PMID- 12089275 OWN - NLM STAT- MEDLINE DCOM- 20020826 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 40 IP - 7 DP - 2002 Jul TI - Detection of Epstein-Barr virus genomes in peripheral blood B cells from solid-organ transplant recipients by fluorescence in situ hybridization. PG - 2533-44 AB - Resolution of Epstein-Barr Virus (EBV) infection in pediatric solid-organ transplant recipients often leads to an asymptomatic carrier state characterized by a persistently elevated circulating EBV load that is 2 to 4 orders of magnitude greater than the load typical of healthy latently infected individuals. Elevated EBV loads in immunosuppressed individuals are associated with an increased risk for development of posttransplant lymphoproliferative disease. We have performed fluorescence in situ hybridization (FISH) studies with peripheral blood B cells from carriers of persistent EBV loads in order to directly quantitate the number of EBV genomes per infected cell. Patients were assigned to two groups on the basis of the level of the persistent load (low-load carriers, 8 to 200 genomes/10(5) peripheral blood lymphocytes; high-load carriers, >200 genomes/10(5) peripheral blood lymphocytes). FISH analysis revealed that the low-load carriers predominantly had circulating virus-infected cells harboring one or two genome copies/cell. High-load carriers also had cells harboring one or two genome copies/cell; in addition, however, they carried a distinct population of cells with high numbers of viral genome copies. The increased viral loads correlated with an increase in the frequency of cells containing high numbers of viral genomes. We conclude that low-load carriers possess EBV-infected cells that are in a state similar to normal latency, whereas high-load carriers possess two populations of virus-positive B cells, one of which carries an increased number of viral genomes per cell and is not typical of normal latency. FAU - Rose, Camille AU - Rose C AD - Department of Infectious Diseases and Microbiology, Graduate School of Public Health, Pittsburgh, Pennsylvania 15213, USA. FAU - Green, Michael AU - Green M FAU - Webber, Steven AU - Webber S FAU - Kingsley, Lawrence AU - Kingsley L FAU - Day, Roger AU - Day R FAU - Watkins, Simon AU - Watkins S FAU - Reyes, Jorges AU - Reyes J FAU - Rowe, David AU - Rowe D LA - eng PT - Journal Article PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - B-Lymphocytes/*virology MH - Carrier State/virology MH - Child MH - Child, Preschool MH - DNA, Viral/blood/genetics MH - Epstein-Barr Virus Infections/etiology/virology MH - Female MH - Genome, Viral MH - Herpesvirus 4, Human/*genetics/*isolation & purification/physiology MH - Humans MH - In Situ Hybridization, Fluorescence/*methods/statistics & numerical data MH - Lymphoproliferative Disorders/etiology/virology MH - Male MH - Organ Transplantation/*adverse effects MH - Sensitivity and Specificity MH - Virus Latency PMC - PMC120580 EDAT- 2002/06/29 10:00 MHDA- 2002/08/27 10:01 PMCR- 2002/07/01 CRDT- 2002/06/29 10:00 PHST- 2002/06/29 10:00 [pubmed] PHST- 2002/08/27 10:01 [medline] PHST- 2002/06/29 10:00 [entrez] PHST- 2002/07/01 00:00 [pmc-release] AID - 1436 [pii] AID - 10.1128/JCM.40.7.2533-2544.2002 [doi] PST - ppublish SO - J Clin Microbiol. 2002 Jul;40(7):2533-44. doi: 10.1128/JCM.40.7.2533-2544.2002.