Achromobacter Infection Is Rare in Japanese Patients with Pulmonary B-cell Lymphoma
Satsuki Aoyama1, Ayako Masaki1, Yuma Sakamoto1
1Department of Pathology and Molecular Diagnostics, Nagoya City University Graduate School of Medical Sciences, Japan.
Abstract:
Objective Achromobacter xylosoxidans (A. xylosoxidans) has been recently reported to have an association with the development of pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma in patients from European countries. However, the prevalence rates for A. xylosoxidans may vary significantly from country to country. To assess this association, the prevalence of A. xylosoxidans was analyzed in Japanese patients with pulmonary B-cell lymphoma. Methods DNA samples were obtained from formalin-fixed, paraffin-embedded sections of pulmonary MALT lymphomas (n=52), diffuse large B-cell lymphomas (DLBCLs, n=18), and benign pulmonary lesions (n=19). All samples were histopathologically reviewed by experienced hematopathologists, and the clonality of all MALT lymphoma cases was confirmed by a polymerase chain reaction (PCR)-based IGH rearrangement clonality assay. They were also tested for the API2-MALT1 fusion transcript. The presence of bacterial DNA was assessed with a nested PCR, and DNA sequencing was performed to confirm the PCR specificity. Results A. xylosoxidans DNA was detected in 1/52 cases of pulmonary MALT lymphoma, 2/18 cases of DLBCL, and 0/19 cases of benign pulmonary lesions. The prevalence of A. xylosoxidans in pulmonary lymphoma was not significantly higher than in benign lesions. Conclusion The present study shows that A. xylosoxidans infection may not be associated with pulmonary B-cell lymphoma in a Japanese case series. Large-scale international studies are needed to clarify the role of A. xylosoxidans in pulmonary lymphoma.
Insights
Achromobacter xylosoxidans (A. xylosoxidans) infection was not found to be significantly associated with pulmonary B-cell lymphoma in Japanese patients. Further international studies are needed to confirm the role of A. xylosoxidans in lung cancer development.
Area of Science:
- Pulmonology
- Infectious Diseases
- Oncology
Background:
- Achromobacter xylosoxidans (A. xylosoxidans) has been linked to pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma in European populations.
- Prevalence of A. xylosoxidans varies globally, necessitating region-specific investigations.
- The association between A. xylosoxidans and pulmonary B-cell lymphoma in Japan remains unclear.
Observation:
- This study investigated A. xylosoxidans prevalence in Japanese patients with pulmonary B-cell lymphomas and benign lung lesions.
- DNA from formalin-fixed, paraffin-embedded tissue samples was analyzed using nested PCR and DNA sequencing.
- A. xylosoxidans DNA was detected in one pulmonary MALT lymphoma, two DLBCL cases, and no benign lesions.
Findings:
- The prevalence of A. xylosoxidans in pulmonary lymphoma cases was not statistically higher compared to benign pulmonary lesions.
- The findings suggest no significant association between A. xylosoxidans and pulmonary B-cell lymphoma in this Japanese cohort.
- The study utilized polymerase chain reaction (PCR) and DNA sequencing for bacterial detection and confirmation.
Implications:
- Current findings indicate that A. xylosoxidans may not be a significant factor in the pathogenesis of pulmonary B-cell lymphoma in Japan.
- Further large-scale international research is required to definitively establish the role of A. xylosoxidans in pulmonary lymphoma.
- This study contributes to understanding the geographical variations in the association between A. xylosoxidans and lung cancer.
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