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Tissue persistence of parvovirus B19 genotypes in asymptomatic persons
Fabiana Corcioli1, Krystyna Zakrzewska, Alessio Rinieri
1Department of Public Health, University of Firenze, Italy.
Abstract:
Parvovirus B19 (B19V) can persist in immunocompetent symptomatic and non-symptomatic individuals, as demonstrated by the finding of viral DNA in different tissues, in absence of viremia and of anti-B19V IgM. The spread and the nature of this phenomenon have not been clearly determined. In order to investigate the frequency of persistence and the tissue distribution of the three genotypes of B19V, the viral load of the persistent virus and its expression in the affected tissues, 139 tissue samples and 102 sera from 139 asymptomatic individuals have been analyzed by consensus PCRs and genotype specific PCRs for B19V detection and genotyping. Viral load was measured by real time PCR and viral mRNAs were detected by RT-PCR. Altogether, 51% individuals carried B19V DNA, more frequently in solid tissues (65%) than in bone marrow (20%). Genotype 1 was found in 28% tissue samples, genotype 2 in 68% and genotype 3 in 3% only. Viral load ranged from less then 10 copies to 7 x 10(4) copies per 10(6) cells, with the exception of two samples of myocardium with about 10(6) copies per 10(6) cells. mRNA of capsid proteins was present in two bone marrow samples only. In conclusion, in asymptomatic individuals B19V persistence is more common in solid tissues than in bone marrow, and genotype 2 persists more frequently than genotype 1. The results suggest that the virus persists without replicating, at sub-immunogenic levels.
Insights
Parvovirus B19 (B19V) DNA frequently persists in asymptomatic individuals, predominantly in solid tissues, with genotype 2 being the most common. This suggests the virus remains dormant at low levels.
Area of Science:
- Virology
- Immunology
- Molecular Biology
Background:
- Parvovirus B19 (B19V) is known to persist in individuals, even without symptoms or high viral loads.
- The extent and tissue distribution of this persistent B19V infection remain unclear.
Purpose of the Study:
- To investigate the frequency and tissue distribution of persistent Parvovirus B19 (B19V) genotypes in asymptomatic individuals.
- To quantify viral load and detect viral gene expression in affected tissues.
Main Methods:
- Analysis of 139 tissue samples and 102 sera from asymptomatic individuals.
- Utilized consensus and genotype-specific PCRs for B19V detection and genotyping.
- Quantified viral load using real-time PCR and detected viral mRNA via RT-PCR.
Main Results:
- B19V DNA was detected in 51% of individuals, more prevalent in solid tissues (65%) than bone marrow (20%).
- Genotype 2 was the most frequent persistent genotype (68%), followed by genotype 1 (28%).
- Viral load varied, with most samples showing low copy numbers, and viral mRNA was detected in only two bone marrow samples.
Conclusions:
- Parvovirus B19 (B19V) persistence is common in asymptomatic individuals, particularly in solid tissues.
- Genotype 2 demonstrates a higher frequency of persistence compared to genotype 1.
- The findings suggest that persistent B19V exists at sub-replicative, sub-immunogenic levels.
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