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Published in: Journal of Neuro-Oncology 2/2010

01-11-2010 | Clinical Study – Patient Study

Epstein–Barr virus-associated primary central nervous system lymphomas in immunocompetent elderly patients: analysis for latent membrane protein-1 oncogene deletion and EBNA-2 strain typing

Authors: Yasuo Sugita, Mizuhiko Terasaki, Daisuke Niino, Koichi Ohshima, Arakawa Fumiko, Minoru Shigemori, Yasuharu Sato, Naoko Asano

Published in: Journal of Neuro-Oncology | Issue 2/2010

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Abstract

Epstein–Barr virus (EBV) has been implicated in the pathogenesis of primary central nervous system lymphomas (PCNLs) in immunocompetent hosts. To investigate the role of EBV in the pathogenesis of PCNLs in immunocompetent hosts, this study assessed six PCNL cases (elderly male immunocompetent patients; age ≥60 years) histologically and immunohistochemically, and an EBV genetic study was performed. Histologically, all cases were diagnosed as diffuse large B-cell lymphoma with extensive necrosis. In all six cases, PCNL cells showed immunohistochemical positivity for latent membrane protein 1 (LMP-1) and Epstein-Barr nuclear 2 (EBNA2). Lymphoma cells also showed positive signals for EBV-encoded small RNAs (EBERs) on in-situ hybridization. EBV subtyping-PCR analysis demonstrated that one case was EBNA 2B type and the other five cases were EBNA 2A type, and two cases were EBV wild-type and four cases showed 30-bp LMP-1 deletion by PCR analysis. It is therefore possible that LMP gene deletion or EBNA-2 strain type are important in the tumorigenesis of EBV-positive PCNLs. In addition, EBV-positive PCNLs in immunocompetent hosts may be related to immunological deterioration derived from the aging process.
Literature
1.
go back to reference DeAngelis LM, Seiferheld W, Schold SC, Fisher B, Schultz CJ (2002) Combination chemotherapy and radiotherapy for primary central nervous system lymphoma: Radiation Therapy Oncology Group Study 93-10. J Clin Oncol 20:4643–4648CrossRefPubMed DeAngelis LM, Seiferheld W, Schold SC, Fisher B, Schultz CJ (2002) Combination chemotherapy and radiotherapy for primary central nervous system lymphoma: Radiation Therapy Oncology Group Study 93-10. J Clin Oncol 20:4643–4648CrossRefPubMed
2.
go back to reference Deckert M, Paulus W (2007) Malignant lymphomas. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) Pathology and genetics of tumours of the nervous system. International Agency for Research on Cancer Press, Lyon, pp 188–192 Deckert M, Paulus W (2007) Malignant lymphomas. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) Pathology and genetics of tumours of the nervous system. International Agency for Research on Cancer Press, Lyon, pp 188–192
3.
go back to reference Rouah E, Rogers BB, Wilson DR, Kirkpatrick JB, Buffone GJ (1990) Demonstration of Epstein-Barr virus in primary central nervous system lymphomas by the polymerase chain reaction and in situ hybridization. Hum Pathol 21:545–550CrossRefPubMed Rouah E, Rogers BB, Wilson DR, Kirkpatrick JB, Buffone GJ (1990) Demonstration of Epstein-Barr virus in primary central nervous system lymphomas by the polymerase chain reaction and in situ hybridization. Hum Pathol 21:545–550CrossRefPubMed
4.
go back to reference List AF, Greer JP, Cousar JP, Johnson DH, Greco FA, Volsky DJ, Purtilo DT (1990) Primary brain lymphomas in the immunocompetent host: relation to Epstein-Barr virus. Modern Pathol 3:609–612 List AF, Greer JP, Cousar JP, Johnson DH, Greco FA, Volsky DJ, Purtilo DT (1990) Primary brain lymphomas in the immunocompetent host: relation to Epstein-Barr virus. Modern Pathol 3:609–612
5.
