Abstract
Human herpes viruses (HHVs) have been frequently detected in the gastrointestinal (GI) tract and may contribute to the development of gastric cancer. In the present study, the detection rate and viral load of Epstein Barr virus (EBV), HHV-6 and Cytomegalovirus (CMV) were assessed in the GI tract of human immunodeficiency virus (HIV) positive patients and of uninfected patients. The analysis revealed a significantly higher detection rate of EBV and HHV-6 in HIV-infected individuals than in uninfected subjects (88.5 vs 63 %; p = 0.03). Moreover, EBV DNA load was significantly higher in the stomach of HIV patients than in controls. These data suggest that the HIV infection status may increase the persistence of these viruses in the GI compartment. Intriguingly, CMV DNA was undetectable in all biopsy specimens analyzed.
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Werneck-Silva AL, Prado IB. J. Gastroduodenal opportunistic infections and dyspepsia in HIV infected patients in the era of highly active antiretroviral therapy. Gastroenterol Hepatol. 2009;24:135–9.
Persson EC, Shiels MS, Dawsey SM, Bhatia K, Anderson LA, Engels EA. Increased risk of stomach and esophageal malignancies in people with AIDS. Gastroenterol. 2012;143:943–50.
Rossi P, Rivasi F, Codeluppi M, Catania A, Tamburrini A, Righi E, et al. Gastric involvement in AIDS associated cryptosporidiosis. Gut. 1998;43:476–7.
Ruiz AR Jr, Borum ML. Cytomegalovirus hemorrhagic gastritis. AIDS Patient Care STDS. 2001;15:1–5.
Ryan JL, Shen YJ, Morgan DR, Thorne LB, Kenney SC, Dominguez RL, et al. Epstein-Barr virus infection is common in inflamed gastrointestinal mucosa. Dig Dis Sci. 2012;57:1887–98.
Halme L, Arola J, Höckerstedt K, Lautenschlager I. Human herpesvirus 6 infection of the gastroduodenal mucosa. Clin Infect Dis. 2008;46:434–9.
Ryan JL, Jones RJ, Kenney SC, Rivenbark AG, Tang W, Knight ER, et al. Epstein-Barr virus-specific methylation of human genes in gastric cancer cells. Infect Agent Cancer. 2010;5:27.
Zur Hausen A, van Rees BP, van Beek J, Craanen ME, Bloemena E, Offerhaus GJA, et al. Epstein-Barr virus in gastric carcinomas and gastric stump carcinomas: a late event in gastric carcinogenesis. J Clin Pathol. 2004; 57:487-91.
Tanaka S, Nagata N, Mine S, Igari T, Kobayashi T, Sugihara J, et al. Endoscopic appearance of AIDS-related gastrointestinal lymphoma with c-MYC rearrangements: case report and literature review. World J Gastroenterol. 2013;19:4827–31.
Sultanova A, Chistjakovs M, Chapenko S, Donina S, Murovska M. Possible interference of human beta-herpesviruses-6 and -7 in gastrointestinal cancer development. Exp Oncol. 2013;35:93–6.
Kim JJ, Simpson N, Klipfel N, Debose R, Barr N, Laine L. Cytomegalovirus infection in patients with active inflammatory bowel disease. Dig Dis Sci. 2010;55:1059–65.
Orenstein JM, Dieterich DT. The histopathology of 103 consecutive colonoscopy biopsies from 82 symptomatic patients with acquired immunodeficiency syndrome: original and look-back diagnoses. Arch Pathol Lab Med. 2001;125:1042–6.
Ryan JL, Morgan DR, Dominguez RL, Thorne LB, Elmore SH, Mino-Kenudson M, et al. High levels of Epstein-Barr virus DNA in latently infected gastric adenocarcinoma. Lab Invest. 2009;89:80–90.
Kaizaki Y, Sakurai S, Chong JM, Fukayama M. Atrophic gastritis, Epstein-Barr virus infection, and Epstein-Barr virus-associated gastric carcinoma. Gastric Cancer. 1999;2:101–8.
Paniz-Mondolfi P, Pang Y, Cohen S, Balderacchi J, Tsveniashvili L, Polsky B, et al. Lymphoepithelioma-like gastric carcinoma: an unusual consequence of Epstein-Barr virus infection in an HIV-infected woman. Int J STD AIDS. 2013;24:59–62.
Kim J, Kim KM, Noh JH, Park CK. EBV-associated lymphoepithelioma-like gastric carcinoma in a patient with HIV. Pathology. 2009;41:593–5.
Tashiro Y, Goto M, Takemoto Y, Sato E, Shirahama H, Utsunomiya A, et al. Epstein-Barr virus-associated enteritis with multiple ulcers after stem cell transplantation: first histologically confirmed case. Pathol Int. 2006;56:530–7.
Allen PB, Laing G, Connolly A, O’Neill C. EBV-associated colonic B-cell lymphoma following treatment with infliximab for IBD: a new problem? BMJ Case Rep. 2013;. doi:10.1136/bcr-2013-200423.
Hamada Y, Nagata N, Honda H, Asayama N, Teruya K, Igari T, et al. Epstein-Barr virus associated colitis in an HIV-infected patient. AIDS. 2012;26:400–2.
Halme L, Arola J, Höckerstedt K, Lautenschlager I. Human herpesvirus 6 infection of the gastroduodenal mucosa. Clin Infect Dis. 2008;46:434–9.
De Bolle L, Naesens L, De Clercq E. Update on human herpesvirus 6 biology, clinical features, and therapy. Clin Microbiol Rev. 2005;18:217–45.
Luo B, Wang Y, Wang XF, Liang H, Yan LP, Huang BH, et al. Expression of Epstein-Barr virus genes in EBV-associated gastric carcinomas. World J Gastroenterol. 2005;11:629–33.
Cuomo L, Trivedi P, de Grazia U, Calogero A, D’Onofrio M, Yang W, et al. Upregulation of Epstein-Barr virus-encoded latent membrane protein by human herpesvirus 6 superinfection of EBV-carrying Burkitt lymphoma cells. J Med Virol. 1998;55:219–26.
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The authors thank the Elitech group for providing EBV ELITe MGB®, CMV ELITe MGB® and HHV-6 ELITe MGB® kits.
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On behalf of all authors the corresponding author states that there is no conflict of interest.
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The authors F. Falasca, and P. Maida contributed equally to this study
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Falasca, F., Maida, P., Gaeta, A. et al. Detection and quantification of EBV, HHV-6 and CMV DNA in the gastrointestinal tract of HIV-positive patients. Infection 42, 1033–1037 (2014). https://doi.org/10.1007/s15010-014-0690-5
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DOI: https://doi.org/10.1007/s15010-014-0690-5