Gene Expression Profiling Reveals Clear Differences Between EBV-Positive and EBV-Negative Posttransplant Lymphoproliferative Disorders
In: American journal of transplantation (Print), Jg. 13 (2013), Heft 5, S. 1305-1316
Online
academicJournal
- print, 27 ref
Zugriff:
Posttransplant patients are at risk of developing a potentially life-threatening posttransplantation lymphoproliferative disorder (PTLD), most often of diffuse large B cell lymphoma (DLBCL) morphology and associated with Epstein-Barr Virus (EBV) infection. The aim of this study was to characterize the clinicopathological and molecular-genetic characteristics of posttransplant DLBCL and to elucidate whether EBV(+) and EBV(―) posttransplant DLBCL are biologically different. We performed gene expression profiling studies on 48 DLBCL of which 33 arose posttransplantation (PT-DLBCL; 72% EBV+) and 15 in immunocompetent hosts (IC-DLBCL; none EBV+). Un-supervised hierarchical analysis showed clustering of samples related to EBV-status rather than immune status. Except for decreased T cell signaling these cases were inseparable from EBV(―) IC-DLBCL. In contrast, a viral response signature clearly segregated EBV(+) PT-DLBCL from EBV(―) PT-DLBCL and IC-DLBCL cases that were intermixed. The broad EBV latency profile (LMP1+/EBNA2+) was expressed in 59% of EBV(+) PT-DLBCL and associated with a more elaborate inflammatory response compared to intermediate latency (LMP1+/EBNA2―). Inference analysis revealed a role for innate and tolerogenic immune responses (including VSIG4 and ID01) in EBV(+) PT-DLBCL. In conclusion we can state that the EBV signature is the most determining factor in the pathogenesis of EBV(+) PT-DLBCL.
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Gene Expression Profiling Reveals Clear Differences Between EBV-Positive and EBV-Negative Posttransplant Lymphoproliferative Disorders
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Autor/in / Beteiligte Person: | MORSCIO, J ; DIERICKX, D ; DE WOLF-PEETERS, C ; SAGAERT, X ; TOUSSEYN, T ; FERREIRO, J. F ; HERREMAN, A ; VAN LOO, P ; BITTOUN, E ; VERHOEF, G ; MATTHYS, P ; COOLS, J ; WLODARSKA, I |
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Zeitschrift: | American journal of transplantation (Print), Jg. 13 (2013), Heft 5, S. 1305-1316 |
Veröffentlichung: | Hoboken, NJ: Wiley, 2013 |
Medientyp: | academicJournal |
Umfang: | print, 27 ref |
ISSN: | 1600-6135 (print) |
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