Distribution and Molecular Characterization of Human Adenovirus and Epstein-Barr Virus Infections in Tonsillar Lymphocytes Isolated from Patients Diagnosed with Tonsillar Diseases

PLoS One. 2016 May 2;11(5):e0154814. doi: 10.1371/journal.pone.0154814. eCollection 2016.

Abstract

Surgically removed palatine tonsils provide a conveniently accessible source of T and B lymphocytes to study the interplay between foreign pathogens and the host immune system. In this study we have characterised the distribution of human adenovirus (HAdV), Epstein-Barr virus (EBV) and human cytomegalovirus (HCMV) in purified tonsillar T and B cell-enriched fractions isolated from three patient age groups diagnosed with tonsillar hypertrophy and chronic/recurrent tonsillitis. HAdV DNA was detected in 93 out of 111 patients (84%), while EBV DNA was detected in 58 patients (52%). The most abundant adenovirus type was HAdV-5 (68%). None of the patients were positive for HCMV. Furthermore, 43 patients (39%) showed a co-infection of HAdV and EBV. The majority of young patients diagnosed with tonsillar hypertrophy were positive for HAdV, whereas all adult patients diagnosed with chronic/recurrent tonsillitis were positive for either HAdV or EBV. Most of the tonsils from patients diagnosed with either tonsillar hypertrophy or chronic/recurrent tonsillitis showed a higher HAdV DNA copy number in T compared to B cell-enriched fraction. Interestingly, in the majority of the tonsils from patients with chronic/recurrent tonsillitis HAdV DNA was detected in T cells only, whereas hypertrophic tonsils demonstrated HAdV DNA in both T and B cell-enriched fractions. In contrast, the majority of EBV positive tonsils revealed a preference for EBV DNA accumulation in the B cell-enriched fraction compared to T cell fraction irrespective of the patients' age.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenovirus Infections, Human / diagnosis*
  • Adenoviruses, Human / pathogenicity
  • Adolescent
  • Adult
  • Antigens, CD20 / metabolism
  • Child
  • Child, Preschool
  • Cytomegalovirus / pathogenicity
  • Epstein-Barr Virus Infections / diagnosis*
  • Female
  • Genotype
  • Humans
  • Infant
  • Lymphocytes / virology*
  • Male
  • Palatine Tonsil / virology*
  • Phylogeny
  • Polymerase Chain Reaction
  • Tonsillitis / virology*
  • Young Adult

Substances

  • Antigens, CD20

Grants and funding

This work was supported by the Swedish Cancer Society (12 0504 to GA, 13 0469 to TP, www.cancerfonden.se), the Swedish Research Council (K2012-99X-21959-01-3 to TP, www.vr.se), Marcus Borgströms Foundation (TP), Ake Wiberg Foundation (TP, www.ake-wiberg.se), Uppsala County Council (AB and KB) and the Swedish Research Council through a grant to the Uppsala RNA Research Centre (2006-5038-36531-16 to GA and TP, www.vr.se). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.