EPSTEIN-BARR-VIRUS INFECTED T-LYMPHOCYTES IN EPSTEIN-BARR-VIRUS ASSOCIATED HEMOPHAGOCYTIC SYNDROME

被引:164
作者
KAWAGUCHI, H
MIYASHITA, T
HERBST, H
NIEDOBITEK, G
ASADA, M
TSUCHIDA, M
HANADA, R
KINOSHITA, A
SAKURAI, M
KOBAYASHI, N
MIZUTANI, S
机构
[1] NATL CHILDRENS MED RES CTR,DEPT VIROL,3-35-31 TAISHIDO,SETAGAYA KU,TOKYO 154,JAPAN
[2] FREE UNIV BERLIN,KLINIKUM STEGLITZ,INST PATHOL,W-1000 BERLIN 45,GERMANY
[3] IBARAKI CHILDRENS HOSP,DEPT INTERNAL MED,IBARAKI 31141,JAPAN
[4] SAITAMA CHILDRENS MED CTR,DEPT HEMATOL ONCOL,SAITAMA 339,JAPAN
[5] KEIO UNIV,SCH MED,DEPT PEDIAT,TOKYO 160,JAPAN
[6] MIE UNIV,SCH MED,DEPT PEDIAT,TSU,MIE 514,JAPAN
[7] NATL CHILDRENS HOSP,TOKYO 154,JAPAN
关键词
T-CELLS; CD45RO ANTIGEN; EBER; MALIGNANT HISTIOCYTOSIS; HISTIOCYTIC MEDULLARY RETICULOSIS;
D O I
10.1172/JCI116721
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The clonal composition of EBV-infected cells was examined in three cases of EBV-associated hemophagocytic syndrome by analysis of the heterogeneity of terminal repetitive sequences in the EBV genome, indicating monoclonal expansion of EBV-infected cells in all cases. Involvement of T lymphoid cells was determined by in situ hybridization using S-35-labeled RNA probes specific for the small EBV-encoded nuclear RNAs, EBER1 and EBER2, in combination with immunostaining for the TCR-beta chain, CD45RO, CD20, CD30 and CD68 antigens in these three cases. The majority of lymphoid cells showing EBER transcripts were stained by antibodies against CD45RO and T cell receptor-beta. In contrast, EBER-specific signals were not detectable on B cells or hemophagocytic cells. These data support the concept that EBV-associated T cell proliferation is a primary feature of EBV-AHS.
引用
收藏
页码:1444 / 1450
页数:7
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