Human Polyomavirus 6 Detected in Cases of Eosinophilic Pustular Folliculitis

Yumiko Hashida1, Tomonori Higuchi1, Saeko Nakajima2

  • 1Department of Microbiology and Infection, Kochi Medical School, Kochi University, Kochi, Japan.

Abstract

Insights

Human polyomavirus 6 (HPyV6) DNA was significantly detected in Japanese patients with eosinophilic pustular folliculitis (EPF). This suggests a potential link between HPyV6 infection and EPF, particularly the Asian/Japanese genotype.

Area of Science:

  • Dermatology
  • Virology
  • Immunology

Background:

  • Human polyomaviruses (HPyVs) are linked to various skin inflammatory conditions.
  • Further research is needed to identify novel cutaneous pathologies associated with HPyVs.
  • The study explored the potential connection between skin-tropic HPyVs and folliculitis, specifically eosinophilic pustular folliculitis (EPF).

Purpose of the Study:

  • To investigate the association between skin-tropic HPyVs and folliculitis.
  • To specifically examine the role of HPyVs in eosinophilic pustular folliculitis (EPF).

Main Methods:

  • Quantitative polymerase chain reaction (qPCR) was used to detect HPyV DNA in 55 Japanese patients (13 EPF, 42 suppurative folliculitis).
  • Viral antigen expression and geographically relevant viral genotypes were assessed.
  • HPyV DNA detection rates were compared between EPF and suppurative folliculitis groups.

Main Results:

  • Human polyomavirus 6 (HPyV6) DNA was detected in 69% of EPF patients, significantly higher than in suppurative folliculitis (2%).
  • HPyV6 small tumor antigen was detected in 4 of 7 HPyV6 DNA-positive EPF specimens.
  • All detected HPyV6 strains belonged to the Asian/Japanese genotype.

Conclusions:

  • The high prevalence of HPyV6 DNA and viral antigen suggests a potential association between HPyV6 infection and EPF in some patients.
  • Further global studies are recommended to confirm the role of the Asian/Japanese HPyV6 genotype in the incidence and pathogenesis of EPF.
  • EPF may have an ethnic predilection, particularly in East Asian populations, possibly linked to specific HPyV genotypes.