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Updated: May 21, 2026

Merkel Cell Polyomavirus Infection and Detection
Published on: February 7, 2019
Novel human polyomaviruses, Merkel cell polyomavirus and human polyomavirus 9, in Japanese chronic lymphocytic
Masayuki Imajoh1, Yumiko Hashida, Ayuko Taniguchi
1Department of Microbiology and Infection, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan.
Background:
Chronic lymphocytic leukemia (CLL) is the rarest adult leukemia in Japan, whereas it is the most common leukemia in the Western world. Recent studies from the United States and Germany suggest a possible etiological association between Merkel cell polyomavirus (MCPyV) and CLL, although no data have been reported from Eastern countries. To increase the volume of relevant data, this study investigated the prevalence and DNA loads of MCPyV and human polyomavirus 9 (HPyV9), another lymphotropic polyomavirus, in Japanese CLL cases.
Findings:
We found that 9/27 CLL cases (33.3 %) were positive for MCPyV using quantitative real-time polymerase chain reaction analysis. The viral DNA loads ranged from 0.000017 to 0.0012 copies per cell. All cases were negative for HPyV9. One MCPyV-positive CLL case was evaluated by mutational analysis of the large T (LT) gene, which indicated the presence of wild-type MCPyV without a nucleotide deletion. DNA sequence analysis of the entire small T (ST) gene and the partial LT gene revealed that a Japanese MCPyV isolate, designated CLL-JK, had two nucleotide gaps when compared with the reference sequence of the North American isolate MCC350.
Conclusions:
This study provides the first evidence that MCPyV is present in a subset of Japanese CLL cases with low viral DNA loads. MCPyV and HPyV9 are unlikely to contribute directly to the development of CLL in the majority of Japanese cases. MCPyV isolated from the Japanese CLL cases may constitute an Asian group and its pathogenicity needs to be clarified in future studies.
Insights
Merkel cell polyomavirus (MCPyV) DNA was detected in 33.3% of Japanese chronic lymphocytic leukemia (CLL) cases. This study is the first to find MCPyV in Japanese CLL patients, suggesting a potential Asian viral group.
Area of Science:
- Oncology
- Virology
- Epidemiology
Background:
- Chronic lymphocytic leukemia (CLL) is rare in Japan but common in Western countries.
- Previous studies suggest a link between Merkel cell polyomavirus (MCPyV) and CLL in the US and Germany.
- No data on MCPyV in Japanese CLL cases were previously available.
Purpose of the Study:
- To investigate the prevalence and DNA loads of MCPyV and human polyomavirus 9 (HPyV9) in Japanese CLL patients.
- To explore the potential etiological association between these viruses and CLL in Japan.
Main Methods:
- Quantitative real-time polymerase chain reaction (PCR) was used to detect viral DNA.
- Mutational analysis of the large T (LT) gene and DNA sequence analysis of the small T (ST) and partial LT genes were performed.
- Viral DNA loads were quantified per cell.
Main Results:
- MCPyV DNA was detected in 33.3% (9/27) of Japanese CLL cases.
- MCPyV DNA loads were low, ranging from 0.000017 to 0.0012 copies per cell.
- All cases were negative for HPyV9. A Japanese MCPyV isolate (CLL-JK) showed genetic differences from North American isolates.
Conclusions:
- This study provides the first evidence of MCPyV presence in Japanese CLL cases.
- MCPyV and HPyV9 are unlikely to be major contributors to CLL development in most Japanese patients.
- The identified Japanese MCPyV may represent an Asian group, requiring further research into its pathogenicity.
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