Summary
Reactivation of EBV infection is common in immunocompromised individuals. We determined specific antibodies to EBV-encoded nuclear antigens (EBNA) 1 and 2 in 102 sera of HIV-infected individuals. Anti-EBNA1/anti-EBNA2 ratio (E1/E2) is less than 1 in chronic infection and exceeds 1 in healthy EBV-positive carriers. 52% of cases had E1/E2<1. E1/E2 decreased remarkably during the progression of HIV infection. Detectable HIV-Antigen, decline of CD4 + cell count and CD4 + /CD8 + ratio were correlated with an increasing prevalence of E1/E2 below 1. We conclude that determination of E1/E2 is useful in immunocompromised patients.
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Cen H, Williams PA, McWilliams MC, Breinig M (1993) Evidence for restricted EBV latent gene expression and anti-EBNA antibody response in solid organ transplant recipients with posttransplant lymphoproliferative disorders. Blood 81: 1393–1403
Hanto D, Frizzera G, Gajl-Peczalska K, Simmons R (1985) EBV, immunodeficiency, and B cell lymphoproliferation. Transplantation 39: 461–470
Henle W, Henle G, Andersson J, Ernberg I (1987) Antibody responses to Epstein-Barr virus-determined nuclear antigen (EBNA)-1 and EBNA-2 in acute and chronic Epstein-Barr virus infection. Proc Natl Acad Sci USA 84: 570–574
Hille, A, Klein K, Bäumler S, Grässer FA, Mueller-Lantzsch N (1993) Expression of Epstein-Barr virus nuclear antigen 1, 2a and 2b in the baculovirus expression system: serological evaluation of human antibodies to these proteins. J Med Virol 39: 233–241
Holmberg SD, Gerber AR, Stewart JA, Lee KL (1988) Herpesviruses as co-factors in AIDS. Lancet 8613: 746–747
Jones C, Bleau B, Buskard N, Magil A (1994) Simultaneous development of diffuse immunoblastic lymphoma in recipients of renal transplants from a single cadaver donor: transmission of EBV and triggering by OKT3. Am J Kidney Dis 23: 130–134
Lehtinen T, Lumio J, Dillner J, Hakama M (1993) Increased risk of malignant lymphoma indicated by elevated EBV antibodies — a prospective study. Cancer Causes Control 4: 187–193
Lennette E, Rymo L, Yadav M, Masucci G (1993) Disease related differences in antibody patterns against EBV-encoded nuclear antigens EBNA1, EBNA2 and EBNA6. Eur J Cancer 29A: 1584–1589
Levine A (1992) Acquired immunodeficiency syndrome-related lymphoma. Blood 80: 8–20
Macmahon EM, Glass JD, Hayward SD, Mann RB (1991) Epstein-Barr virus in AIDS-related primary central nervous system lymphoma. Lancet 8773: 969–973
Meeker TC, Shiramizu B, Kaplan L, Herndier B (1991) Evidence for molecular subtypes of HIV-associated lymphoma: division into peripheral monoclonal, polyclonal and central nervous system lymphoma. AIDS 5: 669–674
Purtilo DT (1981) Malignant lymphoproliferative diseases induced by EBV in immunodeficient patients, including X-linked cytogenetic, and familial syndromes. Cancer Genetics Cytogenetics 4: 251–268
Quesnel A, Pozzetto B, Touraine F, Moja P (1992) Antibodies to Epstein-Barr virus and cytomegalovirus in relation to CD4 cell number in human immunodeficiency virus 1 infection. J Med Virol 36: 60–64
Scala G, Quinto I, Ruocco MR, Mallardo M (1993) Epstein-Barr virus nuclear antigen 2 transactivates the long terminal repeat of human immunodeficiency virus type 1. J Virol 67: 2853–2861
Straus SE, Cohen JE, Tosato G, Meier J (1993) Epstein-Barr virus infections: biology, pathogenesis, and management. Ann Int Med 118: 45–58
Sumaya CV, Boswell RN, Ench Y, Kisner DL (1986) Enhanced serological and virological findings of Epstein-Barr virus in patients with AIDS and AIDS-related complex. J Infect Dis 154: 864–870
Summers M, Smith G (1987) A manual of methods for baculoviurs vectors and insect culture procedures. Texas Agriculture Experimental Station, College Station, Bull No. 1555
Swinnen L, Costanzo-Nordin M, Fisher S, O'Sullivan E (1990) Increased incidence of lymphoproliferative disorder after immunosuppression with the monoclonal antib2ody OKT3 in cardiac transplant recipients. N Engl J Med 323: 1723–1728
Telenti A, Uehlinger DE, Marchesi F, Germann D (1993). EBV infection in HIV-positive patients. Eur J Clin Microb Infect Dis 12: 601–609
Youinou P, Buisson M, Berthelot J, Jamin C (1992) Anti-EBV-nuclear antigen-1,-2a and -2b antibodies in rheumatoid arthritis patients and their relatives. Autoimmunity 13: 225–231
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Winkelspecht, B., Grässer, F., Pees, H.W. et al. Anti-EBNA1/anti-EBNA2 ratio decreases significantly in patients with progression of HIV infection. Archives of Virology 141, 857–864 (1996). https://doi.org/10.1007/BF01718160
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DOI: https://doi.org/10.1007/BF01718160