The characteristics of Epstein-Barr virus (EBV)-positive diffuse large B-cell lymphoma: comparison between EBV(+) and

T Kuze1, N Nakamura, Y Hashimoto

  • 1First Department of Pathology, Fukushima Medical University, Fukushima 960-1295, Japan. kuze.tetsuo@toaeiyo.ne.jp

Insights

Epstein-Barr virus (EBV) infection in diffuse large B-cell lymphoma (DLBCL) is linked to non-functional immunoglobulin heavy chain genes. This EBV(+) DLBCL characteristic suggests a distinct mutational profile compared to EBV(-) DLBCL.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • Diffuse large B-cell lymphoma (DLBCL) is an aggressive non-Hodgkin lymphoma.
  • Epstein-Barr virus (EBV) coinfection is observed in a subset of DLBCL cases.
  • The specific characteristics and implications of EBV infection in DLBCL remain incompletely understood.

Purpose of the Study:

  • To investigate the clinicopathological and molecular features of DLBCL associated with EBV infection.
  • To compare the characteristics of EBV-positive (EBV(+)) DLBCL with EBV-negative (EBV(-)) DLBCL.
  • To analyze the immunoglobulin heavy chain (IgH) gene mutation status in EBV(+) and EBV(-) DLBCL.

Main Methods:

  • Analysis of 114 DLBCL cases using RNA in situ hybridization for EBV-encoded RNA 1 (EBER1).
  • Immunohistochemical detection of EBV latent membrane protein 1 (LMP1), EBV nuclear antigen 2 (EBNA2), CD30, Bcl-6, and immunoglobulin (Ig).
  • Sequencing of rearranged Ig heavy chain (IgH) variable (V) region genes to assess somatic mutation frequency and types.

Main Results:

  • EBV infection (EBER1 positivity) was detected in 11.4% of DLBCL cases.
  • EBV(+) DLBCL cases showed distinct expression profiles for CD30, Bcl-6, and Ig compared to EBV(-) DLBCL.
  • A significant proportion (40%) of EBV(+) DLBCL cases exhibited crippling mutations in the IgH gene, leading to non-functional genes, unlike EBV(-) DLBCL (0%).

Conclusions:

  • Both EBV(+) and EBV(-) DLBCL appear to originate from germinal center (GC) or post-GC B cells.
  • EBV(+) DLBCL is frequently characterized by a non-functional IgH gene due to crippling mutations.
  • These findings highlight a distinct molecular pathway in EBV(+) DLBCL, potentially impacting B-cell receptor function.

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