ogwang R, Traxel S, Colombo L, Amundsen E, Eyer T, et al. Epstein–Barr virus and malaria upregulate AID and APOBEC3 enzymes, but only AID seems to play a major mutagenic role in Burkitt lymphoma. Eur J Immunol. 2022;52:1273–84.CrossRefPubMedPubMedCentral
37.
go back to reference Torgbor C, Awuah P, Deitsch K, Kalantari P, Duca KA, Thorley-Lawson DA. A multifactorial role for P. falciparum malaria in endemic Burkitt’s lymphoma pathogenesis. PLoS Pathog. 2014;10(5):e1004170.CrossRefPubMedPubMedCentral Torgbor C, Awuah P, Deitsch K, Kalantari P, Duca KA, Thorley-Lawson DA. A multifactorial role for P. falciparum malaria in endemic Burkitt’s lymphoma pathogenesis. PLoS Pathog. 2014;10(5):e1004170.CrossRefPubMedPubMedCentral
38.
go back to reference Reynaldi A, Schlub TE, Chelimo K, Sumba PO, Piriou E, Ogolla S, Moormann AM, et al. Impact of Plasmodium falciparum coinfection on longitudinal Epstein–Barr virus kinetics in Kenyan children. J Infect Dis. 2016;213(6):985–91.CrossRefPubMed Reynaldi A, Schlub TE, Chelimo K, Sumba PO, Piriou E, Ogolla S, Moormann AM, et al. Impact of Plasmodium falciparum coinfection on longitudinal Epstein–Barr virus kinetics in Kenyan children. J Infect Dis. 2016;213(6):985–91.CrossRefPubMed
Metadata
Title
Comparison of Epstein–Barr virus and Kaposi’s sarcoma-associated herpesvirus viral load in peripheral blood mononuclear cells and oral fluids of HIV-negative individuals aged 3–89 years from Uganda
Authors
Angela Nalwoga
Vickie Marshall
Wendell Miley
Nazzarena Labo
Denise Whitby
Robert Newton
Rosemary Rochford
Publication date
01-12-2023
Publisher
BioMed Central
Published in
Infectious Agents and Cancer / Issue 1/2023
Electronic ISSN: 1750-9378
DOI
https://doi.org/10.1186/s13027-023-00516-9

Other articles of this Issue 1/2023

Infectious Agents and Cancer 1/2023 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine