Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/43242 |
Resumo: | Introduction: The expression of EBV (Epstein-Barr virus) presence in Hodgkin/Reed-Sternberg cells and its association with the prognosis remains controversial. Objectives: The present study aims to identify the occurrence of EBV in patients with Hodgkin's lymphoma and to associate the clinical outcome with positivity in patients. Methods: To determine the presence of EBV, a paraffin-embedded tissue biopsy was performed and analysed through hybridization for EBV-encoded RNA and immunohistochemistry for viral latent membrane protein (LMP-1). The procedure was conducted by a hematopathologist blinded to the outcome of EBV status in cHL tumour cells. Prognostic factors of the International Prognosis Score for advanced stage and risk factors of the German Hodgkin Study Group for limited stage were correlated with EBV status. Results: Slides of biopsy were retrieved from 29 patients diagnosed with Hodgkin's Lymphoma. The mixed cellularity histological subtype showed statistic association with EBV-positive status (p= 0.02). In addition, EBV-positive cHL status was more common in patients aged 45 years or older (p= 0.07). There was a trend suggesting improved event-free survival (p=0.07), but it did not reach levels of statistical significance. Conclusion: Although it is related to mixed cellularity histological subtype, the prognosis association of cHL and EBV-status tumour cells has not been clearly established in the present study. |
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Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casosEpstein-Barr virusHodgkin’s LymphomaPrognosisDoença de HodgkinInfecções por Vírus Epstein-BarrPrognósticoIntroduction: The expression of EBV (Epstein-Barr virus) presence in Hodgkin/Reed-Sternberg cells and its association with the prognosis remains controversial. Objectives: The present study aims to identify the occurrence of EBV in patients with Hodgkin's lymphoma and to associate the clinical outcome with positivity in patients. Methods: To determine the presence of EBV, a paraffin-embedded tissue biopsy was performed and analysed through hybridization for EBV-encoded RNA and immunohistochemistry for viral latent membrane protein (LMP-1). The procedure was conducted by a hematopathologist blinded to the outcome of EBV status in cHL tumour cells. Prognostic factors of the International Prognosis Score for advanced stage and risk factors of the German Hodgkin Study Group for limited stage were correlated with EBV status. Results: Slides of biopsy were retrieved from 29 patients diagnosed with Hodgkin's Lymphoma. The mixed cellularity histological subtype showed statistic association with EBV-positive status (p= 0.02). In addition, EBV-positive cHL status was more common in patients aged 45 years or older (p= 0.07). There was a trend suggesting improved event-free survival (p=0.07), but it did not reach levels of statistical significance. Conclusion: Although it is related to mixed cellularity histological subtype, the prognosis association of cHL and EBV-status tumour cells has not been clearly established in the present study.Introdução: A expressão da positividade do vírus Epstein-Barr nas células de Reed-Sternberg/Hodgkin e o impacto dessa relação na sobrevida do Linfoma de Hodgkin clássico (LHc) permanecem controversos. Objetivo: Avaliar a presença de Epstein Baar Vírus (EBV) em pacientes com LHc, associando com características anatomopatológicas e clínicas. Materiais e Métodos: Para determinar a presença de EBV, a partir de um material de biópsia de tecidual foi realizada analise por hibridização para RNA codificado para EBV (EBER) e imuno-histoquímica para proteína de membrana latente viral (LMP-1) de uma amostra de demanda de pacientes com diagnóstico entre janeiro de 2009 e janeiro de 2015. As características clínicas avaliadas foram as que compõem o Escore Prognóstico Internacional para estadiamento avançado e os fatores de risco desfavoráveis instituídos pelo Grupo Alemão de Estudos em Hodgkin para estadiamento limitado. Posteriormente, tais características foram relacionadas com a situação do vírus nas células tumorais. Resultados: Foram avaliadas as lâminas de biópsia de 29 pacientes com diagnóstico de Linfoma de Hodgkin. Em relação as características histológicas, o subtipo histológico de celularidade mista apresentou associação estatística com EBV positivo (p= 0,02). Além disso, a presença de EBV foi mais comum em pacientes com 45 anos ou