Lack of association between human herpesvirus and vestibular schwannoma: analysis of 121 cases

Otolaryngol Head Neck Surg. 2015 Mar;152(3):513-7. doi: 10.1177/0194599814563517. Epub 2015 Jan 5.

Abstract

Objective: To assess for the presence of human herpesvirus (HHV) using immunohistochemical and polymerase chain reaction (PCR) assay in surgically excised vestibular schwannoma (VS) samples.

Study design: Cross-sectional study.

Setting: A retrospective laboratory-based study of tumors from patients with vestibular schwannoma.

Subjects and methods: Tissue microarrays (TMAs) representing sporadic and NF2-associated VS from 121 patients, as well as appropriate positive and negative controls, were studied. TMA sections were immunostained using antibodies directed against HHV-1, HHV-2, HHV-3, HHV-4, HHV-5, and HHV-8. PCR was used for the detection of all 8 known human herpesviruses.

Results: There was no detectable HHV (HHV-1, HHV-2, HHV-3, HHV-4, HHV-5, HHV-8) by immunohistochemistry in any of the 121 cases of sporadic and NF2 cases analyzed. These data were further validated by DNA sequence analyses using PCR in a subset of the VS samples, all of which were found to be negative for all HHV.

Conclusions: The data offer no support for an association between HHV and the development of sporadic or NF2-associated VS in humans.

Keywords: Epstein-Barr virus; acoustic neuroma; cytomegalovirus; etiology; herpes simplex virus; human herpesvirus; immunohistochemistry; varicella-zoster virus; vestibular schwannoma.

MeSH terms

  • Adult
  • Aged
  • Antibodies, Viral / analysis*
  • Cross-Sectional Studies
  • DNA, Viral / analysis*
  • Female
  • Herpesviridae / genetics
  • Herpesviridae / immunology
  • Herpesviridae / isolation & purification*
  • Herpesviridae Infections / diagnosis
  • Herpesviridae Infections / virology*
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Neuroma, Acoustic / diagnosis
  • Neuroma, Acoustic / surgery
  • Neuroma, Acoustic / virology*
  • Otologic Surgical Procedures / methods*
  • Polymerase Chain Reaction
  • Retrospective Studies
  • Young Adult

Substances

  • Antibodies, Viral
  • DNA, Viral