The cause of Paget's disease is still unknown, despite many years of i
ntensive study. During this time, evidence has sporadically emerged to
suggest that the disease may result from a slow viral infection by on
e or more of the Paramyxoviruses. More recently, epidemiologic and mol
ecular studies have suggested that the canine paramyxovirus, canine di
stemper virus, is the virus responsible for the disease. If true, then
along with rabies, this would be a further example of a canine virus
causing human disease. Studies in the natural host have now supported
these findings. Further investigations have proposed that the bony abn
ormalities seen in Paget's disease are due to the effects of the virus
on osteoclastic interleukin-6 and c-FOS production, possibly via the
transcription factor NF-kappaB.