Evidence map›Paper›PMID 18989816›Full record

ArticleJournal of neurovirology2008

Rearrangement of the JC virus regulatory region sequence in the bone marrow of a patient with rheumatoid arthritis and progressive multifocal leukoencephalopathy.

Angela Marzocchetti, Christian Wuthrich, Chen S Tan, Troy Tompkins, Francisco Bernal-Cano, Parul Bhargava, Allan H Ropper, Igor J Koralnik

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of neurovirology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. [Progress on pathogenesis of progressive multifocal leukoence-phalopathy].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2018
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Inflammatory infratentorial progressive multifocal leukoencephalopathy in a patient with rheumatoid arthritis.Neuropathology : official journal of the Japanese Society of Neuropathology · 2014
    Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Angela MarzocchettiDivision of Viral Pathogenesis, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.
Christian Wuthrich
Chen S Tan
Troy Tompkins
Francisco Bernal-Cano
Parul Bhargava
Allan H Ropper
Igor J Koralnik
Beth Israel Deaconess Medical Center · USBrigham and Women's Hospital · US

Funding

INFECTIOUS DISEASE AND BASIC MICROBIOLOGICAL MECHANISMST32AI007061 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Marcia B Goldberg · 1985 to 2026
$12.1M
Role of Inflammation in Progressive Multifocal LeukoencephalopathyR01NS047029 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI KORALNIK, IGOR J. · 2004 to 2018
$6.4M
CELLULAR IMMUNITY TO JC VIRUS IN AIDS ASSOCIATED PMLR01NS041198 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KORALNIK, IGOR J. · 2001 to 2009
$3.3M
Translational applications of Progressive Multifocal Leukoencephalopathy studiesK24NS060950 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KORALNIK, IGOR J. · 2008 to 2012
$707k
FUNGAL PIGMENTATION AND TURGOR PRESSURE HUMAN MYCOSESR15AI041198 · NIAID · MIAMI UNIVERSITY OXFORD · PI MONEY, NICHOLAS P · 1997 to 1997
–
NIAID NIH HHS NS/AI 041198NIAID NIH HHS T32 AI007061NINDS NIH HHS K24 NS060950NINDS NIH HHS NS 047029NINDS NIH HHS R01 NS041198NINDS NIH HHS R01 NS047029
6 · The paper itself

Abstract

The polyomavirus JC (JCV) is the etiologic agent of progressive multifocal leukoencephalopathy (PML). JCV remains quiescent in kidneys, where it displays a stable archetypal regulatory region (RR). Conversely, rearranged JCV RR, including tandem repeat patterns found in the central nervous system (CNS) of PML patients, have been associated with neurovirulence. The precise site and mechanism of JCV RR transformation is unknown. We present herein a patient with rheumatoid arthritis treated with methotrexate, who developed PML and had a rapid fatal outcome. JCV DNA polymerase chain reaction (PCR) was positive in cerebrospinal fluid (CSF), bone marrow, blood, and urine. Double-immunohistochemical staining demonstrated that 9% of bone marrow CD138(+) plasma cells sustained productive infection by JCV, accounting for 94% of JCV-infected cells. JCV RR analysis revealed archetype and rearranged RR forms in bone marrow, whereas RR with tandem repeat was predominant in blood. These results suggest that the bone marrow may be a potential site of JCV pathogenic transformation. Further studies will be needed to determine the prevalence of JCV in bone marrow of immunosuppressed individuals at risk of PML and characterize the RR and phenotype of these JCV isolates.

Indexed as

AgedArthritis, RheumatoidBone MarrowBrainCerebrospinal FluidDNA, ViralGene RearrangementHumansJC VirusLeukoencephalopathy, Progressive MultifocalMagnetic Resonance ImagingMaleMolecular Sequence DataRegulatory Sequences, Nucleic AcidTandem Repeat SequencesDNA, Viral

Identifiers

PMID18989816
PMCPMC2643300
OpenAlexW1982242712

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.