Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.

The Polyomaviridae constitute a family of small DNA viruses infecting a variety of hosts. In humans, polyomaviruses can cause infections of the central nervous system, urinary tract, skin, and possibly the respiratory tract. Here we report the identification of a new human polyomavirus in plucked fa...

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Autores principales: Els van der Meijden, René W A Janssens, Chris Lauber, Jan Nico Bouwes Bavinck, Alexander E Gorbalenya, Mariet C W Feltkamp
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Publicado: Public Library of Science (PLoS) 2010
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spelling oai:doaj.org-article:b755d805c3734ffd8835e612aa56993e2021-11-18T06:01:47ZDiscovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.1553-73661553-737410.1371/journal.ppat.1001024https://doaj.org/article/b755d805c3734ffd8835e612aa56993e2010-07-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20686659/?tool=EBIhttps://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374The Polyomaviridae constitute a family of small DNA viruses infecting a variety of hosts. In humans, polyomaviruses can cause infections of the central nervous system, urinary tract, skin, and possibly the respiratory tract. Here we report the identification of a new human polyomavirus in plucked facial spines of a heart transplant patient with trichodysplasia spinulosa, a rare skin disease exclusively seen in immunocompromized patients. The trichodysplasia spinulosa-associated polyomavirus (TSV) genome was amplified through rolling-circle amplification and consists of a 5232-nucleotide circular DNA organized similarly to known polyomaviruses. Two putative "early" (small and large T antigen) and three putative "late" (VP1, VP2, VP3) genes were identified. The TSV large T antigen contains several domains (e.g. J-domain) and motifs (e.g. HPDKGG, pRb family-binding, zinc finger) described for other polyomaviruses and potentially involved in cellular transformation. Phylogenetic analysis revealed a close relationship of TSV with the Bornean orangutan polyomavirus and, more distantly, the Merkel cell polyomavirus that is found integrated in Merkel cell carcinomas of the skin. The presence of TSV in the affected patient's skin was confirmed by newly designed quantitative TSV-specific PCR, indicative of a viral load of 10(5) copies per cell. After topical cidofovir treatment, the lesions largely resolved coinciding with a reduction in TSV load. PCR screening demonstrated a 4% prevalence of TSV in an unrelated group of immunosuppressed transplant recipients without apparent disease. In conclusion, a new human polyomavirus was discovered and identified as the possible cause of trichodysplasia spinulosa in immunocompromized patients. The presence of TSV also in clinically unaffected individuals suggests frequent virus transmission causing subclinical, probably latent infections. Further studies have to reveal the impact of TSV infection in relation to other populations and diseases.Els van der MeijdenRené W A JanssensChris LauberJan Nico Bouwes BavinckAlexander E GorbalenyaMariet C W FeltkampPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 6, Iss 7, p e1001024 (2010)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
spellingShingle Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
Els van der Meijden
René W A Janssens
Chris Lauber
Jan Nico Bouwes Bavinck
Alexander E Gorbalenya
Mariet C W Feltkamp
Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
description The Polyomaviridae constitute a family of small DNA viruses infecting a variety of hosts. In humans, polyomaviruses can cause infections of the central nervous system, urinary tract, skin, and possibly the respiratory tract. Here we report the identification of a new human polyomavirus in plucked facial spines of a heart transplant patient with trichodysplasia spinulosa, a rare skin disease exclusively seen in immunocompromized patients. The trichodysplasia spinulosa-associated polyomavirus (TSV) genome was amplified through rolling-circle amplification and consists of a 5232-nucleotide circular DNA organized similarly to known polyomaviruses. Two putative "early" (small and large T antigen) and three putative "late" (VP1, VP2, VP3) genes were identified. The TSV large T antigen contains several domains (e.g. J-domain) and motifs (e.g. HPDKGG, pRb family-binding, zinc finger) described for other polyomaviruses and potentially involved in cellular transformation. Phylogenetic analysis revealed a close relationship of TSV with the Bornean orangutan polyomavirus and, more distantly, the Merkel cell polyomavirus that is found integrated in Merkel cell carcinomas of the skin. The presence of TSV in the affected patient's skin was confirmed by newly designed quantitative TSV-specific PCR, indicative of a viral load of 10(5) copies per cell. After topical cidofovir treatment, the lesions largely resolved coinciding with a reduction in TSV load. PCR screening demonstrated a 4% prevalence of TSV in an unrelated group of immunosuppressed transplant recipients without apparent disease. In conclusion, a new human polyomavirus was discovered and identified as the possible cause of trichodysplasia spinulosa in immunocompromized patients. The presence of TSV also in clinically unaffected individuals suggests frequent virus transmission causing subclinical, probably latent infections. Further studies have to reveal the impact of TSV infection in relation to other populations and diseases.
format article
author Els van der Meijden
René W A Janssens
Chris Lauber
Jan Nico Bouwes Bavinck
Alexander E Gorbalenya
Mariet C W Feltkamp
author_facet Els van der Meijden
René W A Janssens
Chris Lauber
Jan Nico Bouwes Bavinck
Alexander E Gorbalenya
Mariet C W Feltkamp
author_sort Els van der Meijden
title Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
title_short Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
title_full Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
title_fullStr Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
title_full_unstemmed Discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
title_sort discovery of a new human polyomavirus associated with trichodysplasia spinulosa in an immunocompromized patient.
publisher Public Library of Science (PLoS)
publishDate 2010
url https://doaj.org/article/b755d805c3734ffd8835e612aa56993e
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