Al. Hammarin et al., ANALYSIS OF PCR AS A TOOL FOR DETECTION OF JC VIRUS-DNA IN CEREBROSPINAL-FLUID FOR DIAGNOSIS OF PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY, Journal of clinical microbiology, 34(12), 1996, pp. 2929-2932
Two polyomaviruses, JC virus (JCV) and BK virus (BKV), affect humans,
JCV is the causative agent of progressive multifocal leukoencephalopat
hy (PML), and detection of JCV in the central nervous system (CNS) is
a prerequisite for confirmation of the disease. BKV is generally not a
ssociated with neurological disease, but involvement of BKV in patient
s with CNS disorders has been reported. In the present study polyomavi
rus DNA was detected by a nested PCR at a sensitivity corresponding to
the detection of 10 copies of JCV DNA in 10 mu l of cerebrospinal flu
id (CSF), CSF samples from 212 patients with neurological symptoms and
immunodeficiencies were investigated for the presence of polyomavirus
DNA. Of 128 human immunodeficiency virus (HIV)-infected patients, 14
(11%) had JCV DNA in their CSF, and all 14 patients had clinical PML.
BKV DNA was detected in one HIV-infected patient with neurological sym
ptoms not compatible with PML. Among 84 HIV-negative patients, 6 (7%)
had detectable JCV DNA in their CSF, confirming PML in patients with c
linical conditions of T-cell lymphoma, chronic lymphatic leukemia, sta
tus postliver transplantation, congenital immunodeficiency, sarcoidosi
s, and immunodeficiency of unknown origin. The specificity of the PCR
was confirmed by a clinical follow-up study which showed full agreemen
t between the detection of JCV DNA in CSF and clinically manifest PML.
The described PCR is a rapid, reproducible, and easily performed assa
y.