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Updated: Jun 17, 2026

Cell-Free DNA Extraction of Vitreous and Aqueous Humor Specimens for Diagnosis and Monitoring of Vitreoretinal Lymphoma
Published on: January 12, 2024
[Relationship between primary ocular adnexal mucosa-associated lymphoid tissue lymphoma and eye infection]
Dan-dan Zhang1, Hong-gang Liu, Hai-yan Li
1Department of Pathology, Basic Medical College, Capital Medical University, Beijing 100069, China.
Objective:
To study the role of pathogenic microorganisms commonly associated with chronic eye disease, including Chlamydia psittaci, Chlamydia trachomatis, Chlamydia pneumoniae, herpes simplex virus (HSV) type 1 and type 2, and adenovirus type 8 and type 19, in the development of primary ocular adnexal mucosa-associated lymphoid tissue (MALT) lymphoma in Chinese patients.
Methods:
Sixty-eight archival cases of primary ocular adnexal lymphoproliferative lesions, including 38 cases of MALT lymphoma, 3 cases of non-MALT lymphoma and 27 cases of chronic inflammation, were enrolled into the study. DNA was extracted from the paraffin-embedded tissue samples. The presence of DNA of C. psittaci, C. trachomatis, C. pneumoniae, HSV type 1, HSV type 2, adenovirus type 8 and adenovirus type 19 were analyzed by multiplex touchdown enzyme time-release polymerase chain reaction (TETR-PCR).
Results:
All of the specimens yielded PCR products of over 100 base pairs and were thus suitable for TETR-PCR screening of infectious agents. The prevalence of DNA of C. psittaci, C. trachomatis and adenovirus type 19 were 0 in MALT lymphoma, non-MALT lymphoma and chronic inflammation. There were 2 cases positive for C. pneumoniae DNA, amongst the 38 cases of MALT lymphoma studied (5.3%, 2/38). HSV type 1, HSV type 2 and adenovirus type 8 DNA was found in each of the 3 patients with chronic inflammation.
Conclusion:
The study indicates that C. psittaci, C. trachomatis, C. pneumoniae, HSV type 1, HSV type 2, adenovirus type 8 and adenovirus type 19 probably play little role in the pathogenesis of ocular adnexal MALT lymphoma in Chinese patients.
Insights
This study investigated common eye pathogens in Chinese patients with ocular adnexal mucosa-associated lymphoid tissue (MALT) lymphoma. Results suggest these microorganisms likely play a minimal role in the development of this specific eye cancer.
Area of Science:
- Ophthalmology
- Infectious Disease
- Oncology
Context:
- Ocular adnexal mucosa-associated lymphoid tissue (MALT) lymphoma is a rare malignancy.
- The role of specific pathogens in its development remains unclear.
- Chinese populations may have unique etiological factors.
Purpose:
- To investigate the association between Chlamydia psittaci, Chlamydia trachomatis, Chlamydia pneumoniae, herpes simplex virus (HSV) types 1 and 2, and adenovirus types 8 and 19 with ocular adnexal MALT lymphoma.
- To analyze the prevalence of these pathogens in archival tissue samples from Chinese patients.
- To determine the potential role of these infectious agents in the pathogenesis of ocular adnexal MALT lymphoma.
Summary:
- A multiplex touchdown enzyme time-release polymerase chain reaction (TETR-PCR) was used to screen 68 archival cases (38 MALT lymphoma, 3 non-MALT lymphoma, 27 chronic inflammation).
- Chlamydia psittaci, Chlamydia trachomatis, and adenovirus type 19 DNA were not detected in any MALT lymphoma or chronic inflammation cases.
- Chlamydia pneumoniae DNA was found in 5.3% of MALT lymphoma cases. HSV types 1 and 2, and adenovirus type 8 DNA were detected in chronic inflammation cases but not in MALT lymphoma.
- The study found no significant association between the investigated pathogens and ocular adnexal MALT lymphoma in the studied Chinese cohort.
Impact:
- Provides crucial etiological insights into ocular adnexal MALT lymphoma in a specific demographic.
- Suggests that common ocular pathogens are unlikely drivers of MALT lymphoma development in Chinese patients.
- Informs future research directions and potential diagnostic or therapeutic strategies for ocular adnexal MALT lymphoma.
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