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Published on: July 13, 2019
Discovery and epidemiology of the human polyomaviruses BK virus (BKV) and JC virus (JCV)
1Health Protection Agency, London, UK.
Abstract:
Although discovered over thirty years ago, many aspects of the epidemiology of BKV and JCV in the general population, such as the source of infectious virus and the mode of transmission, are still unknown. Primary infection with both BKV and JCV is usually asymptomatic, and so age seroprevalence studies have been used to indicate infection. BKV commonly infects young children in all parts of the world, with the exception of a few very isolated communities, adult seroprevalence rates of 65-90% being reached by the age of ten years. In contrast, the pattern of JCV infection appears to vary between populations; in some anti-JCV antibody is acquired early as for BKV, but in others anti-JCV antibody prevalence continues to rise throughout life. This indicates that the two viruses are probably transmitted independently and by different routes. Whilst BKV DNA is found infrequently in the urine of healthy adults, JCV viruria occurs universally, increasing with age, with adult prevalence rates often between 20% and 60%. Four antigenic subtypes have been described for BKV and eight genotypes are currently recognized for JCV. The latter have been used to trace population movements and to reconstruct the population history in various communities.
Insights
Polyomaviruses like BK virus (BKV) and JC virus (JCV) show distinct transmission patterns. While BKV infects most children globally, JCV infection varies by population, suggesting different transmission routes for these common viruses.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- BK virus (BKV) and JC virus (JCV) are common human polyomaviruses with largely unknown transmission dynamics.
- Primary infections are typically asymptomatic, necessitating seroprevalence studies to understand epidemiology.
Purpose of the Study:
- To investigate and compare the epidemiological patterns of BKV and JCV in the general population.
- To elucidate potential differences in transmission routes and infection acquisition between BKV and JCV.
Main Methods:
- Analysis of age-stratified seroprevalence data for BKV and JCV antibodies.
- Examination of BKV DNA and JCV viruria prevalence in healthy adults.
- Review of known viral subtypes and genotypes for BKV and JCV.
Main Results:
- BKV demonstrates widespread early childhood infection, reaching high adult seroprevalence (65-90%) by age ten.
- JCV infection patterns vary significantly across populations, with some showing early acquisition and others a lifelong increase in prevalence.
- JCV viruria is common in adults (20-60%), unlike BKV DNA, suggesting distinct shedding patterns.
Conclusions:
- BKV and JCV likely transmit independently via different routes due to differing epidemiological patterns.
- JCV genotypes offer insights into population movements and history.
- Further research is needed to fully understand the source and transmission modes of these ubiquitous viruses.
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