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Article

Distribution of Epstein–Barr Virus LMP1 Variants in Patients with Infectious Mononucleosis and Association with Selected Biochemical and Hematological Parameters

1
Department of Immunological and Molecular Diagnostics, University Hospital for Infectious Diseases, 10 000 Zagreb, Croatia
2
Department of Medical and Laboratory Genetics, Children’s Hospital Zagreb, 10 000 Zagreb, Croatia
3
Research Department, University Hospital for Infectious Diseases, 10 000 Zagreb, Croatia
4
Pediatric Infectious Diseases Department, University Hospital for Infectious Diseases, 10 000 Zagreb, Croatia
5
Department of Infectious Diseases, University of Zagreb School of Medicine, 10 000 Zagreb, Croatia
*
Author to whom correspondence should be addressed.
Pathogens 2023, 12(7), 915; https://doi.org/10.3390/pathogens12070915
Submission received: 9 June 2023 / Revised: 30 June 2023 / Accepted: 4 July 2023 / Published: 6 July 2023
(This article belongs to the Section Viral Pathogens)

Abstract

The molecular diversity of Epstein–Barr virus (EBV) is exceptionally complex and based on the characterization of sequences coding for several viral genes. The aim of this study was to analyze the distribution of EBV types 1 and 2 and to characterize LMP1 variants in a cohort of 73 patients with infectious mononucleosis (IM), as well as to investigate a possible association between viral diversity and relevant clinical parameters. Population-based sequencing of EBNA-2 gene showed the presence of EBV type 1 in all IM patients. Analysis of LMP1 gene found a restricted repertoire of LMP1 variants with the predominance of wild-type B95-8, China1, Mediterranean and North Carolina variants with the presence of more than one LMP1 variant in 16.4% of patients. Co-infections with different LMP1 variants were associated with significantly higher levels of C-reactive protein and lower levels of maximal neutrophil counts and minimal platelet count. The results of this study have shown a narrow repertoire of LMP1 variants and an exclusive presence of EBV type 1 in a cohort of IM from Croatia, suggesting a characteristic local molecular pattern of this virus. The clinical importance of distinct immunobiological features of IM patients with LMP1 variant co-infections needs to be investigated further.
Keywords: Epstein–Barr virus; LMP1; genotyping; co-infections; infectious mononucleosis Epstein–Barr virus; LMP1; genotyping; co-infections; infectious mononucleosis

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MDPI and ACS Style

Zidovec-Lepej, S.; Batovic, M.; Rozman, M.; Bodulić, K.; Prtorić, L.; Šokota, A.; Nikcevic, A.; Simicic, P.; Tešović, G. Distribution of Epstein–Barr Virus LMP1 Variants in Patients with Infectious Mononucleosis and Association with Selected Biochemical and Hematological Parameters. Pathogens 2023, 12, 915. https://doi.org/10.3390/pathogens12070915

AMA Style

Zidovec-Lepej S, Batovic M, Rozman M, Bodulić K, Prtorić L, Šokota A, Nikcevic A, Simicic P, Tešović G. Distribution of Epstein–Barr Virus LMP1 Variants in Patients with Infectious Mononucleosis and Association with Selected Biochemical and Hematological Parameters. Pathogens. 2023; 12(7):915. https://doi.org/10.3390/pathogens12070915

Chicago/Turabian Style

Zidovec-Lepej, Snjezana, Margarita Batovic, Marija Rozman, Kristian Bodulić, Laura Prtorić, Ante Šokota, Andrea Nikcevic, Petra Simicic, and Goran Tešović. 2023. "Distribution of Epstein–Barr Virus LMP1 Variants in Patients with Infectious Mononucleosis and Association with Selected Biochemical and Hematological Parameters" Pathogens 12, no. 7: 915. https://doi.org/10.3390/pathogens12070915

APA Style

Zidovec-Lepej, S., Batovic, M., Rozman, M., Bodulić, K., Prtorić, L., Šokota, A., Nikcevic, A., Simicic, P., & Tešović, G. (2023). Distribution of Epstein–Barr Virus LMP1 Variants in Patients with Infectious Mononucleosis and Association with Selected Biochemical and Hematological Parameters. Pathogens, 12(7), 915. https://doi.org/10.3390/pathogens12070915

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