Thymic carcinoma with a defective Epstein-Barr virus encoding the BZLF1 trans-activator

J Infect Dis. 1994 Jul;170(1):7-12. doi: 10.1093/infdis/170.1.7.

Abstract

The diagnosis of Epstein-Barr virus (EBV)-associated carcinomas is often heralded by high antibody titers to the viral replicative antigens, suggesting EBV reactivation may be a factor in tumor evolution. EBV DNA and nuclear antigen was detected in a newly diagnosed thymic carcinoma. Polymerase chain reaction analysis revealed the presence of a rearranged EBV DNA fragment, BamHI WZhet. This rearrangement is found in a defective EBV that up-regulates the BZLF1 (BamHI Z leftward reading frame) gene product in vitro and induces the EBV lytic cycle. Molecular analysis of the EBV termini demonstrated low levels of the lytic (linear) genomic configuration among a predominantly latent (episomal) population at diagnosis. The episomal populations were of uniform molecular weight at diagnosis and relapse, indicating clonal tumor expansion from a single EBV-infected progenitor. The presence within malignant epithelium of defective virus that can disrupt EBV latency, and perhaps cellular gene regulation, suggests a potential mechanism for EBV reactivation and concurrent malignant progression.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Base Sequence
  • DNA, Viral / analysis
  • DNA-Binding Proteins / genetics*
  • Defective Viruses / genetics
  • Herpesviridae Infections / microbiology*
  • Herpesvirus 4, Human / genetics*
  • Humans
  • Male
  • Molecular Sequence Data
  • Polymerase Chain Reaction
  • Thymus Neoplasms / microbiology*
  • Trans-Activators / genetics*
  • Tumor Virus Infections / microbiology*
  • Viral Proteins / genetics*
  • Virus Activation

Substances

  • BZLF1 protein, Herpesvirus 4, Human
  • DNA, Viral
  • DNA-Binding Proteins
  • Trans-Activators
  • Viral Proteins