Abstract:
The correct diagnosis of progressive multifocal leukoencephalopathy (PML), a severe demyelinating disease caused from JC Virus, is of particular relevance in AIDS patients. For these reasons we set a Polymerase Chain Reaction (PCR) method to detect JCV DNA both in brain tissues collected at autopsy from 17 cases and in cerebrospinal fluid (CSF) and urine of 7 AIDS patients with different neurological symptoms, including a suspected PML case. The genomic region chosen for PCR belongs to the Large T antigen of JCV and contains a Bam HI site that is present only in JCV but not in BKV genome. JCV DNA has been detected in 7 (58.3%) paraffin-embedded, in 2 (66.6%) formalin-fixed, in 2 (100%) frozen tissues and in 2 (100%) frozen CSF. Regarding the 7 neurologically ill patients only one, presenting clinical and radiological PML signs, was positive both in CSF and urine for JCV DNA. Our results indicate that PCR is useful in the diagnosis of PML at autopsy but mainly that it is efficient, specific and practical for the correct diagnosis and follow-up of living AIDS patients.
Keywords: Autopsy AIDS-Related Opportunistic Infections/CEREBROSPINAL FLUID/ *DIAGNOSIS/URINE Brain/*MICROBIOLOGY DNA, Viral/*ANALYSIS/CEREBROSPINAL FLUID/URINE Follow-Up Studies Human Papovaviridae Infections/COMPLICATIONS/*DIAGNOSIS Polymerase Chain Reaction/*METHODS Polyomavirus hominis 2/*ISOLATION & PURIF Sensitivity and Specificity Tumor Virus Infections/COMPLICATIONS/*DIAGNOSIS ABSTRACT 941030
M94A0831
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