High incidence of EBV genome in CD30-positive non-Hodgkin's lymphomas

J Pathol. 1992 Nov;168(3):307-15. doi: 10.1002/path.1711680311.

Abstract

In Hodgkin's disease, Epstein-Barr virus (EBV) is found in CD30-positive Reed-Sternberg cells. We therefore studied 60 CD30-positive non-Hodgkin's lymphomas (NHLs) for the presence of EBV by the polymerase chain reaction (PCR) and DNA in situ hybridization (DISH), and by immunohistochemistry for the latent EBV proteins LMP and EBNA-2. CD30-negative NHLs and reactive lymph nodes served as controls. The CD30-positive cases comprised 17 anaplastic large cell lymphomas (ALCLs) (> 75 per cent CD30-positive cells) and 43 non-ALCLs (with 5-35 per cent CD30-positive cells). By PCR, 40 of 60 CD30-positive NHLs (67 per cent) were EBV-positive; in CD30-negative cases, 6/29 (21 per cent) were EBV-positive, as were 12/50 (24 per cent) reactive lymph nodes. The DISH procedure demonstrated the EBV genome exclusively in the nuclei of tumour cells in 23 of the 37 PCR EBV-positive cases that were tested. PCR-negative cases were always DISH-negative, as were the PCR-positive reactive lymph nodes and CD30-negative NHLs. Immunohistochemistry demonstrated LMP in neoplastic cells of 7/47 (15 per cent) CD30-positive NHLs, both ALCL and non-ALCL always in PCR EBV-positive cases, but never in the two control groups. EBNA-2 staining could not be detected. It is concluded that EBV is present (and transcriptionally active) in a sizeable number of NHLs and an association between the presence of the EBV genome and CD30 expression seems likely.

MeSH terms

  • Antigens, CD / immunology*
  • Antigens, Neoplasm / immunology*
  • Antigens, Viral / analysis
  • DNA-Binding Proteins / analysis
  • Epstein-Barr Virus Nuclear Antigens
  • Herpesvirus 4, Human / immunology
  • Herpesvirus 4, Human / isolation & purification*
  • Humans
  • Immunoenzyme Techniques
  • In Situ Hybridization
  • Ki-1 Antigen
  • Lymphoma, Non-Hodgkin / immunology
  • Lymphoma, Non-Hodgkin / microbiology*
  • Membrane Proteins / analysis
  • Polymerase Chain Reaction
  • Viral Matrix Proteins*

Substances

  • Antigens, CD
  • Antigens, Neoplasm
  • Antigens, Viral
  • DNA-Binding Proteins
  • EBV-associated membrane antigen, Epstein-Barr virus
  • Epstein-Barr Virus Nuclear Antigens
  • Ki-1 Antigen
  • Membrane Proteins
  • Viral Matrix Proteins