Epstein-Barr virus-positive Hodgkin/Reed-Sternberg-like B cell in non-hodgkin lymphoma: nucleotide sequence of the amplified immunoglobulin heavy-chain variable region gene by the single-cell polymerase chain reaction technique

Diagn Mol Pathol. 2002 Jun;11(2):83-9. doi: 10.1097/00019606-200206000-00004.

Abstract

We examined nucleotide sequences of Epstein-Barr virus (EBV)-positive Hodgkin/Reed-Sternberg (HRS)-like B cells in a case of diffuse large B-cell lymphoma (DLBCL) and a case of adult T-cell lymphoma (ATL) for single-cell polymerase chain reaction of the immunoglobulin heavy-chain gene variable region (VH gene). HRS-like B cells were scattered in the area irrelevant to the lymphoma infiltrates of DLBCL and in the lymphoma area of ATL. HRS-like B cells were positive for CD20 and CD30 but negative for CD15. EBV presented in HRS-like B cells in both cases but not in any lymphoma cells. VH genes of five HRS-like B cells analyzed in DLBCL were polyclonal and showed in-frame sequences with 0% to 2.8% somatic mutation frequency. In an ATL, VH genes of five HRS-like B cells analyzed were polyclonal and somatically mutated. Four cells carried in-frame rearrangements with 3.5% to 17.7% mutation frequency. One of the VH genes has a one-codon deletion. From the fifth cell, an out-of-frame rearrangement with an insertion and a deletion was obtained. Thus, we showed polyclonal EBV-positive HRS-like B cells in both DLBCL and ATL and that whereas EBV-positive, HRS-like B cells in DLBCL exhibited unmutated and mutated VH gene, those in ATL were found to have a somatically mutated VH gene with/without deletions and/or insertions. The HRS-like B cells may appear because of active EBV infection in a patient who is immunosuppressed from the primary lymphoma.

MeSH terms

  • Adult
  • Antigens, CD / analysis
  • B-Lymphocytes / pathology*
  • B-Lymphocytes / virology
  • Base Sequence
  • DNA, Neoplasm / analysis
  • Dissection
  • Epstein-Barr Virus Infections / pathology*
  • Genes, Immunoglobulin*
  • Herpesvirus 4, Human / genetics
  • Herpesvirus 4, Human / isolation & purification*
  • Humans
  • Immunoenzyme Techniques
  • Immunoglobulin Heavy Chains / genetics
  • Immunoglobulin Variable Region / genetics
  • Immunophenotyping
  • In Situ Hybridization
  • Lymph Nodes / pathology
  • Lymph Nodes / virology
  • Lymphoma, Non-Hodgkin / genetics
  • Lymphoma, Non-Hodgkin / pathology*
  • Lymphoma, Non-Hodgkin / virology
  • Lymphoma, T-Cell / genetics
  • Lymphoma, T-Cell / pathology
  • Lymphoma, T-Cell / virology
  • Male
  • Micromanipulation
  • Molecular Sequence Data
  • Polymerase Chain Reaction
  • RNA, Viral / analysis
  • Reed-Sternberg Cells / pathology*
  • Reed-Sternberg Cells / virology

Substances

  • Antigens, CD
  • DNA, Neoplasm
  • Epstein-Barr virus encoded RNA 1
  • Immunoglobulin Heavy Chains
  • Immunoglobulin Variable Region
  • RNA, Viral