AI Article Synopsis

  • Progressive multifocal leukoencephalopathy (PML) is a rare neurological disorder caused by the reactivation of the JC polyomavirus (JCPyV).
  • The study focused on analyzing gene expression and viral changes in PML-affected brain tissue, highlighting how the virus infects specific brain cells like astrocytes and oligodendrocytes.
  • Findings indicated significant changes in human genes linked to neuroinflammation and neurodegenerative diseases, suggesting a strong immune response in the brains of PML patients.

Article Abstract

Progressive multifocal leukoencephalopathy (PML) is a rare neurological condition associated with reactivation of dormant JC polyomavirus (JCPyV). In this study, we characterized gene expression and JCPyV rearrangements in PML brain tissue. Infection of white matter astrocytes and oligodendrocytes as well as occasional brain cortex neurons was shown. PML brain harbored exclusively rearranged JCPyV variants. Viral transcripts covered the whole genome on both strands. Strong differential expression of human genes associated with neuroinflammation, blood-brain barrier permeability, and neurodegenerative diseases was shown. Pathway analysis revealed wide immune activation in PML brain. The study provides novel insights into the pathogenesis of PML.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11420775PMC
http://dx.doi.org/10.1093/infdis/jiae066DOI Listing

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Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system caused by JC virus (JCV) infection. Although recognized as an AIDS complication in the 1980s, PML has emerged as a serious adverse event of immunosuppressive therapies since 2005, particularly disease-modifying drugs (DMDs) for multiple sclerosis (MS). PML can also occur in patients with collagenous diseases receiving steroid therapy or with age-related immunosuppression.

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Background: Progressive multifocal leukoencephalopathy (PML) is a severe opportunistic brain disease caused by lytic JC polyomavirus (JCPyV) replication in oligodendrocytes. Although JCPyV infection is common in the general population, PML almost exclusively occurs in patients immunocompromised due to untreated HIV/AIDS, haematological malignancies, primary immunodeficiencies, solid organ transplantation, or immunomodulatory treatment of autoimmune diseases. There is no effective antiviral treatment, and recovery depends on immune reconstitution.

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