Abstract
Kaposi’s sarcoma (KS) is a highly and abnormally vascularized tumor-like lesion affecting the skin. KS-associated herpesvirus (KSHV/HHV-8) is etiologically linked to all epidemiological forms of KS. However, clinical phenotypes show considerable discrepancy, indicating the presence of virological and molecular characteristics of KSHV that influence its pathogenesis. We investigated the molecular virological features of KSHV strains from Xinjiang, where KSHV infection is endemic and there is a high incidence of KS. Phylogenetic characterization based on the VR1 region of the KSHV K1 gene for 21 classical and AIDS-KS specimens revealed the Eurasian KSHV genotypes C (n = 18) and A (n = 3), with subtypes A5, C6, and C7 identified for the first time in China. The distribution was closely associated with their unique ethnic origin and evolution. The KSHV viral load in AIDS-KS was substantially lower than in classic KS (p = 0.05), as quantified by real-time fluorescent quantitative polymerase chain reaction (PCR). The results reveal the general consistency of the biological and pathological properties of local KS with others, but characteristics associated with unique ethnicity evolution still remain.
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References
Chang Y, Cesarman E, Pessin MS et al (1994) Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi’s sarcoma. Science 266:1865–1869
Zong J, Ciufo DM, Viscidi R et al (2002) Genotypic analysis at multiple loci across Kaposi’s sarcoma herpesvirus (KSHV) DNA molecules: clustering patterns, novel variants and chimerism. J Clin Virol 23:119–148
Asahi-Ozaki Y, Sato Y, Kanno T et al (2006) Quantitative analysis of Kaposi sarcoma-associated herpesvirus (KSHV) in KSHV-associated diseases. J Infect Dis 193(6):773–782
Wang HW, Trotter MW, Lagos D et al (2004) Kaposi sarcoma herpesvirus-induced cellular reprogramming contributes to the lymphatic endothelial gene expression in Kaposi sarcoma. Nat Genet 36(7):687–693
Ablashi DV, Chatlynne LG, Whitman JE Jr et al (2002) Spectrum of Kaposi’s sarcoma-associated herpesvirus, or human herpesvirus 8, diseases. Clin Microbiol Rev 15:439–464
Du W, Chen G, Sun H (2000) Antibody to human herpesvirus type-8 in the general populations of Xinjiang Autonomous Region. Chin J Exp Clin Virol 14:44–46
Dilnur P, Katano H, Wang ZH et al (2001) Classic type of Kaposi’s sarcoma and human herpesvirus 8 infection in Xinjiang, China. Pathol Intl 51:845–852
He F, Wang X, He B et al (2007) Human herpesvirus 8: serovprevalence and correlates in tumor patients from Xinjiang, China. J Med Virol 79:161–166
Fu B, Sun F, Li B et al (2009) Seroprevalence of Kaposi’s sarcoma-associated herpesvirus and risk factors in Xinjiang, China. J Med Virol 81:1422–1431
Wang X, He B, Zhang ZX et al (2010) Human herpesvirus-8 in northwestern China: epidemiology and characterization among blood donors. Virol J 7:62
Fang Q, Liu J, Bai ZQ et al (2006) Seroprevalence of Kaposi’s sarcoma-associated herpesvirus in the general population from Hubei province. Virol Sinica 21:97–101
Mei Q, Ming ZW, Ping YX et al (2007) HHV-8 seroprevalence in blood donors and HIV-positive individuals in Shandong area, China. J Infect 55:89–90
Zhang HG, Chen YF, Ding M (2010) Dermatoglyphics from all Chinese ethnic groups reveal geographic patterning. PLoS ONE 5(1):e8783
Zhang XN, Liu YG, Pazilaiti et al (1998) Polymorphism of HLA-DQA1,-DQB1 genes in Uygur and Kazak ethnic groups and comprehensive analysis of 25 related populations. Yi Chuan Xue Bao 25(3):193–198
