Dj. Bergsagel et al., DNA-SEQUENCES SIMILAR TO THOSE OF SIMIAN VIRUS-40 IN EPENDYMOMAS AND CHOROID-PLEXUS TUMORS OF CHILDHOOD, The New England journal of medicine, 326(15), 1992, pp. 988-993
Background. Ependymomas and papillomas of the choroid plexus occur in
early childhood. The ubiquitous human polyomaviruses, BK virus and JC
virus, have been associated with the induction of these neoplasms in a
nimal models. A related monkey polyomavirus, simian virus 40 (SV40), i
s highly tumorigenic in rodents and also induces choroid plexus papill
omas. Methods. We tested the possibility that polyomaviruses were asso
ciated with these tumors in humans. Tumors from 31 children - 20 with
choroid plexus neoplasms and 11 with ependymomas - were evaluated for
the presence of polyomavirus T-antigen gene sequences by means of ampl
ification with the polymerase chain reaction. Results. Ten of the 2O c
horoid plexus tumors and 10 of the 11 ependymomas contained amplificat
ion products that preferentially hybridized to probes specific for SV4
0 viral DNA rather than BK or JC viral DNA. In two specimens, DNA sequ
encing demonstrated that the amplified sequence was identical to the s
equence of that region of the SV40 gene. In three other specimens, amp
lification with SV40-specific primers revealed a 574-bp segment of the
SV40 viral gene. In 7 of 11 tumors examined by immunohistochemical st
aining, viral T antigen was expressed in the nuclei of the neoplastic
cells. Conclusions. Half of the choroid plexus tumors and most of the
ependymomas that we studied contained and expressed a segment of T-ant
igen gene related to SV40. These results suggest that SV40 or a closel
y related virus may have an etiologic role in the development of these
neoplasms during childhood, as in animal models.