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Parvovirus B19 in Rheumatic Diseases
Rosaria Arvia1, Maria A Stincarelli1, Elisabetta Manaresi2
1Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy.
Abstract:
Parvovirus B19 (B19V) is a human pathogen belonging to the Parvoviridae family. It is widely diffused in the population and responsible for a wide range of diseases, diverse in pathogenetic mechanisms, clinical course, and severity. B19V infects and replicates in erythroid progenitor cells (EPCs) in the bone marrow leading to their apoptosis. Moreover, it can also infect, in an abortive manner, a wide set of different cell types, normally non-permissive, and modify their normal physiology. Differences in the characteristics of virus-cell interaction may translate into different pathogenetic mechanisms and clinical outcomes. Joint involvement is a typical manifestation of B19V infection in adults. Moreover, several reports suggest, that B19V could be involved in the pathogenesis of some autoimmune rheumatologic diseases such as rheumatoid arthritis (RA), juvenile idiopathic arthritis (JIA), systemic sclerosis (SSc), systemic lupus erythematosus (SLE), or vasculitis. This review provides basic information on the B19 virus, highlights characteristics of viral infection in permissive and non-permissive systems, and focuses on recent findings concerning the pathogenic role of B19V in rheumatologic diseases.
Insights
Parvovirus B19 (B19V) causes various diseases by infecting erythroid progenitor cells. This review explores B19V
Area of Science:
- Virology and Immunology
- Rheumatology
Background:
- Parvovirus B19 (B19V) is a widespread human pathogen in the Parvoviridae family.
- B19V infects erythroid progenitor cells (EPCs), causing apoptosis and diverse clinical manifestations.
- It can also infect non-permissive cells, altering their physiology and contributing to pathogenesis.
Purpose of the Study:
- To provide fundamental information on Parvovirus B19.
- To highlight viral infection characteristics in permissive and non-permissive cellular systems.
- To focus on recent findings regarding B19V's pathogenic role in rheumatologic diseases.
Main Methods:
- Review of existing literature on Parvovirus B19.
- Analysis of viral-cellular interactions in different cell types.
- Synthesis of evidence linking B19V to autoimmune rheumatologic conditions.
Main Results:
- B19V infection leads to EPC apoptosis and can affect other cell types.
- Joint involvement is a common symptom in adult B19V infections.
- Emerging evidence suggests B19V's potential role in rheumatoid arthritis, juvenile idiopathic arthritis, systemic sclerosis, SLE, and vasculitis.
Conclusions:
- Parvovirus B19 exhibits diverse pathogenic mechanisms based on host cell interactions.
- B19V is increasingly implicated in the pathogenesis of several autoimmune rheumatologic diseases.
- Further research is warranted to elucidate the precise role of B19V in these conditions.
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