Human herpesvirus-8 infection in Tunisian adult acute leukemia patients

Afr Health Sci. 2023 Mar;23(1):504-510. doi: 10.4314/ahs.v23i1.52.

Abstract

Background: Human herpesvirus 8 (HHV-8) has been linked to the development of Kaposi's sarcoma (KS)and multiple other hematologic malignant disorders. However, the role of HHV-8 in acute leukemia patients is unknown.

Objectives: The objective of this study was to determine the prevalence of HHV-8 in Tunisian acute leukemia patients and in healthy blood donors.

Methods: An indirect immunofluorescence test was used to detect the presence of anti-HHV8 antibodies. Nested PCR was used for the detection of HHV-8 DNAemia in samples of plasma.

Results: The seroprevalence of HHV-8 was significantly higher in acute leukemia patients (21,4% ,15/70) than in healthy blood donors (7,1%, 5/70), (p= 0.02). Gender, type of disease, status of disease, prior blood transfusion, and outcome were not associated with HHV-8 seroprevalence. However, among acute leukemia patients, HHV-8 seroprevalence was statistically associated with older age > 40 years of age, (p=0.002). HHV-8 DNAemia was detected (1,4%) in only one patient of acute myeloid leukemia (AML) and none of the healthy blood donors.

Conclusions: The seroprevalence of HHV-8 infection in Tunisian adult acute leukemia patients was three times as high compared to healthy blood donors, suggesting that patients with acute leukemia might be at increased risk of HHV-8 infection.

Keywords: Human herpesvirus 8; acute leukemia patients; blood donors; prevalence.

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Adult
  • Antibodies, Viral
  • Herpesviridae Infections* / complications
  • Herpesviridae Infections* / epidemiology
  • Herpesvirus 8, Human*
  • Humans
  • Leukemia, Myeloid, Acute* / complications
  • Leukemia, Myeloid, Acute* / epidemiology
  • Sarcoma, Kaposi* / epidemiology
  • Seroepidemiologic Studies

Substances

  • Antibodies, Viral