EBウイルス感染細胞を1細胞単位で特定する新技術『EBER flow FISH』を実用化

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2026-01-13 東京科学大学

東京科学大学と聖マリアンナ医科大学の共同研究チームは、EBウイルス(EBV)に感染した細胞を**1細胞単位で直接特定できる新技術「EBER flow FISH法」**を実用化し、全国の医療機関から検体解析を受託できる体制を整備した。フローサイトメトリーとRNA-FISHを組み合わせ、EBV由来RNA(EBER)と免疫細胞表面マーカーを同時検出することで、B細胞・T細胞・NK細胞のどれに感染しているかを迅速かつ高精度に判定できる。従来法では困難だった感染細胞種の同定や定量評価が可能となり、慢性活動性EBウイルス病(CAEBV)など希少難治性疾患の診断精度向上や治療効果判定への貢献が期待される。本技術はAMED等の支援のもと臨床実装され、すでに実臨床で安定運用されている。

EBウイルス感染細胞を1細胞単位で特定する新技術『EBER flow FISH』を実用化

  • 2025年6月末より試行的な解析が開始され、3ヵ月間で全国9施設の検体を解析
  • T細胞・NK細胞・B細胞感染をそれぞれ特定

<関連情報>

EBERフローFISHによるエプスタイン・バーウイルス感染細胞の高感度検出 Highly sensitive detection of Epstein-Barr virus-infected cells by EBER flow FISH

Dan Tomomasa,Kay Tanita,Yuriko Hiruma,Akihiro Hoshino,Ko Kudo,Shohei Azumi,Mitsutaka Shiota,Masayoshi Yamaoka,Katsuhide Eguchi,Masataka Ishimura,Yuka Tanaka,Keiji Iwatsuki,Keisuke Okuno,Asahito Hama,Ken-Ichi Sakamoto,Takashi Taga,Kimitoshi Goto,Haruka Ota,Akihiro Ichiki,Kaori Kanda,Takako Miyamura,Saori Endo,Hidenori Ohnishi,Yoji Sasahara,… Hirokazu Kanegane
International Journal of Hematology  Published:03 May 2024
DOI:https://doi.org/10.1007/s12185-024-03786-0

A Correction to this article was published on 16 December 2024
This article has been
updated

Abstract

When Epstein-Barr virus (EBV) infection is suspected, identification of infected cells is important to understand the pathogenesis, determinine the treatment strategy, and predict the prognosis. We used the PrimeFlow™ RNA Assay Kit with a probe to detect EBV-encoded small RNAs (EBERs) and multiple surface markers, to identify EBV-infected cells by flow cytometry. We analyzed a total of 24 patients [11 with chronic active EBV disease (CAEBV), 3 with hydroa vacciniforme lymphoproliferative disorder, 2 with X-linked lymphoproliferative disease type 1 (XLP1), 2 with EBV-associated hemophagocytic lymphohistiocytosis, and 6 with posttransplant lymphoproliferative disorder (PTLD)]. We compared infected cells using conventional quantitative PCR methods and confirmed that infected cell types were identical in most patients. Patients with CAEBV had widespread infection in T and NK cells, but a small amount of B cells were also infected, and infection in patients with XLP1 and PTLD was not limited to B cells. EBV-associated diseases are believed to be complex pathologies caused by EBV infecting a variety of cells other than B cells. We also demonstrated that infected cells were positive for HLA-DR in patients with CAEBV. EBER flow FISH can identify EBV-infected cells with high sensitivity and is useful for elucidating the pathogenesis.

医療・健康
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