go back to reference Nakhleh RE, Manivel JC, Copenhaver CM, Sung JH, Strickler JG (1991) In situ hybridization for the detection of Epstein-Barr virus in central nervous system lymphomas. Cancer 67:444–448CrossRefPubMed Nakhleh RE, Manivel JC, Copenhaver CM, Sung JH, Strickler JG (1991) In situ hybridization for the detection of Epstein-Barr virus in central nervous system lymphomas. Cancer 67:444–448CrossRefPubMed
6.
go back to reference O’Neill BP, Vernino S, Dogan A, Giannini C (2007) EBV-associated lymphoproliferative disorder of CNS associated with the use of mycophenolate mofetil. Neuro Oncol 9:364–369CrossRefPubMed O’Neill BP, Vernino S, Dogan A, Giannini C (2007) EBV-associated lymphoproliferative disorder of CNS associated with the use of mycophenolate mofetil. Neuro Oncol 9:364–369CrossRefPubMed
7.
go back to reference Kleinschmidt-DeMasters BK, Damek DM, Lillehei KO, Dogan A, Giannini C (2008) Epstein Barr virus-associated primary CNS lymphomas in elderly patients on immunosuppressive medications. J Neuropathol Exp Neurol 67:1103–1111CrossRefPubMed Kleinschmidt-DeMasters BK, Damek DM, Lillehei KO, Dogan A, Giannini C (2008) Epstein Barr virus-associated primary CNS lymphomas in elderly patients on immunosuppressive medications. J Neuropathol Exp Neurol 67:1103–1111CrossRefPubMed
8.
go back to reference Zhang L, Zhang J, Lambert Q, Der CJ, Del Valle L, Miklossy J, Khalili K, Zhou Y, Pagano JS (2004) Interferon regulatory factor 7 is associated with Epstein-Barr virus-transformed central nervous system lymphoma and has oncogenic properties. J Virol 78:12987–12995CrossRefPubMed Zhang L, Zhang J, Lambert Q, Der CJ, Del Valle L, Miklossy J, Khalili K, Zhou Y, Pagano JS (2004) Interferon regulatory factor 7 is associated with Epstein-Barr virus-transformed central nervous system lymphoma and has oncogenic properties. J Virol 78:12987–12995CrossRefPubMed
9.
go back to reference Hu L-F, Chen F, Zheng X, Ernberg I, Cao S-L, Christensson B, Klein G, Winberg G (1993) Clonability and tumorigenicity of human epithelial cells expressing the EBV encoded membrane protein LMP1. Oncogene 8:1575–1583PubMed Hu L-F, Chen F, Zheng X, Ernberg I, Cao S-L, Christensson B, Klein G, Winberg G (1993) Clonability and tumorigenicity of human epithelial cells expressing the EBV encoded membrane protein LMP1. Oncogene 8:1575–1583PubMed
10.
go back to reference Shibata D, Weiss LM, Hernandez AM, Nathwani BN, Bernstein L, Levine AM (1993) Epstein-Barr virus-associated non-Hodgkin’s lymphoma in patients infected with the human immunodeficiency virus. Blood 81:2102–2109PubMed Shibata D, Weiss LM, Hernandez AM, Nathwani BN, Bernstein L, Levine AM (1993) Epstein-Barr virus-associated non-Hodgkin’s lymphoma in patients infected with the human immunodeficiency virus. Blood 81:2102–2109PubMed
11.
go back to reference Kingma DW, Weiss WB, Jaffe ES, Kumar S, Frekko K, Raffeld M (1996) Epstein-Barr virus latent membrane protein-1 oncogene deletion: correlation with malignancy in Epstein-Barr virus-associated lymphoproliferative disorders and malignant lymphomas. Blood 88:242–251PubMed Kingma DW, Weiss WB, Jaffe ES, Kumar S, Frekko K, Raffeld M (1996) Epstein-Barr virus latent membrane protein-1 oncogene deletion: correlation with malignancy in Epstein-Barr virus-associated lymphoproliferative disorders and malignant lymphomas. Blood 88:242–251PubMed
12.
