Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types

Kaposi’s sarcoma (KS) is a vascular intermediate malignant tumor classified into four clinical types: classic, AIDS-related, iatrogenic, and endemic. Kaposi’s sarcoma-associated herpesvirus (KSHV) is the causative agent of KS. Six KSHV genotypes (A, B, C, D, E, and F) classified by K1 or two genotyp...

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Main Authors: Shohei Yogi, Haruna Ishikawa, Aya Oshiro, Reo Yamazato, Chiharu Sakamoto, Yasuka Tanabe, Karina Uehara, Kiyoto Kurima, Shinichiro Kina, Kenzo Takahashi, Hirofumi Arakawa, Takao Kinjo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Pathology and Oncology Research
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Online Access:https://www.por-journal.com/articles/10.3389/pore.2025.1612009/full
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author Shohei Yogi
Haruna Ishikawa
Haruna Ishikawa
Aya Oshiro
Reo Yamazato
Chiharu Sakamoto
Yasuka Tanabe
Karina Uehara
Kiyoto Kurima
Shinichiro Kina
Kenzo Takahashi
Hirofumi Arakawa
Takao Kinjo
author_facet Shohei Yogi
Haruna Ishikawa
Haruna Ishikawa
Aya Oshiro
Reo Yamazato
Chiharu Sakamoto
Yasuka Tanabe
Karina Uehara
Kiyoto Kurima
Shinichiro Kina
Kenzo Takahashi
Hirofumi Arakawa
Takao Kinjo
author_sort Shohei Yogi
collection DOAJ
description Kaposi’s sarcoma (KS) is a vascular intermediate malignant tumor classified into four clinical types: classic, AIDS-related, iatrogenic, and endemic. Kaposi’s sarcoma-associated herpesvirus (KSHV) is the causative agent of KS. Six KSHV genotypes (A, B, C, D, E, and F) classified by K1 or two genotypes (P and M) by K15 have been reported. However, whether the KSHV genotype affects clinical presentation remains elusive. Herein, we investigated the association between viral genotypes and clinical presentations in patients with KS in Okinawa, an endemic area in Japan. Classic KS caused by KSHV genotype C was identified as the most common clinical type of KS in Okinawa. Conversely, 80% of the patients with AIDS-related KS were associated with genotype A. According to K15 genotyping, the population of genotype M was higher than that of genotype P. Although genotype M accounted for most cases of both classic and iatrogenic KS in Okinawa, genotype P constituted the majority of AIDS-related KS. Regarding the association between the K1 and K15 genotypes, single genotype A was associated with genotype P, whereas single genotype C was associated with genotype M. These K1 and K15 associations in Okinawa differed from those in Europe and Africa. In terms of the association between viral genotype and clinical types, A/P tended to be associated with AIDS-related KS and genotype C/M tended to be associated with classic KS. The findings of the current study suggest that the KSHV genotype in Okinawa differs from that in other countries, which is related to the KSHV geographic distribution and population migration. Our data also suggest that the viral genotype in Okinawa is associated with clinical presentations.
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spelling doaj-art-10f2d887158c41569c63d0d73de9aa022025-08-20T03:53:32ZengFrontiers Media S.A.Pathology and Oncology Research1532-28072025-04-013110.3389/pore.2025.16120091612009Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical typesShohei Yogi0Haruna Ishikawa1Haruna Ishikawa2Aya Oshiro3Reo Yamazato4Chiharu Sakamoto5Yasuka Tanabe6Karina Uehara7Kiyoto Kurima8Shinichiro Kina9Kenzo Takahashi10Hirofumi Arakawa11Takao Kinjo12Division of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDepartment of Pathology, University of the Ryukyus Hospital, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanDepartment of Medical Education and Development, Graduate School of Medicine, Gunma University, Maebashi, Gunma, JapanDepartment of Dermatology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanDivision of Cancer Biology, National Cancer Center Research Institute, Tokyo, JapanDivision of Morphological Pathology, Department of Basic Laboratory Sciences, School of Health Sciences, University of the Ryukyus, Okinawa, JapanKaposi’s sarcoma (KS) is a vascular intermediate malignant tumor classified into four clinical types: classic, AIDS-related, iatrogenic, and endemic. Kaposi’s sarcoma-associated herpesvirus (KSHV) is the causative agent of KS. Six KSHV genotypes (A, B, C, D, E, and F) classified by K1 or two genotypes (P and M) by K15 have been reported. However, whether the KSHV genotype affects clinical presentation remains elusive. Herein, we investigated the association between viral genotypes and clinical presentations in patients with KS in Okinawa, an endemic area in Japan. Classic KS caused by KSHV genotype C was identified as the most common clinical type of KS in Okinawa. Conversely, 80% of the patients with AIDS-related KS were associated with genotype A. According to K15 genotyping, the population of genotype M was higher than that of genotype P. Although genotype M accounted for most cases of both classic and iatrogenic KS in Okinawa, genotype P constituted the majority of AIDS-related KS. Regarding the association between the K1 and K15 genotypes, single genotype A was associated with genotype P, whereas single genotype C was associated with genotype M. These K1 and K15 associations in Okinawa differed from those in Europe and Africa. In terms of the association between viral genotype and clinical types, A/P tended to be associated with AIDS-related KS and genotype C/M tended to be associated with classic KS. The findings of the current study suggest that the KSHV genotype in Okinawa differs from that in other countries, which is related to the KSHV geographic distribution and population migration. Our data also suggest that the viral genotype in Okinawa is associated with clinical presentations.https://www.por-journal.com/articles/10.3389/pore.2025.1612009/fullKSHVgenotypeK1immune responseKaposi’s sarcoma
spellingShingle Shohei Yogi
Haruna Ishikawa
Haruna Ishikawa
Aya Oshiro
Reo Yamazato
Chiharu Sakamoto
Yasuka Tanabe
Karina Uehara
Kiyoto Kurima
Shinichiro Kina
Kenzo Takahashi
Hirofumi Arakawa
Takao Kinjo
Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types
Pathology and Oncology Research
KSHV
genotype
K1
immune response
Kaposi’s sarcoma
title Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types
title_full Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types
title_fullStr Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types
title_full_unstemmed Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types
title_short Association between Kaposi’s sarcoma-associated herpesvirus genotype and clinical types
title_sort association between kaposi s sarcoma associated herpesvirus genotype and clinical types
topic KSHV
genotype
K1
immune response
Kaposi’s sarcoma
url https://www.por-journal.com/articles/10.3389/pore.2025.1612009/full
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