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Characterization of JC human polyomavirus infection in a Portuguese population
Ana Matos1, Vitor Duque, Sílvia Beato
1Laboratory of Microbiology, Faculty of Pharmacy, University of Coimbra, Coimbra, Portugal. anamatos@ci.uc.pt
Insights
JC virus (JCV) shedding in urine is common in Portugal, particularly in HIV-infected individuals. JCV antibody prevalence is high across all groups, with urinary viral load correlating to antibody levels.
Area of Science:
- Virology
- Infectious Diseases
- Public Health
Background:
- JC virus (JCV) is a ubiquitous human polyomavirus, establishing lifelong persistent infections.
- JCV is commonly shed asymptomatically in urine, with varying excretion rates observed globally.
- Characterizing JCV infection patterns in specific populations, like Portugal, is crucial for understanding its epidemiology.
Purpose of the Study:
- To investigate the seroprevalence and urinary excretion patterns of JC virus (JCV) in a Portuguese population.
- To compare JCV infection characteristics between healthy individuals and those infected with HIV.
- To identify common JCV genotypes and their correlation with host factors.
Main Methods:
- Polymerase Chain Reaction (PCR) was used to detect JCV DNA in urine samples.
- Real-time quantitative PCR determined JCV urinary viral load.
- Enzyme immunoassay (EIA) detected JCV-specific antibodies in serum samples.
- JCV genotyping was performed on detected viral DNA.
Main Results:
- JCV DNA was detected in 38% of urine samples; excretion was higher in HIV-infected individuals (51%) than healthy controls (33%).
- Urinary JCV excretion increased with age in healthy individuals but not in HIV patients.
- Antibodies to JCV were highly prevalent (91%) in all tested individuals, irrespective of HIV status.
- A positive correlation was found between JCV urinary load and antibody titers.
Conclusions:
- This study provides the first characterization of JCV seroprevalence and urinary shedding in Portugal, aligning with European trends.
- While seroprevalence is similar, HIV infection influences the pattern of JCV urinary excretion.
- JCV genotype 1B was the most prevalent, and urinary viral load correlates with antibody response.
Abstract:
JC virus (JCV) is ubiquitous in the human population, infecting children asymptomatically. After primary infection, JCV persists in the host throughout life and is often excreted in the urine. Two hundred thirty-four urine samples and 78 serum samples, collected from 171 healthy individuals and 63 patients infected with HIV, were used to characterize JCV infection in a Portuguese population. Using PCR, JCV DNA was detected in 38% of the urine samples. A significant difference in the excretion rate was observed between patients infected with HIV (51%) and healthy individuals (33%). The frequency of JCV viruria increased with age in healthy individuals, but not in patients infected with HIV. JCV urinary load was determined by real-time quantitative PCR and was independent of gender, age, HIV infection, and CD4+ cell count. Overall, the JCV genotype detected most commonly was 1B, followed by genotypes 2B and 4. The detection and quantitation of JCV-specific antibodies were performed in serum samples by an established enzyme immunoassay (EIA). Antibodies to JCV were observed in 91% of the patients tested, irrespective of HIV infection. A positive correlation between JCV urinary load and antibody titers was demonstrated. The present study provides the first characterization of seroprevalence and urinary excretion of JCV in a Portuguese population and revealed similar results to those observed in other European countries. A comparison between healthy individuals and patients infected with HIV, despite identical values of seroprevalence, showed some differences in the pattern of urinary excretion. J. Med. Virol. 82:494-504, 2010. (c) 2010 Wiley-Liss, Inc.
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