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Oncogenic Viruses in Skull Base Chordomas
Youssef Yakkioui1, Ernst-Jan M Speel2, Jacobus J Van Overbeeke1
1Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands; Division of Experimental Neurosurgery, School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Background:
Chordomas are rare tumors assumed to derive from notochordal remnants. We believe that a molecular switch is responsible for their malignant behavior. The involvement of oncogenic viruses has not been studied, however. Thus, in the present study, we investigated the presence of oncogenic viruses in chordomas.
Methods:
DNA and RNA from snap-frozen chordoma (n = 18) and chondrosarcoma (n = 15) specimens were isolated. Real-time PCR or RT-PCR was performed to assess the presence of multiple oncogenic viruses, including herpesviridea (herpes simplex virus [HSV]-1, HSV-2, Epstein-Barr virus [EBV], cytomegalovirus, human herpesvirus [HHV]- 6, HHV-7, and Kaposi's sarcoma-associated herpesvirus), polyomaviridea (parvovirus B19 [PVB19], BK virus, JC virus, Simian virus 40, Merkel cell polyomavirus, human polyomavirus [HPyV]-6, and HPyV-7), papillomaviridae, and respiratory viruses. Immunohistochemistry (IHC) and in situ hybridization (ISH) were used to validate the positive results.
Results:
PVB19 DNA was detected in 4 of 18 chordomas (22%) and in 1 of 15 chondrosarcomas (7%). IHC recognizing the VP2 capsid protein of PVB19 showed a positive cytoplasmic staining in 44% of the cases (14 of 32). HHV7 DNA was present in 6 of the 18 chordomas (33%). Genomic DNA of EBV was found in 22% of the samples; however, no positive results were found on ISH. None of the chordoma cases showed any presence of DNA from the remaining viruses.
Conclusions:
Viral involvement in the etiology of chordomas is likely, with PVB19 the most distinguishing.
Insights
Oncogenic viruses, particularly parvovirus B19 (PVB19), were investigated in rare chordoma tumors. PVB19 DNA was detected in 22% of chordomas, suggesting a potential viral role in their development.
Area of Science:
- Oncology
- Virology
- Molecular Biology
Background:
- Chordomas are rare tumors originating from notochordal remnants.
- Malignant behavior is suspected to be driven by a molecular switch.
- The role of oncogenic viruses in chordoma etiology has not been previously studied.
Purpose of the Study:
- To investigate the presence of oncogenic viruses in chordoma specimens.
- To explore potential viral involvement in the development of chordomas.
Main Methods:
- DNA and RNA isolation from chordoma and chondrosarcoma samples.
- Real-time PCR and RT-PCR to detect various oncogenic viruses (Herpesviridae, Polyomaviridae, Papillomaviridae, respiratory viruses).
- Immunohistochemistry (IHC) and in situ hybridization (ISH) for validation.
Main Results:
- Parvovirus B19 (PVB19) DNA detected in 22% of chordomas and 7% of chondrosarcomas.
- Human Herpesvirus 7 (HHV7) DNA found in 33% of chordomas.
- Epstein-Barr virus (EBV) DNA detected in 22% of samples, but not confirmed by ISH.
Conclusions:
- Viral involvement is likely in the etiology of chordomas.
- Parvovirus B19 (PVB19) appears to be the most significant virus implicated.
- Further research is warranted to elucidate the precise role of viruses in chordoma pathogenesis.
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