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Role of Human Herpesvirus 8 in Kaposi Sarcoma Unclear

Francesco Drago, MD; Alfredo Rebora, MD
[+] Author Affiliations

Department of Dermatology University of Genoa V le Benedetto XV, 7 Genoa, Italy 16132


Arch Dermatol. 1997;133(8):1050-1050. doi:10.1001/archderm.1997.03890440134025
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The statement by Lebbé et al1 that the detection of human herpesvirus (HHV) 8 sequences in peripheral blood mononuclear cells (PBMCs) of patients with Kaposi sarcoma (KS) is related to the tumor burden seems hazardous. This conclusion is contrary to all we know of HHV biological behavior. For none of the HHVs has the amount or even the existence of latently infected cells been correlated with a clinical disease or viral diffusion in other tissues. Indeed, some, if not all, of the known HHVs are carried by PBMCs in healthy individuals. For example, in Italy, using polymerase chain reaction (PCR), we recently detected HHV-7 DNA sequences in PBMCs in 11 (44%) of 25 healthy individuals.2 As for HHV-8, its sequence has been detected in the blood of healthy individuals. This virus is so widespread that in the American population approximately 25% of adults and 2% to 8% of children

REFERENCES

Lebbé C, Agbalika F, de Crémoux P, et al.  Detection of human herpesvirus 8 and human T-cell lymphotropic virus type 1 sequences in Kaposi sarcoma . Arch Dermatol . 1997;;133:25-30.
Drago F, Ranieri E, Malaguti F, Losi E, Rebora A.  Human herpesvirus 7 in pityriasis rosea . Lancet . 1997;;349:1367-1368.
Zhong W, Wang H, Herndier B, Ganem D.  Restricted expression of Kaposi sarcoma—associated herpesvirus (human herpesvirus 8) genes in Kaposi sarcoma . Proc Natl Acad Sci USA . 1996;;93:6641-6646.
Carrigan DR.  Human herpesvirus-6 and bone marrow transplantation . Blood . 1995;;85:294-295.
Lusso P, Ensoli B, Markham PD, et al.  Productive dual infection of human CD4+ T lymphocytes by HIV-1 and HHV-6 . Nature . 1989;;337:370-373.
Henghold WB II, Purvis SF, Schaffer J, Leonard DGB, Giam C-Z, Wood GS.  Kaposi sarcoma—associated herpesvirus/human herpesvirus type 8 and Epstein-Barr virus in iatrogenic Kaposi sarcoma . Arch Dermatol . 1997;;133:109-111.

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Lebbé C, Agbalika F, de Crémoux P, et al.  Detection of human herpesvirus 8 and human T-cell lymphotropic virus type 1 sequences in Kaposi sarcoma . Arch Dermatol . 1997;;133:25-30.
Drago F, Ranieri E, Malaguti F, Losi E, Rebora A.  Human herpesvirus 7 in pityriasis rosea . Lancet . 1997;;349:1367-1368.
Zhong W, Wang H, Herndier B, Ganem D.  Restricted expression of Kaposi sarcoma—associated herpesvirus (human herpesvirus 8) genes in Kaposi sarcoma . Proc Natl Acad Sci USA . 1996;;93:6641-6646.
Carrigan DR.  Human herpesvirus-6 and bone marrow transplantation . Blood . 1995;;85:294-295.
Lusso P, Ensoli B, Markham PD, et al.  Productive dual infection of human CD4+ T lymphocytes by HIV-1 and HHV-6 . Nature . 1989;;337:370-373.
Henghold WB II, Purvis SF, Schaffer J, Leonard DGB, Giam C-Z, Wood GS.  Kaposi sarcoma—associated herpesvirus/human herpesvirus type 8 and Epstein-Barr virus in iatrogenic Kaposi sarcoma . Arch Dermatol . 1997;;133:109-111.

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