Skip to main content
Log in

Lymphoid disorders associated with HHV-8/KSHV infection: facts and contentions

  • Controversy
  • Published:
Medical Oncology Aims and scope Submit manuscript

Abstract

Following the demonstration in 1994, that Kaposi's sarcoma (KS) was associated with a novel virus (KSHV or HHV-8) belonging to the lymphotropic herpes family, this virus was also found in certain lymphoid neoplasias of immunodeficient (HIV+) and immune competent hosts. The association of HHV-8/KSHV infection is now well established with primary effusion lymphoma (PEL) or body cavity based lymphoma (BCBL) and multicentric Castleman's disease (MCD) of the plasma cell type. A possible pathogenic role of HHV-8/KSHV in other lymphoid tumours including primary central nervous system lymphoma (PCNSL) and multiple myeloma (MM) as well as some atypical lymphoproliferations and sarcoidosis has also been suggested, but this is at present a controversial matter, or not confirmed. SeveralHHV-8/KSHV genes, including potential oncogenes, genes homologous to various cellular genes and growth factors have been incriminated in the pathogenesis of KS and PEL/BCBL, but a common pathogenic mechanism for the clearly diverse proliferations represented by PEL, MCD and KS is at present not evident.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Cesarman E, Chang Y, Moore PS, Said JW, Knowles DM. Kaposi's sarcoma-associated herpesvirus-like DNA sequences in AIDS-related body-cavity-based lymphomas.N Engl J Med 1995;332: 1186–1191.

    Article  CAS  PubMed  Google Scholar 

  2. Ansari MQet al. Primary body cavity-based AIDS-related lymphomas.Am J Clin Pathol 1996;105: 221–229.

    Article  CAS  PubMed  Google Scholar 

  3. Carbone Aet al. Kaposi's sarcoma-associated herpesvirus DNA sequences in AIDS-related and AIDS-unrelated lymphomatous effusions.Br J Haematol 1996;94: 533–543.

    Article  CAS  PubMed  Google Scholar 

  4. Jaffe ES. Primary body-cavity-based AIDS-related lymphomas. Evolution of a new disease entity.Am J Clin Pathol 1996;105: 141–143.

    Article  CAS  PubMed  Google Scholar 

  5. Nador RGet al. Primary effusion lymphoma: A distinct clinicopathologic entity associated with the Kaposi's sarcoma-associated herpes virus.Blood 1996;88: 645–646.

    Article  CAS  PubMed  Google Scholar 

  6. Said JWet al. Kaposi's sarcoma associated herpesvirus (KSHV or HHV-8) in primary effusion lymphoma: Ultrastural demonstration of herpesvirus in lymphoma cell lines.Blood 1996;87: 4937–4943.

    Article  CAS  PubMed  Google Scholar 

  7. Carbone A, Gaidano G. HHV-8-positive body-cavity-based lymphoma: a novel lymphoma entity.Br J Haematol 1997;97: 515–522.

    Article  CAS  PubMed  Google Scholar 

  8. Karcher DS, Alkan S. Human herpesvirus-8-associated body cavity-based lymphoma in human immunodeficiency virus-infected patients: A unique B-cell neoplasm.Hum Pathol 1997;28: 801–808.

    Article  CAS  PubMed  Google Scholar 

  9. Otsuki Tet al. Detection of HHV-8/KSHV DNA sequences in AIDS-associated extranodal lymphoid malignancies.Leukemia 1996;10: 1358–1362.

    CAS  PubMed  Google Scholar 

  10. Horenstein MGet al. Epstein-Barr virus latent gene expression in primary effusion lymphomas containing Kaposi's sarcoma-associated herpesvirus/human herpesvirus-8.Blood 1997;90: 1186–1191.

    Article  CAS  PubMed  Google Scholar 

  11. Okada Tet al. Body-cavity-based-lymphoma in an elderly AIDS-unrelated male.Int J Hematol 1998;67: 417–422.

    Article  CAS  PubMed  Google Scholar 

  12. Jones Det al. Primary-effusion lymphoma and Kaposis-sarcoma in a cardiac-transplant recipient.N Engl J Med 1998;339: 444–449.

    Article  CAS  PubMed  Google Scholar 

  13. Gessain Aet al. Human herpes virus 8 (Kaposi's sarcoma herpes virus) and malignant lymphoproliferations in France: a molecular study of 250 cases including two AIDS-associated body cavity based lymphomas.Leukemia 1997;11: 266–272.

    Article  CAS  PubMed  Google Scholar 

  14. Gaidano Get al. Genetic characterization of HHV-8/KSHV-positive primary effusion lymphoma reveals frequent mutations of BCL-6: Implications for disease pathogenesis and histogenesis.Genes Chrom Cancer 1999;24(1): 16–23.