go back to reference Tabata Y, Hibi S, Teramura T, Kuriyama K, Yagi T, Todo S, Sawada T, Imashuku S (2000) Molecular analysis of latent membrane protein 1 in patients with Epstein-Barr virus-associated hemophagocytic lymphohistiocytosis in Japan. Leuk Lymphoma 38:373–380 Tabata Y, Hibi S, Teramura T, Kuriyama K, Yagi T, Todo S, Sawada T, Imashuku S (2000) Molecular analysis of latent membrane protein 1 in patients with Epstein-Barr virus-associated hemophagocytic lymphohistiocytosis in Japan. Leuk Lymphoma 38:373–380
13.
go back to reference Yamato H, Ohshima K, Suzumiya J, Kikuchi M (2001) Evidence for local immunosuppression and demonstration of c-myc amplification in pyothorax-associated lymphoma. Histopathology 39:163–171CrossRefPubMed Yamato H, Ohshima K, Suzumiya J, Kikuchi M (2001) Evidence for local immunosuppression and demonstration of c-myc amplification in pyothorax-associated lymphoma. Histopathology 39:163–171CrossRefPubMed
14.
go back to reference MacMahon EM, Glass JD, Hayward SD, Mann RB, Becker PS, Charache P, McArthur JC, Ambinder RF (1991) Epstein-Barr virus in AIDS-related primary central nervous system lymphoma. Lancet 338:969–973CrossRefPubMed MacMahon EM, Glass JD, Hayward SD, Mann RB, Becker PS, Charache P, McArthur JC, Ambinder RF (1991) Epstein-Barr virus in AIDS-related primary central nervous system lymphoma. Lancet 338:969–973CrossRefPubMed
15.
go back to reference Guterman KS, Hair LS, Morgello S (1996) Epstein-Barr virus and AIDS-related primary central nervous system lymphoma. Viral detection by immunohistochemistry, RNA in situ hybridization, and polymerase chain reaction. Clin Neuropathol 15:79–86PubMed Guterman KS, Hair LS, Morgello S (1996) Epstein-Barr virus and AIDS-related primary central nervous system lymphoma. Viral detection by immunohistochemistry, RNA in situ hybridization, and polymerase chain reaction. Clin Neuropathol 15:79–86PubMed
16.
go back to reference Ohshima K, Tutiya T, Yamaguchi T, Suzuki K, Suzumiya J, Kawasaki C, Haraoka S, Kikuchi M (2002) Infiltration of Th1 and Th2 lymphocytes around Hodgkin and Reed-Sternberg (H&R) cells in Hodgkin disease: relation with expression of CXC and CC chemokines on H&R cells. Int J Cancer 98:567–572CrossRefPubMed Ohshima K, Tutiya T, Yamaguchi T, Suzuki K, Suzumiya J, Kawasaki C, Haraoka S, Kikuchi M (2002) Infiltration of Th1 and Th2 lymphocytes around Hodgkin and Reed-Sternberg (H&R) cells in Hodgkin disease: relation with expression of CXC and CC chemokines on H&R cells. Int J Cancer 98:567–572CrossRefPubMed
17.
go back to reference Ramasamy I, Brisco M, Morley A (1992) Improved PCR method for detecting monoclonal Immunoglobulin heavy chain rearrangement in B cell neoplasms. J Clin Pathol 45:770–775CrossRefPubMed Ramasamy I, Brisco M, Morley A (1992) Improved PCR method for detecting monoclonal Immunoglobulin heavy chain rearrangement in B cell neoplasms. J Clin Pathol 45:770–775CrossRefPubMed
18.
