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EBV Conference 2008 Guangzhou - Baylor College of Medicine

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200 (RegID: 1832)<br />

Upton Allen<br />

Institution: Hospital for Sick Children, University <strong>of</strong> Toronto<br />

e-mail: upton.allen@sickkids.ca<br />

DIFFERENTIALLY EXPRESSED HOST GENES IN RELATION TO VIRAL LOADS IN<br />

EPSTEIN-BARR (<strong>EBV</strong>) VIRUS INFECTION AFTER PEDIATRIC ORGAN<br />

TRANSPLANTATION<br />

Upton Allen, Michelle Barton, Joseph Beyene, Pingzhao Hu, Nasser Khodai-Booran, Diane Hébert, Anne<br />

Dipchand, Vicky Ng, Melinda Solomon, David Grant, Bo Ngan, Maria Zielenska, and Sheila Weitzman.<br />

Hospital for Sick Children, Toronto, Canada.<br />

Posterabstract:<br />

INTRODUCTION: There is an inconsistent relationship between elevated <strong>EBV</strong> loads and the risk <strong>of</strong><br />

progression to post-transplant lymphoproliferative disorder (PTLD). We hypothesized that aspects <strong>of</strong> the<br />

virus-host interaction could be measured to help predict progression to PTLD.<br />

OBJECTIVE: To examine differentially expressed host genes and their interaction patterns in different<br />

<strong>EBV</strong> viral load settings after transplantation compared with healthy controls.<br />

METHODS: Gene expression was measured by microarray analysis <strong>of</strong> RNA from CD19+ B lymphocytes<br />

using the Human Genome U133 plus 2.0 GeneChip. Moderated t-statistics were computed for each gene<br />

using a local pooled error (LPE) test. The false discovery rates (FDR) <strong>of</strong> the differentially expressed genes<br />

were evaluated and validated using RT-PCR. Using average-linkage hierarchical clustering analysis, a set<br />

<strong>of</strong> genes with the largest variation, as measured by coefficient <strong>of</strong> variation, was used to explore the<br />

patterns <strong>of</strong> viral loads (VL). Gene network analysis was also performed.<br />

RESULTS: Among 27 samples from 26 transplant recipients, there were 4 episodes <strong>of</strong> PTLD. The VL<br />

categories were: low or undetectable loads (LU), N = 14; high or intermediate loads (HI), N = 13. There<br />

were 7 healthy <strong>EBV</strong>-seropositive (P) and -seronegative controls (N). Median age <strong>of</strong> transplant patients =<br />

12.1 yrs (range 1-16.9); Median time post-transplant 0.5 yr (range 0.1-3.8). Using the LPE test, we<br />

identified 24-54 differentially expressed genes with FDR

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