Detection of human herpesvirus 8 and human T-cell lymphotropic virus type 1 sequences in Kaposi sarcoma.
BACKGROUND
Ultrastructural studies have shown retroviral particles in Kaposi sarcoma (KS) unrelated to infection with the human immunodeficiency virus (HIV). Recently, DNA sequences from a new herpesvirus, human herpesvirus 8 (HHV-8), were detected in KS tissues.


OBJECTIVE
To screen for the presence of HHV-8 sequences in patients with KS not related to HIV infection and correlate HHV-8 sequence detection and clinical staging and to screen for the presence of human T-cell lymphotropic virus type 1 (HTLV-1) sequences in the peripheral blood mononuclear cells (PBMCs) of such patients.


METHODS
Tumor and normal skin samples and PBMCs were investigated by polymerase chain reaction using primers for HHV-8 and HTLV-1 pX gag, pol, and env sequences.


METHODS
Ambulatory or hospitalized patients from a university hospital associated with a research laboratory.


METHODS
Thirty-one patients with KS not related to HIV infection (21 classic cases, 3 endemic cases, 1 case associated with Castleman disease, 4 homosexual men, 1 post-transplantation patient, and 1 patient taking corticosteroids). Stages involved included I (13 patients), II (8 patients), III (7 patients), and IV (3 patients).


RESULTS
Human herpesvirus 8 sequences were found in 100% of KS specimens, 70% of distant normal skin specimens, and 42% of PBMC samples. The percentage of HHV-8 detection in PBMCs was higher in patients with KS stage III or IV than in patients with stage I or II. Human T-cell lymphotropic virus type I pX sequences were detected in 2 of 19 patients while gag, pol, and env test results were negative using polymerase chain reaction analysis.


CONCLUSIONS
Our data suggest no significant association between HTLV-1 infection and KS. Detection of HHV-8 infected cells in normal skin samples from the majority of KS tissues, regardless of clinical staging, can be paralleled to the multifocal pattern of the disease. Human herpesvirus 8 detection in PBMCs could be related to the tumor burden.
Lebbé
C
C
Department of Dermatology, Hôpital Saint-Louis, Paris, France.
Agbalika
F
F
de Crémoux
P
P
Deplanche
M
M
Rybojad
M
M
Masgrau
E
E
Morel
P
P
Calvo
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004279:DNA, Viral / Q000032:analysis*; D005260:Female; D019288:Herpesvirus 8, Human / Q000235:genetics / Q000302:isolation & purification*; D015368:Human T-lymphotropic virus 1 / Q000235:genetics / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012514:Sarcoma, Kaposi / Q000821:virology*; D012878:Skin Neoplasms / Q000821:virology*
D004279:DNA, Viral