Evidence map›Paper›PMID 31600832›Full record

ArticleAnnals of neurology2019

Fatal encephalopathy with wild-type JC virus and ruxolitinib therapy.

Lauren Bowen Reoma, Christopher Julius Trindade, Maria Chiara Monaco, Jamie Solis, Marta Garcia Montojo, Phuong Vu, Kory Johnson, Erin Beck, Govind Nair, Omar I Khan and 5 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
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  4. JC Polyomavirus Infection: A Narrative Review.Infectious diseases and therapy · 2025
    Review
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  12. Clinical drug therapies and biologicals currently used or in clinical trial to treat COVID-19.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Lauren Bowen ReomaSections of Infections of the Nervous System, NIH National Institute of Neurological Disorders and Stroke (NINDS), Bethesda, MD.ORCID 0000-0001-6305-7723
Christopher Julius TrindadeExperimental Pathology Laboratory, Lab of Pathology, NIH National Cancer Institute (NCI), Bethesda, MD.
Maria Chiara MonacoLaboratory of Molecular Medicine and Neuroscience, NINDS, Bethesda, MD.
Jamie SolisSections of Infections of the Nervous System, NIH National Institute of Neurological Disorders and Stroke (NINDS), Bethesda, MD.
Marta Garcia MontojoSections of Infections of the Nervous System, NIH National Institute of Neurological Disorders and Stroke (NINDS), Bethesda, MD.
Phuong VuMedical Oncology Service, NCI, Bethesda, MD.
Kory JohnsonBioinformatics Section, NINDS, Bethesda, MD.
Erin BeckTranslational Neuroradiology Unit, NINDS, Bethesda, MD.
Govind NairTranslational Neuroradiology Unit, NINDS, Bethesda, MD.
Omar I KhanNeurology Consult Service, NINDS, Bethesda, MD.
Marta QuezadoSurgical Pathology, Lab of Pathology, NCI, Bethesda, MD.
Stephen M HewittExperimental Pathology Laboratory, Lab of Pathology, NIH National Cancer Institute (NCI), Bethesda, MD.
Daniel S ReichTranslational Neuroradiology Unit, NINDS, Bethesda, MD.
Richard ChildsMedical Oncology Service, NCI, Bethesda, MD.
Avindra NathSections of Infections of the Nervous System, NIH National Institute of Neurological Disorders and Stroke (NINDS), Bethesda, MD.ORCID 0000-0003-0927-5855
National Institutes of Health · USNational Institute of Neurological Disorders and Stroke · USMaryland Oncology Hematology · USCenter for Cancer Research · US

Funding

Experimental Pathology Laboratory (EPL)ZICBC011638 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HEWITT, STEPHEN · 2015 to 2025
$16.6M
Molecular Pathogenesis Of JC Virus & Progressive Multifocal LeukoencephalopathyZIANS001983 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2009 to 2015
$6.6M
Intramural NIH HHS ZIA NS001983Intramural NIH HHS ZIC BC011638Intramural NINDS N/ANIH
6 · The paper itself

Abstract

objectiveJC virus (JCV) infection is a lytic infection of oligodendrocytes in progressive multifocal leukoencephalopathy; less common forms of central nervous system manifestations associated with JCV infection include granule cell neuronopathy, encephalopathy, and meningitis. Presented is the first case of fatal JCV encephalopathy after immunosuppressive therapy that included ruxolitinib.

methodsPostmortem analysis included next generation sequencing, Sanger sequencing, tissue immunohistochemistry, and formalin-fixed hemisphere 7T magnetic resonance imaging.

resultsJCV DNA isolated from postmortem tissue samples identified a novel 12bp insertion that altered the transcription site binding pattern in an otherwise "wild-type virus," which has long been thought to be the nonpathogenic form of JCV. Anti-VP1 staining demonstrated infection in cortical neurons, hippocampal neurons, and glial and endothelial cells.

interpretationThis expands the spectrum of identified JCV diseases associated with broad-spectrum immunosuppression, including JAK-STAT inhibitors, and sheds light on an additional neurotropic virus strain of the archetype variety. ANN NEUROL 2019;86:878-884.

Indexed as

AdolescentBase SequenceBrain DiseasesFatal OutcomeFemaleHumansJanus KinasesJC VirusNitrilesPyrazolesPyrimidinesJanus KinasesNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID31600832
PMCPMC8189164
OpenAlexW2980145020

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.