mais (p= 0,07). Embora sem significância estatística, houve uma tendência de melhor sobrevida livre de eventos (p= 0,07), para os pacientes EBV positivo. Conclusão: O subtipo histológico de celularidade mista, apresentou uma relação estatisticamente significativa com a presença de EBV nas células tumorais, em conformidade com a literatura. São necessários estudo com maior número de casos para que se possa entender melhor a relação entre a presença de EBV e o prognóstico do LHc em nosso meio.Editora UFJF2024-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/4324210.34019/1982-8047.2023.v49.43242HU Revista; v. 49 (2023); 1-91982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/43242/27314Copyright (c) 2024 Julia Diniz Ferreira, Graziela Toledo Costa Mayrink , Kelli Borges dos Santos, Abrahão Elias Hallack Netohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessToledo Costa Mayrink , Graziela Borges dos Santos, Kelli Diniz Ferreira, JuliaHallack Neto, Abrahão Elias2024-01-19T09:48:54Zoai:periodicos.ufjf.br:article/43242Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2024-01-19T09:48:54HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
title |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
spellingShingle |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos Toledo Costa Mayrink , Graziela Epstein-Barr virus Hodgkin’s Lymphoma Prognosis Doença de Hodgkin Infecções por Vírus Epstein-Barr Prognóstico |
title_short |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
title_full |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
title_fullStr |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
title_full_unstemmed |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
title_sort |
Vírus Epstein-Barr associado ao Linfoma de Hodgkin clássico: um estudo de casos |
author |
Toledo Costa Mayrink , Graziela |
author_facet |
Toledo Costa Mayrink , Graziela Borges dos Santos, Kelli Diniz Ferreira, Julia Hallack Neto, Abrahão Elias |
author_role |
author |
author2 |
Borges dos Santos, Kelli Diniz Ferreira, Julia Hallack Neto, Abrahão Elias |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Toledo Costa Mayrink , Graziela Borges dos Santos, Kelli Diniz Ferreira, Julia Hallack Neto, Abrahão Elias |
dc.subject.por.fl_str_mv |
Epstein-Barr virus Hodgkin’s Lymphoma Prognosis Doença de Hodgkin Infecções por Vírus Epstein-Barr Prognóstico |
topic |
Epstein-Barr virus Hodgkin’s Lymphoma Prognosis Doença de Hodgkin Infecções por Vírus Epstein-Barr Prognóstico |
description |
Introduction: The expression of EBV (Epstein-Barr virus) presence in Hodgkin/Reed-Sternberg cells and its association with the prognosis remains controversial. Objectives: The present study aims to identify the occurrence of EBV in patients with Hodgkin's lymphoma and to associate the clinical outcome with positivity in patients. Methods: To determine the presence of EBV, a paraffin-embedded tissue biopsy was performed and analysed through hybridization for EBV-encoded RNA and immunohistochemistry for viral latent membrane protein (LMP-1). The procedure was conducted by a hematopathologist blinded to the outcome of EBV status in cHL tumour cells. Prognostic factors of the International Prognosis Score for advanced stage and risk factors of the German Hodgkin Study Group for limited stage were correlated with EBV status. Results: Slides of biopsy were retrieved from 29 patients diagnosed with Hodgkin's Lymphoma. The mixed cellularity histological subtype showed statistic association with EBV-positive status (p= 0.02). In addition, EBV-positive cHL status was more common in patients aged 45 years or older (p= 0.07). There was a trend suggesting improved event-free survival (p=0.07), but it did not reach levels of statistical significance. Conclusion: Although it is related to mixed cellularity histological subtype, the prognosis association of cHL and EBV-status tumour cells has not been clearly established in the present study. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/43242 10.34019/1982-8047.2023.v49.43242 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/43242 |
identifier_str_mv |
10.34019/1982-8047.2023.v49.43242 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/43242/27314 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 49 (2023); 1-9 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
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UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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