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Failure to detect the novel retrovirus XMRV in chronic fatigue syndrome
Otto Erlwein1, Steve Kaye, Myra O McClure
1Jefferiss Research Trust Laboratories, Section of Infectious Diseases, Wright-Fleming Institute, Faculty of Medicine, Imperial College London, St Mary's Campus, Norfolk Place, London, United Kingdom.
Background:
In October 2009 it was reported that 68 of 101 patients with chronic fatigue syndrome (CFS) in the US were infected with a novel gamma retrovirus, xenotropic murine leukaemia virus-related virus (XMRV), a virus previously linked to prostate cancer. This finding, if confirmed, would have a profound effect on the understanding and treatment of an incapacitating disease affecting millions worldwide. We have investigated CFS sufferers in the UK to determine if they are carriers of XMRV.
Methodology:
Patients in our CFS cohort had undergone medical screening to exclude detectable organic illness and met the CDC criteria for CFS. DNA extracted from blood samples of 186 CFS patients were screened for XMRV provirus and for the closely related murine leukaemia virus by nested PCR using specific oligonucleotide primers. To control for the integrity of the DNA, the cellular beta-globin gene was amplified. Negative controls (water) and a positive control (XMRV infectious molecular clone DNA) were included. While the beta-globin gene was amplified in all 186 samples, neither XMRV nor MLV sequences were detected.
Conclusion:
XMRV or MLV sequences were not amplified from DNA originating from CFS patients in the UK. Although we found no evidence that XMRV is associated with CFS in the UK, this may be a result of population differences between North America and Europe regarding the general prevalence of XMRV infection, and might also explain the fact that two US groups found XMRV in prostate cancer tissue, while two European studies did not.
Insights
Researchers investigated if UK chronic fatigue syndrome (CFS) patients carry xenotropic murine leukaemia virus-related virus (XMRV). No XMRV or MLV sequences were detected in UK CFS patients, suggesting no association in this population.
Area of Science:
- Virology
- Immunology
- Epidemiology
Background:
- A 2009 report linked xenotropic murine leukaemia virus-related virus (XMRV) to chronic fatigue syndrome (CFS) in US patients.
- XMRV, a gamma retrovirus, was also previously associated with prostate cancer.
- This potential link necessitated further investigation into XMRV's role in CFS.
Purpose of the Study:
- To investigate the presence of XMRV in patients diagnosed with CFS in the United Kingdom.
- To determine if XMRV or related murine leukaemia virus (MLV) sequences are detectable in UK CFS patient DNA.
Main Methods:
- Screened 186 UK CFS patients meeting CDC criteria and medically screened for organic illness.
- Used nested PCR to detect XMRV and MLV proviral DNA in extracted blood samples.
- Included controls for DNA integrity (beta-globin) and PCR accuracy (positive/negative controls).
Main Results:
- The cellular beta-globin gene was successfully amplified in all 186 patient samples, confirming DNA integrity.
- No XMRV or MLV sequences were detected in any of the DNA samples from UK CFS patients.
- Nested PCR analysis yielded negative results for both viruses.
Conclusions:
- Xenotropic murine leukaemia virus-related virus (XMRV) or murine leukaemia virus (MLV) sequences were not found in UK chronic fatigue syndrome (CFS) patients.
- This study found no evidence of XMRV association with CFS in the UK cohort.
- Observed differences may stem from geographical variations in XMRV prevalence or reporting discrepancies between North American and European studies.
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