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Measurement of BK-polyomavirus Non-Coding Control Region Driven Transcriptional Activity Via Flow Cytometry
Published on: July 13, 2019
BK polyomavirus with archetypal and rearranged non-coding control regions is present in cerebrospinal fluids from
Ana Bárcena-Panero1,2,3, Juan E Echevarría1,3, Marijke Van Ghelue4
1Network of Biomedical Investigation Centres in Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
Abstract:
BK polyomavirus (BKPyV) has recently been postulated as an emerging opportunistic pathogen of the human central nervous system (CNS), but it is not known whether specific strains are associated with the neurotropic character of BKPyV. The presence of BKPyV large T-antigen DNA was examined in 2406 cerebrospinal fluid (CSF) samples from neurological patients with suspected JC polyomavirus infection. Twenty patients had a large T-antigen DNA-positive specimen. The non-coding control region (NCCR) of the BKPyV strains amplified from CSF from these 20 patients, strains circulating in renal and bone marrow transplant recipients and from healthy pregnant women was sequenced. The archetypal conformation was the most prevalent in all groups and 14 of the neurological patients harboured archetypal strains, while the remaining six patients possessed BKPyV with rearranged NCCR similar to previously reported variants from non-neurological patients. Transfection studies in Vero cells revealed that five of six early and four of six late rearranged promoters of these CSF isolates showed significantly higher activity than the corresponding archetypal promoter. From seven of the neurological patients with BKPyV DNA-positive CSF, paired serum samples were available. Five of them were negative for BKPyV DNA, while serum from the remaining two patients harboured BKPyV strains with archetypal NCCR that differed from those present in their CSF. Our results suggest that NCCR rearrangements are not a hallmark for BKPyV neurotropism and the dissemination of a rearranged NCCR from the blood may not be the origin of BKPyV CNS infection.
Insights
BK polyomavirus (BKPyV) may cause central nervous system (CNS) infections. Rearranged non-coding control regions (NCCRs) in BKPyV strains were not definitively linked to neurotropism in this study.
Area of Science:
- Virology
- Neuroscience
- Infectious Diseases
Background:
- BK polyomavirus (BKPyV) is increasingly recognized as an opportunistic pathogen affecting the human central nervous system (CNS).
- The specific viral strains and genetic factors, particularly within the non-coding control region (NCCR), that contribute to BKPyV neurotropism remain unclear.
Purpose of the Study:
- To investigate the association between BKPyV strains, specifically their NCCR conformations, and neurotropism.
- To determine if rearranged NCCR sequences are characteristic of BKPyV CNS infections.
Main Methods:
- Analysis of BKPyV large T-antigen DNA in 2406 cerebrospinal fluid (CSF) samples from neurological patients.
- Sequencing of the NCCR from BKPyV strains isolated from CSF, transplant recipients, and healthy individuals.
- Functional assessment of promoter activity of archetypal and rearranged NCCR variants in cell transfection studies.
Main Results:
- BKPyV large T-antigen DNA was detected in 20 neurological patients.
- Archetypal NCCR conformations were most prevalent; however, six neurological patients had BKPyV with rearranged NCCRs.
- Rearranged NCCR promoters exhibited significantly higher activity in vitro compared to archetypal promoters.
- In two cases, CSF and serum viral strains had differing NCCR conformations, suggesting distinct origins.
Conclusions:
- BKPyV NCCR rearrangements are not a definitive marker for neurotropism.
- The CNS infection by BKPyV may not solely originate from the dissemination of rearranged NCCR strains from the bloodstream.
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