VZV in biopsy-positive and -negative giant cell arteritis: Analysis of 100+ temporal arteries.

Neurol Neuroimmunol Neuroinflamm

University of Colorado School of Medicine (D.G., T.W., N.K., M.A.N.), Aurora; and East Carolina University (P.J.B.), Greenville, NC.

Published: April 2016

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4794807PMC
http://dx.doi.org/10.1212/NXI.0000000000000216DOI Listing

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From the Department of Neurology (A.N.B., T.M., J.E.H., C.S.N., C.N.C., A.M.B., P.S.S., R.J.C., R.M., M.A.N.), University of Colorado School of Medicine, Aurora; Department of Medical Laboratory Sciences (M.M., S.E.F.), University of Vermont, Burlington; Department of Ophthalmology (P.S.S., M.A.N.), University of Colorado School of Medicine, Aurora; Department of Neurosurgery (P.S.S.), University of Colorado School of Medicine, Aurora; and Department of Immunology and Microbiology (R.J.C.), University of Colorado School of Medicine, Aurora.

Background And Objectives: Varicella zoster virus (VZV) antigen has been detected in temporal arteries (TAs) of individuals with giant cell arteritis (GCA), the most common systemic vasculitis in older adults. Thus, we explored the contribution of VZV to GCA pathogenesis.

Methods: Formalin-fixed, paraffin-embedded TA sections from biopsy-positive GCA participants with VZV antigen (GCA/VZV-positive; n = 20) and without (GCA/VZV-negative, n = 20) and from normal participants with VZV antigen (control/VZV-positive, n = 11) and without (control/VZV-negative, n = 20) were analyzed by targeted RNA sequencing of the whole human transcriptome (BioSpyder TempO-Seq).

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Objectives: There is uncertainty if varicella zoster virus (VZV) triggers GCA. This is based on discordant reports of VZV detection in GCA temporal artery biopsies. We conducted a multimodal evaluation for VZV in the inception Giant Cell Arteritis and PET Scan (GAPS) cohort.

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Article Synopsis
  • Giant cell arteritis (GCA) is the most common type of systemic vasculitis in older adults, diagnosed through temporal artery biopsy, which often yields negative results despite the condition's progression in some patients.
  • A study analyzed varicella-zoster virus (VZV) infection in temporal arteries (TAs) from patients suspected of having GCA but with negative biopsy results, as well as normal TAs from age-matched individuals.
  • The findings showed a significantly higher presence of VZV antigen in GCA-negative (64%) and GCA-positive (73%) TAs compared to normal TAs (22%), suggesting a potential link between VZV infection and GCA pathology.
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Background: Erythema multiforme (EM) is a vesiculobullous disorder with variable manifestations which predominantly affects the skin. It is regarded as a hypersensitivity disorder which is triggered by multiple factors such as infection, drugs and food. Varicella zoster virus (VZV) has rarely been reported as an etiological agent, despite its high incidence as a pathogen in childhood.

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