go back to reference Reed TJ, Reid A, Wallberg K, O’Leary TJ, Frizzera G (1993) Determination of B-cell clonality in paraffin-embedded lymph nodes using the polymerase chain reaction. Diag Mol Pathol 2:42–49 Reed TJ, Reid A, Wallberg K, O’Leary TJ, Frizzera G (1993) Determination of B-cell clonality in paraffin-embedded lymph nodes using the polymerase chain reaction. Diag Mol Pathol 2:42–49
19.
go back to reference Ohshima K, Suzumiya J, Kanda M, Haraoka S, Kawasaki C, Shimazaki K, Kikuchi M (1999) Genotypic and phenotypic alternations in Epstein-Barr virus-associated lymphoma. Histopathology 35:539–550CrossRefPubMed Ohshima K, Suzumiya J, Kanda M, Haraoka S, Kawasaki C, Shimazaki K, Kikuchi M (1999) Genotypic and phenotypic alternations in Epstein-Barr virus-associated lymphoma. Histopathology 35:539–550CrossRefPubMed
20.
go back to reference Hudson GS, Bankier AT, Satchwell SC, Barrell BG (1985) The short unique region of the B95-8 Epstein-Barr virus genome. Virology 147:81–98CrossRefPubMed Hudson GS, Bankier AT, Satchwell SC, Barrell BG (1985) The short unique region of the B95-8 Epstein-Barr virus genome. Virology 147:81–98CrossRefPubMed
21.
go back to reference Nomura Y, Lavu EK, Muta K, Niino D, Takeshita M, Hirose S, Nakamura S, Yoshino T, Kikuchi M, Ohshima K (2008) Histological characteristics of 21 Papua New Guinean children with high-grade B-cell lymphoma, which is frequently associated with EBV infection. Pathol Int 58:695–700CrossRefPubMed Nomura Y, Lavu EK, Muta K, Niino D, Takeshita M, Hirose S, Nakamura S, Yoshino T, Kikuchi M, Ohshima K (2008) Histological characteristics of 21 Papua New Guinean children with high-grade B-cell lymphoma, which is frequently associated with EBV infection. Pathol Int 58:695–700CrossRefPubMed
22.
go back to reference Oyama T, Ichimura K, Suzuki R, Suzumiya J, Ohshima K, Yatabe Y, Yokoi T, Kojima M, Kamiya Y, Taji H, Kagami Y, Ogura M, Saito H, Morishima Y, Nakamura S (2003) Senile EBV+ B-cell lymphoproliferative disorders: a clinicopathological study of 22 patients. Am J Surg Pathol 27:16–26CrossRefPubMed Oyama T, Ichimura K, Suzuki R, Suzumiya J, Ohshima K, Yatabe Y, Yokoi T, Kojima M, Kamiya Y, Taji H, Kagami Y, Ogura M, Saito H, Morishima Y, Nakamura S (2003) Senile EBV+ B-cell lymphoproliferative disorders: a clinicopathological study of 22 patients. Am J Surg Pathol 27:16–26CrossRefPubMed
23.
go back to reference Oyama T, Yamamoto K, Asano N, Oshiro A, Suzuki R, Kagami Y, Morishima Y, Takeuchi K, Izumo T, Mori S, Ohshima K, Suzumiya J, Nakamura N, Abe M, Ichimura K, Sato Y, Yoshino T, Naoe T, Shimoyama Y, Kamiya Y, Kinoshita T, Nakamura S (2007) Age-related EBV-associated B-cell lymphoproliferative disorders constitute a distinct clinicopathologic group: a study of 96 patients. Clin Cancer Res 13:5124–5132CrossRefPubMed Oyama T, Yamamoto K, Asano N, Oshiro A, Suzuki R, Kagami Y, Morishima Y, Takeuchi K, Izumo T, Mori S, Ohshima K, Suzumiya J, Nakamura N, Abe M, Ichimura K, Sato Y, Yoshino T, Naoe T, Shimoyama Y, Kamiya Y, Kinoshita T, Nakamura S (2007) Age-related EBV-associated B-cell lymphoproliferative disorders constitute a distinct clinicopathologic group: a study of 96 patients. Clin Cancer Res 13:5124–5132CrossRefPubMed
24.
