Human herpesvirus 8 (HHV-8/KSHV) and hematologic malignancies

Rev Clin Exp Hematol. 2003 Dec;7(4):375-405.

Abstract

Human herpesvirus 8 (HHV-8), also defined Kaposi's sarcoma (KS)-associated herpesvirus, was identified by Chang and colleagues in 1994 using purely molecular techniques, before any serological evidence or virus isolation in cell culture could be achieved. HHV-8 is unique among herpesviruses because its prevalence in the general population is low and because it possesses the richest weaponry of viral oncogenes and tumor-promoting factors ever described. Eleven HHV-8-specific genes are homologs of cellular genes, which were hijacked from the host during a long parallel evolution, and at least five of such genes show both in vitro and in vivo transforming ability. HHV-8 is the causative agent of KS, but it has also been associated with different hematologic malignancies, including primary effusion lymphoma (PEL), multicentric Castelman's disease (MCD), MCD-related immunoblastic/plasmablastic lymphoma and various atypical lymphoproliferative disorders. Although low-level silent infection was detected in bone marrow stromal cells from patients with multiple myeloma, a role of HHV-8 in this disease is unlikely. As seen with KS, the incidence of HHV-8-associated lymphoproliferative disorders is increased in the setting of human immunodeficiency virus infection.

Publication types

  • Review
  • Comment

MeSH terms

  • Castleman Disease / classification
  • Castleman Disease / pathology
  • Castleman Disease / virology
  • Cell Transformation, Viral
  • Genes, Viral
  • Hematologic Neoplasms / virology*
  • Herpesviridae Infections / epidemiology
  • Herpesviridae Infections / virology*
  • Herpesvirus 8, Human / genetics
  • Herpesvirus 8, Human / isolation & purification
  • Herpesvirus 8, Human / pathogenicity
  • Herpesvirus 8, Human / physiology*
  • Humans
  • Lymphoma, Large B-Cell, Diffuse / classification
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Lymphoma, Large B-Cell, Diffuse / virology
  • Lymphoma, Large-Cell, Immunoblastic / pathology
  • Lymphoma, Large-Cell, Immunoblastic / virology
  • Lymphoproliferative Disorders / virology
  • Open Reading Frames / genetics
  • Seroepidemiologic Studies
  • Viral Proteins / genetics
  • Viral Proteins / physiology

Substances

  • Viral Proteins