Epstein–Barr virus (EBV) infection in infectious mononucleosis: virus latency, replication and phenotype of EBV‐infected cells

G Niedobitek, A Agathanggelou… - The Journal of …, 1997 - Wiley Online Library
G Niedobitek, A Agathanggelou, H Herbst, L Whitehead, DH Wright, LS Young
The Journal of Pathology: A Journal of the Pathological Society of …, 1997Wiley Online Library
Abstract Primary Epstein–Barr virus (EBV) infection may manifest itself as a benign
lymphoproliferative disorder, infectious mononucleosis (IM). EBV infection has been
characterized in lymphoreticular tissues from nine patients with IM using the abundantly
expressed EBV‐encoded nuclear RNAs (EBERs) as a marker of latent infection. Expression
of the virus‐encoded nuclear antigen (EBNA) 2 and of the latent membrane protein (LMP) 1
was seen in variable proportions of cells in all cases. Double labelling revealed …
Abstract
Primary Epstein–Barr virus (EBV) infection may manifest itself as a benign lymphoproliferative disorder, infectious mononucleosis (IM). EBV infection has been characterized in lymphoreticular tissues from nine patients with IM using the abundantly expressed EBV‐encoded nuclear RNAs (EBERs) as a marker of latent infection. Expression of the virus‐encoded nuclear antigen (EBNA) 2 and of the latent membrane protein (LMP) 1 was seen in variable proportions of cells in all cases. Double labelling revealed heterogeneous expression patterns of these proteins. Thus, in addition to cells revealing phenotypes consistent with latencies I (EBNA2/LMP1) and III (EBNA2+/LMP1+), cells displaying a latency II pattern (EBNA2/LMP1+) were observed. Cells expressing EBNA2 but not LMP1 were also detected; whilst this may represent a transitory phenomenon, the exact significance of this observation is at present uncertain. EBER‐specific in situ hybridization in conjunction with immunohistochemistry revealed expression of the EBERs mainly in B‐lymphocytes, many of which showed features of plasma cell differentiation. By contrast, convincing evidence of latent EBV infection was not found in T‐cells, epithelial or endothelial cells. Double‐labelling immunohistochemistry revealed expression of the replication‐associated BZLF1 protein in small lymphoid cells, often showing plasmacytoid differentiation. There was no unambiguous expression of this protein in other cell types. These results suggest that B‐cells are the primary target of EBV infection and that plasma cells may be a source of infectious virus found in the saliva of IM patients. © 1997 John Wiley & Sons, Ltd.
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