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.

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