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JC virus remains latent in peripheral blood B lymphocytes but replicates actively in urine from AIDS patients
M E Lafon1, H Dutronc, V Dubois
1Laboratoire de Virologie, Institut Fédératif de Recherches en Pathologies Infectieuses, Université Bordeaux 2, France. Marie-Edith.Lafon@viro.U-Bordeaux2.fr
Insights
John Cunningham virus (JCV) is more prevalent in AIDS patients
Area of Science:
- Neurovirology
- Immunology
- Molecular Biology
Background:
- John Cunningham virus (JCV) is hypothesized to reach the central nervous system via the bloodstream.
- Understanding JCV's presence and activity in peripheral blood is crucial for comprehending its pathogenesis in immunocompromised individuals.
Purpose of the Study:
- To investigate the presence of latent or reactivated JCV in the peripheral blood of patients with Acquired Immunodeficiency Syndrome (AIDS).
- To compare JCV detection rates in AIDS patients versus human immunodeficiency virus-negative blood donors.
Main Methods:
- Nested polymerase chain reaction (PCR) assays were employed to detect JCV T DNA and VP1 mRNAs (indicating replication).
- Blood leukocytes, plasma, and urine samples from 50 AIDS patients and plasma and B lymphocytes from 60 AIDS patients were analyzed.
- Peripheral blood from 88 HIV-negative donors served as a control group.
Main Results:
- JCV DNA was detected in 31.8% of AIDS patients' blood, significantly higher than the 2.3% in blood donors (P < .001).
- JCV DNA was found in 56% of urine samples from AIDS patients.
- Viral replication (VP1 mRNAs) was detected in the blood of only one AIDS patient, but was present in 38% of DNA-positive urine samples and 10 cerebrospinal fluid samples from patients with progressive multifocal leukoencephalopathy.
Conclusions:
- JCV is significantly more frequent in the peripheral blood of AIDS patients compared to healthy controls.
- In most cases within the blood, JCV appears to be in a latent state.
- Active JCV replication is primarily observed in urine and cerebrospinal fluid (CSF) of AIDS patients, particularly those with neurological complications.
Abstract:
JC virus (JCV) is thought to reach the central nervous system by a vascular route. To determine whether JCV is conveyed in peripheral blood as latent or reactivated virus, blood leukocytes, plasma, and urine from 50 AIDS patients and plasma and B lymphocytes from 60 AIDS patients were investigated. Peripheral blood from 88 human immunodeficiency virus-negative blood donors was studied. Nested polymerase chain reaction assays allowed the identification of JCV T DNA and VP1 mRNAs. The latter indicate viral replication. Blood harbored JCV DNA in 31.8% of AIDS patients (only 2.3% of blood donors; P > .001) and urine in 56%. VP1 mRNAs were detected in blood of 1 AIDS patient. Notably, 38% of DNA-positive urine samples and 10 cerebrospinal fluid samples (CSF) from AIDS patients with progressive multifocal leukoencephalopathy contained JCV mRNAs. Thus, JCV was significantly more frequent in blood from AIDS patients than from controls, but, in most instances, it was latent, whereas active replication was detected in urine and CSF.
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