Determination and Role of Epstein-Barr Virus in Patients With Lymphoproliferative Disorders


Colak M. Sarzhanova S. Yegin Z.A. Ozkurt Z.N. Fidan I. Bozdayi G.
May 2021Elsevier Inc.

Clinical Lymphoma, Myeloma and Leukemia
2021#21Issue 5e488 - e492 pp.

Introduction: Epstein-Barr virus (EBV) is associated with different types of human malignancies, including Burkitt lymphoma, nasopharyngeal carcinoma, and lymphomas. We retrospectively investigated the presence of EBV-DNA by real-time PCR in clinical samples of patients diagnosed as having hematologic malignancies while investigating the cause of lymphoproliferative disorders, and investigated its relationship to clinical manifestations. Patients and Methods: Fifty clinical samples sent to Gazi Universitys hematology clinics between November 2013 and March 2018 were included. EBV-DNA was investigated by real-time PCR method, and EBV-IgM and EBV-IgG antibodies were investigated by ELISA. Results: Fifty serum samples were investigated, and 10% (5/50) EBV-DNA positivity was determined in patients. Of the 5 patients with EBV-DNA positivity, 2 had acute lymphoblastic leukemia, 1 lymphoma, 1 T-cell lymphoma, and 1 B-cell lymphoma. Concomitant EBV-DNA and viral capsid antigen (VCA)-IgM positivity was not detected. The VCA-lgM test results of the all EBV-DNA–positive patients were negative and VCA-IgG positive (except for 1 patient). Regarding virus load, of the 5 samples, 2, 1, 1, and 1 of the samples had a virus load of 102, 103, 104, and 105 copies/mL, respectively. Conclusion: EBV infection is threatening in patients with hematologic malignancies and are diagnosed by serologic and molecular methods. As a result of the study, we suggest that the detection of EBV-DNA by real-time PCR in patients being admitted with lymphoproliferative diseases and diagnosed as acute lymphoblastic leukemia and lymphomas may be useful in follow-up and treatment.

Acute lymphoblastic leukemia (ALL) , EBV , Lymphoma , Real-time PCR , Real-time polymerase chain reaction

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Department of Medical Microbiology, Karabuk University Faculty of Medicine, Karabuk, Turkey
Department of Medical Microbiology, Gazi University Faculty of Medicine, Ankara, Turkey
Department of Haematology, Gazi University Faculty of Medicine, Ankara, Turkey
Department of Medical Microbiology, Ahmet Yesevi International Kazakh-Turkish University Faculty of Medicine, Turkistan, Kazakhstan

Department of Medical Microbiology
Department of Medical Microbiology
Department of Haematology
Department of Medical Microbiology

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