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Heterogeneity of immune defects in three children with a chronic active Epstein-Barr virus infection

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Abstract

Three children, all girls, showed long-lasting clinical and serologic evidence of chronic active Epstein-Barr virus (EBV) infection. Extremely high serum titers of IgG- and IgA-type VCA antibodies and EA antibodies were present, whereas EBNA antibody titers were in the range of those found in seropositive individuals. All three patients repeatedly showed the presence of nonspecific pokeweed mitogen (PWM)-activatable suppressor cells in the peripheral blood. The analysis of EBV-specific cytotoxic T cells showed that one patient exhibited normal cytotoxicity, whereas a second patient demonstrated no EBV-specific cytotoxicity together with unusually high levels of virus-infected B cells in the blood and lymph node. The third patient repeatedly showed refractoriness of the circulating B cells to EBV infection, probably on the basis of some developmental defect. It was concluded that each patient has his or her own peculiar defect in the virus-host balance, indicating that heterogeneity may underlie the syndrome of chronic active EBV infection in humans.

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Authors and Affiliations

  1. University Children's Hospital “Het Wilhelmina Kinderziekenhuis”, Nieuwe Gracht 137, 3512 LK, Utrecht, The Netherlands

    W. Kuis, J. J. Roord, B. J. M. Zegers & J. W. Stoop

  2. Department of Cancer Studies, Medical School, University of Birmingham, Birmingham, United Kingdom

    A. B. Rickinson

  3. Laboratory of Virology, National Institute of Public Health, Bilthoven, The Netherlands

    J. G. Kapsenberg

  4. Department of Clinical Immunology, University Hospital, Groningen, The Netherlands

    H. The

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  1. W. Kuis
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  2. J. J. Roord
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  3. B. J. M. Zegers
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  4. A. B. Rickinson
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  5. J. G. Kapsenberg
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  6. H. The
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  7. J. W. Stoop
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Kuis, W., Roord, J.J., Zegers, B.J.M. et al. Heterogeneity of immune defects in three children with a chronic active Epstein-Barr virus infection. J Clin Immunol 5, 377–385 (1985). https://doi.org/10.1007/BF00915334

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  • DOI: https://doi.org/10.1007/BF00915334

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