Aims-The recent finding that human herpes virus 8 (HHV8) is found in t
he majority of Kaposi's sarcoma (KS) cases supports the epidemiologica
l observation that the tumour may be caused by an infectious agent. Th
is study aimed to address when and how HHV8 evolved. Methods-A cohort
of African endemic KS (49 samples from 45 patients) and European KS (1
8 samples from 13 patients), spanning 27 years, was assessed for the p
resence of HHV8 by both standard solution phase polymerase chain react
ion (PCR) and the newly described technique of TaqMan PCR. Results-HHV
8 was present in approximately 49% (24 of 49 tissue samples) of the Af
rican cases and in more than 90% (16 of 18 tissue samples) of the Euro
pean cohort, in keeping with recent seroepidemiological data. Conclusi
ons-HHV8 is strongly linked to the development of KS; however, in some
patients, other factors may operate. The utility and flexibility of T
aqMan PCR in detecting low copy viral target in human tissues was demo
nstrated.