go back to reference Takegawa S, Jin Z, Nakayama T, Oyama T, Hieshima K, Nagakubo D, Shirakawa A-K, Tsuzuki T, Nakamura S, Yoshie O (2008) Expression of CCL17 and CCL22 by latent membrane protein 1-positive tumor cells in age-related Epstein-Barr virus-associated B-cell lymphoproliferative disorder. Cancer Sci 99:296–302CrossRefPubMed Takegawa S, Jin Z, Nakayama T, Oyama T, Hieshima K, Nagakubo D, Shirakawa A-K, Tsuzuki T, Nakamura S, Yoshie O (2008) Expression of CCL17 and CCL22 by latent membrane protein 1-positive tumor cells in age-related Epstein-Barr virus-associated B-cell lymphoproliferative disorder. Cancer Sci 99:296–302CrossRefPubMed
25.
go back to reference Chan KH, Ng MH, Seto WH, Peiris JS (2001) Epstein-Barr virus (EBV) DNA in sera of patients with primary EBV infection. J Clin Microbiol 39:4152–4154CrossRefPubMed Chan KH, Ng MH, Seto WH, Peiris JS (2001) Epstein-Barr virus (EBV) DNA in sera of patients with primary EBV infection. J Clin Microbiol 39:4152–4154CrossRefPubMed
26.
go back to reference Takeuchi K, Tanaka-Taya K, Kazuyama Y, Ito YM, Hashimoto S, Fukayama M, Mori S (2006) Prevalence of Epstein-Barr virus in Japan: trends and future prediction. Pathol Int 56:112–116CrossRefPubMed Takeuchi K, Tanaka-Taya K, Kazuyama Y, Ito YM, Hashimoto S, Fukayama M, Mori S (2006) Prevalence of Epstein-Barr virus in Japan: trends and future prediction. Pathol Int 56:112–116CrossRefPubMed
27.
go back to reference Soussain C, Muldoon LL, Varallyay C, Jahnke K, DePaula L, Neuwelt EA (2007) Efficacy and MRI of rituximab and methotrexate treatment in a nude rat model of CNS lymphoma. Clin Cancer Res 13:2504–2511CrossRefPubMed Soussain C, Muldoon LL, Varallyay C, Jahnke K, DePaula L, Neuwelt EA (2007) Efficacy and MRI of rituximab and methotrexate treatment in a nude rat model of CNS lymphoma. Clin Cancer Res 13:2504–2511CrossRefPubMed
28.
go back to reference Roychowdhury S, Peng R, Baiocchi RA, Bhatt D, Vourganti S, Grecula J, Gupta N, Eisenbeis CF, Nuovo GJ, Yang W, Schmalbrock P, Ferketich A, Moeschberger M, Porcu P, Barth RF, Caligiuri MA (2003) Experimental treatment of Epstein-Barr virus-associated primary central nervous system lymphoma. Cancer Res 63:965–971PubMed Roychowdhury S, Peng R, Baiocchi RA, Bhatt D, Vourganti S, Grecula J, Gupta N, Eisenbeis CF, Nuovo GJ, Yang W, Schmalbrock P, Ferketich A, Moeschberger M, Porcu P, Barth RF, Caligiuri MA (2003) Experimental treatment of Epstein-Barr virus-associated primary central nervous system lymphoma. Cancer Res 63:965–971PubMed
Metadata
Title
Epstein–Barr virus-associated primary central nervous system lymphomas in immunocompetent elderly patients: analysis for latent membrane protein-1 oncogene deletion and EBNA-2 strain typing
Authors
Yasuo Sugita
Mizuhiko Terasaki
Daisuke Niino
Koichi Ohshima
Arakawa Fumiko
Minoru Shigemori
Yasuharu Sato
Naoko Asano
Publication date
01-11-2010
Publisher
Springer US
Published in
Journal of Neuro-Oncology / Issue 2/2010
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-010-0191-z

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