    Article  CAS  PubMed  Google Scholar 

  15. Sarid R, Flore O, Bohenzky RA, Chang Y, Moore PS. Transcription mapping of the Kaposi's sarcoma-associated herpesvirus (human herpesvirus 8) genome in a body cavity-based lymphoma cell line (BC-1).J Virol 1998;72: 1005–1012.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Schulz TF. Kaposi's sarcoma-associated herpesvirus (human herpesvirus-8).J General Virol 1998;79: 1573–1591.

    Article  CAS  Google Scholar 

  17. Gaidano Get al. Distribution of human herpesvirus-8 sequences throughout the spectrum of AIDS-related neoplasia.AIDS 1996;10: 941–949.

    Article  CAS  PubMed  Google Scholar 

  18. Gaidano Get al. Human herpesvirus type-8 (HHV-8) in haematopoietic neoplasia.Leukemia Lymphoma 1997;24: 257–266.

    Article  CAS  PubMed  Google Scholar 

  19. Polito Pet al. Structural abnormality of 1q in an AIDS-related body-cavity-based lymphoma.Int J Cancer 1996;67: 588–590.

    Article  CAS  PubMed  Google Scholar 

  20. Gao SJet al. KSHV orf K9 (VIRF) is an oncogene which inhibits the interferon signaling pathway.Oncogene 1997;15: 1979–1985.

    Article  CAS  PubMed  Google Scholar 

  21. Muralidhar Set al. Identification of Kaposin (open reading frame K12) as a human herpesvirus 8 (Kaposis sarcoma-associated herpesvirus) transformin gene.J Virol 1998;72: 4980–4988.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Lee Het al. Deregulation of cell growth by the K1 gene of Kaposis sarcoma-associated herpesvirus.Nat Med 1998;4: 435–440.

    Article  CAS  PubMed  Google Scholar 

  23. Gaidano Get al. Association of Kaposi's sarcoma-associated herpesvirus-positive primary effusion lymphoma with expression of the CD138/syndecan-1 antigen.Blood 1997;90: 2679–2688.

    Google Scholar 

  24. Soulier Jet al. Kaposi's sarcoma-associated herpesvirus-like DNA sequences in multicentric Castlleman's disease.Blood 1995;86: 1276–1280.

    Article  CAS  PubMed  Google Scholar 

  25. Frizzera G. Atypical lymphoproliferative disorders. In: Knowles DM (ed).Neoplastic Hematopathology. Williams & Wilkins: Baltimore, 1992, pp 459–495.

    Google Scholar 

  26. Parravicini Cet al. Expression of a virus-derived cytokine, KSHV VIL-6, in HIV-seronegative Castleman's-disease.Am J Pathol 1997;151: 1517–1522.

    CAS  PubMed  Google Scholar 

  27. Ensoli Bet al. AIDS-Kaposi's sarcoma derived cells expres cytokines with autocrine and paracrine growth effects.Science 1989;243: 223–226.

    Article  CAS  PubMed  Google Scholar 

  28. Yoshizaki Ket al. Pathogenic significance of interleukin-6 (IL-6/BSF-2) in Castleman's disease.Blood 1989;74: 1360–1367.

    Article  CAS  PubMed  Google Scholar 

  29. Flore Oet al. Transformation of primary human endothelial cells by Kaposi's-sarcoma-associated herpes virus.Nature 1998;394: 588–592.

    Article  CAS  PubMed  Google Scholar 

  30. Rettig MBet al. Kaposi's sarcoma-associated herpesvirus infection of bone marrow dendritic cells from multiple myeloma.Science 1997;276: 1851–1854.

    Article  CAS  PubMed  Google Scholar 

  31. Said JWet al. Localization of Kaposi's sarcoma-associated herpesvirus in bone marrow biopsy samples from patients with multiple myeloma.Blood 1997;90: 4278–4282.

    Article  CAS  PubMed  Google Scholar 

  32. Brousset P, Megetto F, Attal M, Delsol G. Kaposis-sarcoma-associated herpesvirus infection and multiple myeloma.Science 1997;278: 1972.

    CAS  PubMed  Google Scholar 

  33. Parravicini Cet al. Kaposis-sarcoma-associated herpes-virus infection and multiple myeloma.Science 1997;278: 1969–1970.

    Article  CAS  PubMed  Google Scholar 

  34. Masood Ret al. Kaposis-sarcoma-associated herpesvirus infection and multiple myeloma.Science 1997;278: 1970–1971.

    CAS  PubMed  Google Scholar 

  35. Whitby D, Boshoff C, Luppi M, Torelli G. Kaposis-sarcoma-associated herpesvirus infection and multiple myeloma.Science 1997;278: 1971–1972.

