KSHV and EBV viral load assays were performed on peripheral blood mononuclear cells (PBMC) and aliquots of effusions using quantitative real-time polymerase chain reaction (PCR). KSHV and Epstein-Barr virus (EBV) viral DNA (KSHV-VL, EBV-VL) were quantified using primers from KSHV K6 and EBV pol gene regions as previously described.(10 (link)) Cell number quantifications were performed using a human endogenous retrovirus 3 (ERV-3) assay.(24 (link)) PBMC viral loads were expressed as copies per million cell equivalents and effusion viral loads were expressed as copies/106 cells.
Serum and effusion levels of human interleukin [(IL-) IL-2, IL-4, IL-6, IL-1β, IL-8, IL-10, IL-12p70, IL-13)], inducible protein-10 (IP-10), interferon gamma (IFN-γ), tumor necrosis factor alpha (TNF-α) and vascular endothelial growth factor (VEGF) were evaluated using the Mesoscale Discovery (MSD) Proinflammatory Panel 1 human kit(25 ). Laboratory results (white cell count, lactate dehydrogenase, protein, glucose) were captured from electronic medical records at time as the effusion and serum samples were collected.