title: Immunohistochemical detection of the Epstein-Barr virus-encoded latent membrane protein 2A in Hodgkin's disease and infectious mononucleosis.
abstract: We describe two new monoclonal antibodies specific for the Epstein-Barr virus (EBV)-encoded latent membrane protein 2A (LMP2A) that are suitable for the immunohistochemical analysis of routinely processed paraffin sections. These antibodies were applied to the immunohistochemical detection of LMP2A in Hodgkin's disease (HD). LMP2A-specific membrane staining was seen in the Hodgkin and Reed-Sternberg (HRS) cells of 22 of 42 (52%) EBV-positive HD cases, but not in 39 EBV-negative HD cases. In lymphoid tissues from patients with acute infectious mononucleosis (IM), interfollicular immunoblasts were shown to express LMP2A. This is the first demonstration of LMP2A protein expression at the single-cell level in EBV-associated lymphoproliferations in vivo. The detection of LMP2A protein expression in HD and IM is of importance in view of the proposed role of this protein for maintaining latent EBV infection and its possible contribution for EBV-associated transformation. Because LMP2A provides target epitopes for EBV-specific cytotoxic T cells, the expression of this protein in HRS cells has implications for the immunotherapeutic approaches to the treatment of HD.
authors.affiliation: Institute for Cancer Studies and the Department of Pathology, University of Birmingham, UK.
authors.forename: G
authors.initials: G
authors.lastname: Niedobitek
authors.forename: E
authors.initials: E
authors.lastname: Kremmer
authors.forename: H
authors.initials: H
authors.lastname: Herbst
authors.forename: L
authors.initials: L
authors.lastname: Whitehead
authors.forename: C W
authors.initials: CW
authors.lastname: Dawson
authors.forename: E
authors.initials: E
authors.lastname: Niedobitek
authors.forename: C
authors.initials: C
authors.lastname: von Ostau
authors.forename: N
authors.initials: N
authors.lastname: Rooney
authors.forename: F A
authors.initials: FA
authors.lastname: Grässer
authors.forename: L S
authors.initials: LS
authors.lastname: Young
mesh_terms: D000818:Animals; D000911:Antibodies, Monoclonal / Q000378:metabolism; D000956:Antigens, Viral / Q000032:analysis*; D001402:B-Lymphocytes / Q000276:immunology / Q000821:virology; D019556:COS Cells; D002213:Capsid / Q000032:analysis*; D004854:Herpesvirus 4, Human; D006689:Hodgkin Disease / Q000821:virology*; D007124:Immunoenzyme Techniques; D017403:In Situ Hybridization; D007244:Infectious Mononucleosis / Q000821:virology*; D009856:Oncogene Proteins, Viral / Q000032:analysis*; D016366:Open Reading Frames; D014763:Viral Matrix Proteins / Q000032:analysis* / Q000235:genetics / Q000276:immunology
chemical_list: D000911:Antibodies, Monoclonal; D000956:Antigens, Viral; C037662:EBV-associated membrane antigen, Epstein-Barr virus; D009856:Oncogene Proteins, Viral; D014763:Viral Matrix Proteins