title: Molecular characterization of HHV-8 positive primary effusion lymphoma reveals pathogenetic and histogenetic features of the disease.
abstract: BACKGROUND
  Primary effusion lymphoma (PEL) associates with HHV-8 infection, preferentially develops in immunodeficient patients and grows in the serous body cavities. PEL derives from post-germinal center, pre-terminally differentiated B-cells. The pathogenesis of PEL is unclear and the sole identified genetic lesions are human herpesvirus type-8 (HHV-8) infection in all cases and EBV infection in 70% of cases. Epstein-Barr virus (EBV) infection in PEL displays a latency I phenotype.
  
  
  OBJECTIVE
  To clarify the pathogenesis and histogenesis of PEL by investigating (1) the lymphoma karyotype; (2) the expression status of the Met tyrosine kinase receptor and of its ligand hepatocyte growth factor (HGF); (3) the molecular profile of EBV, with particular focus on mutations of EBNA-1 genes, which are thought to affect viral tumorigenicity in EBV-infected neoplasms displaying the latency I phenotype.
  
  
  METHODS
  Twenty-four PEL (nine cell lines and 15 primary specimens) formed the basis of the study. Karyotypes were investigated by conventional cytogenetics and fluorescent in situ hybridization (FISH) in selected cases. The expression status of Met and HGF was defined by multiple techniques, including RT-PCR, FACS analysis, immunocytochemistry, Western blot studies and ELISA. The molecular profile of EBNA-1 genes of EBV were investigated by DNA direct sequencing.
  
  
  RESULTS
  Trisomy 7, trisomy 12 and breaks at 1q21-q25 are recurrently associated with PEL. PEL consistently co-express Met and HGF both at the mRNA and protein level. Among aggressive B-cell lymphomas, Met/HGF co-expression appears to be relatively specific for PEL. The EBNA-1 gene of EBV displays a high degree of genetic heterogeneity in PEL, with no preferential association with one specific variant.
  
  
  CONCLUSIONS
  PEL associates with recurrent chromosomal alterations, suggesting that viral infection is not sufficient for tumor development and that lesions of cellular genes may be required. The expression of Met/HGF by PEL cells may bear implications for the lymphoma proliferation and growth pattern, since Met/HGF interactions influence cell mitogenesis and motogenesis. EBV infection in PEL displays a latency I phenotype and fails to associate with specific EBNA-1 variants, suggesting that the role of EBV in PEL is not mediated by the major transforming pathways currently known in EBV positive lymphomas.
authors.affiliation: Division of Internal Medicine, Department of Medical Sciences, Amedeo Avogadro University of Eastern Piedmont, Via Solaroli 17, 28100, Novara, Italy. gaidano@med.unipmn.it
authors.forename: G
authors.initials: G
authors.lastname: Gaidano
authors.forename: D
authors.initials: D
authors.lastname: Capello
authors.forename: L
authors.initials: L
authors.lastname: Fassone
authors.forename: A
authors.initials: A
authors.lastname: Gloghini
authors.forename: A M
authors.initials: AM
authors.lastname: Cilia
authors.forename: C
authors.initials: C
authors.lastname: Ariatti
authors.forename: D
authors.initials: D
authors.lastname: Buonaiuto
authors.forename: D
authors.initials: D
authors.lastname: Vivenza
authors.forename: M
authors.initials: M
authors.lastname: Gallicchio
authors.forename: G C
authors.initials: GC
authors.lastname: Avanzi
authors.forename: M
authors.initials: M
authors.lastname: Prat
authors.forename: A
authors.initials: A
authors.lastname: Carbone
mesh_terms: D019309:Epstein-Barr Virus Nuclear Antigens / Q000235:genetics; D005260:Female; D014644:Genetic Variation; D017228:Hepatocyte Growth Factor / Q000378:metabolism; D004854:Herpesvirus 4, Human / Q000235:genetics / Q000378:metabolism; D019288:Herpesvirus 8, Human / Q000235:genetics* / Q000302:isolation & purification; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D007621:Karyotyping; D016393:Lymphoma, B-Cell / Q000378:metabolism / Q000473:pathology* / Q000821:virology*; D008297:Male; D019859:Proto-Oncogene Proteins c-met / Q000378:metabolism; D014407:Tumor Cells, Cultured
chemical_list: D019309:Epstein-Barr Virus Nuclear Antigens; D017228:Hepatocyte Growth Factor; D019859:Proto-Oncogene Proteins c-met