Mancuso R, Biffi R, Valli M et al (2008) HHV8 a subtype is associated with rapidly evolving classic Kaposi’s sarcoma. J Med Virol 80:2153–2160
Gill B, Gang S (2006) HIV/AIDS in Xinjiang: a growing regional challenge. China Eurasia Forum Q 4(3):35–50
Ni MJ, Chen J, Wang DL et al (2004) HIV epidemiology survey in Xinjiang Ughur Autonomous Region, 2003. Chin J Epidemiol 25(11):1009
Lacoste V, Judde JG, Brière J et al (2000) Molecular epidemiology of human herpesvirus 8 in Africa: both B and A5 K1 genotypes, as well as the M and P genotypes of K14.1/K15 loci, are frequent and widespread. Virology 278:60–74
Meng YX, Sata T, Stamey FR et al (2001) Molecular characterization of strains of human herpesvirus 8 from Japan, Argentina and Kuwait. J Gen Virol 82:499–506
Zong JC, Ciufo DM, Alcendor DJ et al (1999) High-level variability in the ORF-K1 membrane protein gene at the left end of the Kaposi’s sarcoma-associated herpesvirus genome defines four major virus subtypes and multiple variants or clades in different human populations. J Virol 73:4156–4170
Nascimentoa MC, Wilder N, Pannuti CS et al (2005) Molecular characterization of Kaposi’s sarcoma associated herpesvirus (KSHV) from patients with AIDS-associated Kaposi’s sarcoma in São Paulo, Brazil. J Clin Virol 33:52–59
Hsu YH, Kuo WL, Su IJ et al (2001) Clinicopathologic study of Kaposi’s sarcoma and strain analysis of human herpesvirus 8 (HHV-8) DNA in the Hua-Lien area of eastern Taiwan. J Formos Med Assoc 100:449–454
Kadyrova E, Lacoste V, Duprez R et al (2003) Molecular epidemiology of Kaposi’s sarcoma-associated herpesvirus/human herpesvirus 8 strains from Russian patients with classic, posttransplant, and AIDS-associated Kaposi’s sarcoma. J Med Virol 7:548–556
Kamiyama K, Kinjo T, Chinen K et al (2004) Human herpesvirus 8 (HHV8) sequence variations in HHV8 related tumours in Okinawa, a subtropical island in southern Japan. J Clin Pathol 57:529–535
Zhang DZ, Pu XM, Wu WD et al (2008) Genotypic analysis on the ORF-K1 gene of human herpesvirus 8 from patients with Kaposi’s sarcoma in Xinjiang, China. J Genet Genomics 35:657–663
Song J, Yoshida A, Yamamoto Y et al (2004) Viral load of human herpesvirus 8 (HHV-8) in the circulatory blood cells correlates with clinical progression in a patient with HHV-8-associated solid lymphoma with AIDS-associated Kaposi’s sarcoma. Leuk Lymphoma 45(11):2343–2347
Cannon MJ, Dollard SC, Black JB et al (2003) Risk factors for Kaposi’s sarcoma in men seropositive for both human herpesvirus 8 and human immunodeficiency virus. AIDS 17(2):215–222
Chen XY, Cheng L, Jia XM et al (2009) Human immunodeficiency virus type 1 Tat accelerates Kaposi sarcoma-associated herpesvirus Kaposin A-mediated tumorigenesis of transformed fibroblasts in vitro as well as in nude and immunocompetent mice. Neoplasia 11(12):1272–1284
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This work was supported by a grant from the Natural Science Foundation for Youth from Xinjiang Autonomous Region, China (grant number: 2009211B17). The authors declare no conflict of interest.
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Wang, X., Wang, H., He, B. et al. Virological and molecular characterization of Kaposi’s sarcoma-associated herpesvirus strains from Xinjiang, China. Eur J Clin Microbiol Infect Dis 31, 53–59 (2012). https://doi.org/10.1007/s10096-011-1274-2
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DOI: https://doi.org/10.1007/s10096-011-1274-2