Key words: EBV-VCA, gastric cancer, B lymphocytes, CR2/C3d receptor Cell, B lymphocytes stimulated with SAC

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1 Key words: EBV-VCA, gastric cancer, B lymphocytes, CR2/C3d receptor Cell, B lymphocytes stimulated with SAC

2 Fig. 1 Distribution of negative rate of antibody to herpes viruses in patients with gastric cancer and normal persons VZV : varicella-zoster virus, HSV : herpes simplex virus, CMV : cytomegalovirus, EBV : Epsten-Barr virus (VCA-IgG) ranged from 40 to 80 years old normal persons : healthy voluntears ( ), gastric cancers ( )

3 Fig. 2 Distribution of high titer rate antbody to of herpesviruses in patients with gastric cancer and normal persons The lanes are the mean of normal persons ( ) and gastric cancers ( )

4 Fig. 3 Geometrical means of antibody titers to EBV according to stages of gastric cancer and normal persons normal persons of age : young personnel between 20 and 30 years of age and elderly personnel between 60 and 80 years of age : VC A-IgG EA-IgG

5 Fig. 4 Relationship between the percentage of B lymphocytes (CR2/B7) and EBV-VCA antibody titers in patient with gastric cancers and normal persons gastric canser healthy Fig. 5 Relationship between the percentage of B lymphocytes stimulated by SAC and antibody titers to EBV-VCA patient with gastric cancer and normal persons gastric canser healthy

6 Fig. 6 Alternation of OKT4+ cell and OKT8+ cell ratio in peripheral blood with gastric cancers Fig. 7 Relationship between the percentage of T lmphocytes stimulated by PHA and antibody titers to EBV-VCA patient with gastric cancers

7

8 13) Holmes, G.P., Kaplan, J.E., Stewart, J.A., Hunt, B., Pinsky, P.F. & Schonberger, L.B. : A cluster of patients with a chronic mononucleosis- like syndrome is Epstein-Barr virus the cause? J.A.M.A., 257 : , ) Chow, S.: Cytomegalovirus infection and reinfection transmitted by heart transplantation. J. Infect. Dis., 155 : , ) Nemerow, G.R., Wolfert, R., Mcnaughtio, M.E. 16) Derw, W.L. : Cytomegalovirus infection in & Cooper, R.: Indentification and characterization of the Epstein-Barr virus receptor on human B lymphocytes and its relationship to the C3d complement receptor (CR2). J. Virol., 55 : , ) Nemerow, G.R., Mcnaughtion, M.E. & Cooper, N.R.: Bindeng of monoclonal antibody to the Epstein Barr virus (EBV)/CR2 receptor induces activation and differentiation of human B lymphocytes. J. Immunol., 135 : , ) Mold, C., Cooper, N.R. & Nemerow, G.R.: Incorporation of the purifed Epstein Barr virus/c3d receptor (CR2) into liposomes and demonstration of its dulligand binding function. J. Immunol., 136: , purified TAC-positive T cell. Mech. Ageing. Dev., 36 : , ) Schwab, R., Hausman, P.B., Rinnooy-kan, E. & Weksler, M.E. : Immunological studies of age- X. Impaired T lymphocytes and normal ing. monocyte response from elderly humans to the mitogenic antibodies OKT3 and LEU4. Im- 55 : , munology, 20) Deman, A.M. & Pelton, B.K. : Control mechanisms in infectins mononucleosis. Clin. Exp. Immunol., 18 : 13-25, cancer study in surgery and pathology. Japanese Research Society for Gastric Cancer 1879 the 10th edition. 11) Benson, J.W.T., Bodder, S.J. & Tobin, J.0. : Cytomegalovirus and blood transfusion in neonates. Arch. Dis. Child.. 14 : patients with AIDS. J. Infect. Dis., 158: ) Mysliwska, J., Mysliwski, A. & Witkowski, J. : Age-dependent decline of natural killer and antibody-dependent cell mediated cytotoxicity activity of human lymphocytes is connected with decrease of their acid phosphatase activity. Mech. Ageing. Dev., 31 : 1-11, ) Negoro, S., Hara, H., Miyata, S., Saiki, O., Tanaka, T., Yoshizaki, K., Igarashi, T. & Kishimoto, S.: Mechanisms of age-related decline in antigen-specific T cell proliferative response : IL-2 receptor expression and recombinat IL-2 induced proliferative response of 21) Tomkinson, B.E., Wagner, D.K., Nelson, D.L. & Sullivan, J.L. : Activated lymphocytes during acute Epstein-Barr virus infection. J. Immunol., 139 : , ) Tajima, M., Tajima, T., Yokohata, T. &

9 Human Herpesviruses Infections (I) EBV Infection and Immunity in Cancer Patients Masako TAJIMA1), Fumiko TAKEDA1), Toshio TAKESHIMA2), Tokuyuki YOKOHATA2) & Kouta OKINAGA2) 1)Division of Virology, Central Laboratory for Clinical Examination, Teikyo University School of Medicine 2)Second Department of Surgery, Teikyo University School of Medicine Human herpesviruses have been known to be reactivated from latent infection in immunosuppressed individuals. To asses the immunity, antibodies to human herpesviruses (VZV, HSV, CMV and EBV) were measured in patients with gastointestinal cancer and normal persons ranging from 40 to 80 in age. CF antibodies to herpesviruses except for EBV were negative in normal persons below the age of 60 and cancer patients aged 60 and over. The CF antibody titer higher than 1:64 occurred only in young cancer patients and older normal persons. The titer of VCA antibody to EBV ranged from 1:40 to 1:160 in more than 80% of normal persons and was higher than 1:640 in less then 7%. The ratio those with antibody negative or below 1:40 increased with the age. In contrast, the titer was higher than 1:320 in 70% of the cancer patients, and the antibody was negative in none of them. In addition, the low titer occurred only in less than 5%. The rate of patients having higher VCA antibody titers increased with age, and the titer was high in more than 50% of patients in the 8th decade. In cancer patients, the higher the VCA antibody titer was, the less number of mature B cells, target cells of EBV, and the B cell functions were observed. This suggests that reactivation of EBV in hosts bearing carcinomas results in a fall of production of the specific antibody.

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