Combined Flow‐Fluorescence in situ hybridization to HHV‐8 and EBV reveals the viral heterogeneity of primary effusion lymphoma

Author:

Stammler Romain1,Vacher Lauriane2,Fournier Benjamin3,Lemaire Pierre4,Chauvel Clémentine4,Silvestrini Marc‐Antoine13,Knapp Silène1,de Frémont Grégoire Martin1,Meignin Véronique56,Salmona Maud7ORCID,Legoff Jérôme7ORCID,Vanjak Anthony1ORCID,Dunogué Bertrand8,Urbain Fanny9,Lambotte Olivier9,Noël Nicolas9,Gérard Laurence25,Oksenhendler Eric25,Galicier Lionel25,Latour Sylvain3,Boutboul David13510ORCID

Affiliation:

1. Inserm U976 HIPI, Institut Universitaire d'Hématologie Université Paris Cité Paris France

2. Department of Clinical Immunology, Hôpital Saint Louis, AP‐HP Université Paris Cité Paris France

3. Laboratory of Lymphocyte Activation and Susceptibility to EBV infection, INSERM UMR 1163, Imagine Institute Université Paris Cité Paris France

4. Laboratory of Haematology, Hôpital Saint Louis, AP‐HP Université Paris Cité Paris France

5. National Reference Center for Castleman disease, Hôpital Saint Louis, AP‐HP Université Paris Cité Paris France

6. Pathology Department, Hôpital Saint Louis, AP‐HP Université Paris Cité Paris France

7. Laboratory of Virology, Hôpital Saint Louis, AP‐HP Université Paris Cité Paris France

8. Department of Internal Medicine, Hôpital Cochin, AP‐HP Université Paris Cité Paris France

9. Department of Internal Medicine, Hôpital Bicêtre, AP‐HP, Le Kremlin‐Bicêtre Université Paris Saclay Le Kremlin‐Bicetre France

10. Department of Hematology, Hôpital Cochin, AP‐HP Université Paris Cité Paris France

Abstract

AbstractPrimary effusion lymphoma (PEL) is a rare B‐cell non‐Hodgkin lymphoma associated with Kaposi Sarcoma‐associated herpesvirus (KSHV/HHV8) infection. Lymphoma cells are coinfected with Epstein‐Barr virus (EBV) in 60−80% of cases. Tools allowing a reliable PEL diagnosis are lacking. This study reports PEL diagnosis in 4 patients using a Flow‐Fluorescence in situ hybridization (FlowFISH) technique that allowed detection of differentially expressed EBV and HHV8 transcripts within the same sample, revealing viral heterogeneity of the disease. Moreover, infected cells exhibited variable expressions of CD19, CD38, CD40, and CD138. Therefore, FlowFISH is a promising tool to diagnose and characterize complex viral lymphoproliferations.

Publisher

Wiley

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