    CAS  PubMed  Google Scholar 

  36. Cottoni F, Uccini S. Kaposis-sarcoma-associated herpesvirus infection and multiple myeloma.Science 1997;278: 1972.

    CAS  PubMed  Google Scholar 

  37. Marcelin AGet al. HHV-8 and multiple myeloma in France.Lancet 1997;350: 1144.

    Article  CAS  PubMed  Google Scholar 

  38. MacKenzie Jet al. HHV-8 and multiple myeloma in the UK.Lancet 1997;350: 1144–1145.

    Article  CAS  PubMed  Google Scholar 

  39. Cull GMet al. Dendritic cells cultured from mononuclear cells and CD34 cells in myeloma do not harbour human herpesvirus 8.Br J Haematol 1998;100: 793–796.

    Article  CAS  PubMed  Google Scholar 

  40. Tarte Ket al. Clinical-grade functional dendritic cells from patients with multiple myeloma are not infected with Kaposi's sarcoma-associated herpesvirus.Blood 1998;91: 1852–1857.

    Article  CAS  PubMed  Google Scholar 

  41. Gao SJet al. Antibodies to Kaposis sarcoma-associated herpesvirus (Human herpesvirus 8) in patients with multiple myeloma.J Infect Dis 1998;178: 846–849.

    Article  CAS  PubMed  Google Scholar 

  42. Yi Qet al. Blood dendritic cells from myeloma patients are not infected with Kaposis sarcoma-associated herpes-virus (KSHV/HHV-8).Blood 1998;92: 402–404.

    Article  CAS  PubMed  Google Scholar 

  43. Cathomas Get al. Multiple myeloma and HHV8 infection.Blood 1998;91: 4391–4392.

    Article  CAS  PubMed  Google Scholar 

  44. Said JWet al. Multiple myeloma and HHV8 infection-response.Blood 1998;91: 4392–4393.

    CAS  Google Scholar 

  45. Rettig MB, Said JW, Sun R, Vescio RA, Berenson JR. Kaposi's sarcoma-associated herpesvirus infection and multiple myeloma.Science 1997;278: 1973.

    Google Scholar 

  46. Whitby Det al. Human herpesvirus 8 seroprevalence in blood donors and lymphoma patients from different regions of Italy.J Nat Cancer Inst 1998;90: 395–397.

    Article  CAS  PubMed  Google Scholar 

  47. Luppi Met al. Human herpesvirus-8 DNA sequences in human immunodeficiency virus-negative angioimmunoblastic lymphadenopathy and benign lymphadenopathy with giant germinal center hyperplasia and increased vascularity.Blood 1996;87: 3903–3909.

    Article  CAS  PubMed  Google Scholar 

  48. Chadburn A, Cesarman E, Nador RG, Liu GF, Knowles DM. Kaposi's sarcoma associated herpesvirus sequences in benign lymphoid proliferation not associated with human immunodeficiency virus.Cancer 1997;80: 788–797.

    Article  CAS  PubMed  Google Scholar 

  49. Pastore Cet al. Distribution of Kaposi's sarcoma herpesvirus sequences among lymphoid malignancies in Italy and Spain.Br J Haematol 1995;91: 918–920.

    Article  CAS  PubMed  Google Scholar 

  50. Gaidano Get al. Analysis of human herpesvirus type 8 infection in AIDS-related and AIDS-unrelated primary central nervous system lymphoma.J Infect Dis 1997;175: 1193–1197.

    Article  CAS  PubMed  Google Scholar 

  51. Morgello S, Tagliati M, Ewart MR. HHV-8 and AIDS-related CNS lymphoma.Neurology 1997;48: 1333–1335.

    Article  CAS  PubMed  Google Scholar 

  52. Corboy JR, Garl PJ, Kleinschmidt-DeMasters BK. Human herpesvirus 8 DNA in CNS lymphomas from patients with and without AIDS.Neurology 1998;50: 335–340.

    Article  CAS  PubMed  Google Scholar 

  53. Biberfeld P, Ensoli B, Stürzl M, Schulz TF. Kaposisarcoma-associated herpesvirus/human herpesvirus 8, cytokines, growth factors and HIV in pathogenesis of Kaposis-sarcoma.Curr Opin Infect Dis 1998;11: 97–105.

    Article  CAS  PubMed  Google Scholar 

  54. Di Alberti Let al. Human herpesvirus 8 variants in sarcoid tissues.Lancet 1997;350: 1655–1661.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P Biberfeld.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gaidano, G., Castaños-Velez, E. & Biberfeld, P. Lymphoid disorders associated with HHV-8/KSHV infection: facts and contentions. Med Oncol 16, 8–12 (1999). https://doi.org/10.1007/BF02787352

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02787352

Keywords

Navigation