Important note: Information in this article was accurate in 1982. The state of the art may have changed since the publication date.
PERSISTENT ACTIVE INFECTION OF EPSTEIN-BARR VIRUS (EBV) IN CARRIER FEMALES OF THE X-LINKED LYMPHOPROLIFERATIVE SYNDROME (XLP)
Int Congr Ser; 571:375-379 1982. Unique Identifier : AIDSLINE ICDB/82625235 Sakamoto K; Seeley JK; Purtilo DT; Second Dept. Surgery, Kumamoto Univ. Medical Sch., Kumamoto 860,; Japan
Abstract:
Among conditions that may follow infection with Epstein-Barr virus (EBV), is malignant lymphoma in males affected by the X-linked lymphoproliferative syndrome (XLP). To test the hypothesis that the variable expression of XLP is manifested in obligate carrier females, blood from 12 obligate carrier females was studied for anti-viral capsid antigen (VCA), anti-early antigen (anti-EA) and anti-Epstein-Barr nuclear-associated antigen (EBNA). All carriers were seropositive to EBV. The reciprocal geometric mean titer for IgG anti-VCA was elevated to 570 in the carrier females compared to 100 in 24 controls. The range of anti-VCA was from 80 to 5,120. IgA class anti-VCA was found in 2/3 of the carriers. All but one of those with anti-VCA of IgA class showed anti-EA, indicative of active infection and immunodeficiency. About one-half of the carriers had persistent anti-EA antibodies. However, the anti-EBNA levels of carrier females were similar to those of the healthy controls. There was no apparent relationship between IgM level and EBV-specific antibody titers. The paradoxically elevated EBV-specific antibodies which tend to persist in obligate carriers of XLP provides an opportunity to define the immunopathology of XLP and to detect carrier females. (17 Refs)
Keywords: Antibodies, Viral/IMMUNOLOGY Antigens, Viral/IMMUNOLOGY Capsid/IMMUNOLOGY *Carrier State Female Herpesvirus 4, Human/*IMMUNOLOGY Human Infectious Mononucleosis/*ETIOLOGY Lymphoma/*ETIOLOGY Lymphoproliferative Disorders/COMPLICATIONS/*GENETICS/IMMUNOLOGY *X Chromosome MEETING PAPER
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