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Updated: Aug 8, 2026

Peptide-based Identification of Functional Motifs and their Binding Partners
Published on: June 30, 2013
[Progressive multifocal leukoencephalopathy. Demyelinating viral disease--common complication of AIDS]
1keastrom@swipnet.se
Abstract:
PML is a chronic, progressive, fatal disease in the CNS of humans. Characteristic pathologic features are spotty demyelination, enlarged oligodendrocytes with nuclear inclusions, and transformed astrocytes. It is caused by the polyoma virus JCV, which has worldwide distribution and usually is harmless. In some individuals with impaired cell-mediated immunity, most commonly in aids, virus changes into a pathogenic form. Hence, PML is a slow, viral, opportunistic infection. The infection is productive in astrocytes and destructive in oligodendrocytes. Lysis of the latter causes demyelination. The discovery of PML in 1958 opened the door to extensive research in several fields of biomedicine.
Insights
Progressive Multifocal Leukoencephalopathy (PML) is a fatal brain disease caused by the normally harmless JC virus (JCV). It becomes dangerous in immunocompromised individuals, leading to demyelination and neurological decline.
Area of Science:
- Neurovirology
- Immunology
- Neuropathology
Context:
- Progressive Multifocal Leukoencephalopathy (PML) is a rare, severe demyelinating disease of the central nervous system (CNS).
- PML is caused by the human polyomavirus, John Cunningham virus (JCV), which is typically latent and harmless.
- The disease manifests in individuals with compromised cell-mediated immunity, such as those with Acquired Immunodeficiency Syndrome (AIDS).
Purpose:
- To elucidate the pathogenesis of Progressive Multifocal Leukoencephalopathy (PML).
- To understand the role of John Cunningham virus (JCV) in opportunistic infections.
- To describe the characteristic neuropathological findings in PML.
Summary:
- PML is characterized by focal demyelination, nuclear inclusions in oligodendrocytes, and transformed astrocytes.
- JCV, usually benign, becomes pathogenic in immunocompromised hosts, leading to a slow, viral, opportunistic infection.
- The virus replicates in astrocytes and destroys oligodendrocytes, causing lysis and subsequent demyelination.
Impact:
- The discovery of PML has significantly advanced research in neurovirology and opportunistic infections.
- Understanding PML's mechanisms aids in developing diagnostic and therapeutic strategies for CNS viral diseases.
- PML research contributes to the broader fields of immunology and neuropathology, particularly concerning viral pathogenesis in immunocompromised states.
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