Evidence map›Paper›PMID 32751274›Full record

ArticleViruses2020

Persistent BK Polyomavirus Viruria is Associated with Accumulation of VP1 Mutations and Neutralization Escape.

Dorian McIlroy, Mario Hönemann, Ngoc-Khanh Nguyen, Paul Barbier, Cécile Peltier, Audrey Rodallec, Franck Halary, Emilie Przyrowski, Uwe Liebert, Maryvonne Hourmant and 1 more

Abstract read
In one paragraph

Article in Viruses, 2020. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Urinary VP1 Flow Cytometry as a Complementary Approach for BK Polyomavirus Monitoring: A Proof-Of-Concept Study.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Observational
  4. Review
  5. Article
  6. Updates on Donor-Derived Infection in Solid Organ Transplantation, Report from the 2024 GTI (Infection and Transplantation Group) Annual Meeting.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
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  18. Article
  19. Review
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

11 authors.

Dorian McIlroyCentre de Recherche en Transplantation et Immunoologie (CRTI), UMR 1064, INSERM, Université de Nantes, 44093 Nantes, France.ORCID 0000-0002-3731-4017
Mario HönemannInstitut für Virologie, Universität Leipzig, 04103 Leipzig, Germany.
Ngoc-Khanh NguyenCentre de Recherche en Transplantation et Immunoologie (CRTI), UMR 1064, INSERM, Université de Nantes, 44093 Nantes, France.
Paul BarbierCentre de Recherche en Transplantation et Immunoologie (CRTI), UMR 1064, INSERM, Université de Nantes, 44093 Nantes, France.
Cécile PeltierCentre de Recherche en Transplantation et Immunoologie (CRTI), UMR 1064, INSERM, Université de Nantes, 44093 Nantes, France.
Audrey RodallecService de Virologie, CHU Nantes, 44093 Nantes, France.
Franck HalaryCentre de Recherche en Transplantation et Immunoologie (CRTI), UMR 1064, INSERM, Université de Nantes, 44093 Nantes, France.ORCID 0000-0003-0336-9615
Emilie PrzyrowskiService de Virologie, CHU Nantes, 44093 Nantes, France.
Uwe LiebertInstitut für Virologie, Universität Leipzig, 04103 Leipzig, Germany.ORCID 0000-0002-5129-0875
Maryvonne HourmantInstitut de Transplantation Urologie-Néphrologie (ITUN), CHU Nantes, 44093 Nantes, France.
Céline Bressollette-BodinCentre de Recherche en Transplantation et Immunoologie (CRTI), UMR 1064, INSERM, Université de Nantes, 44093 Nantes, France.ORCID 0000-0001-5175-0790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the relationship between neutralization escape and persistent high-level BK polyomavirus replication after kidney transplant (KTx), VP1 sequences were determined by Sanger and next-generation sequencing in longitudinal samples from KTx recipients with persistent high-level viruria (non-controllers) compared to patients who suppressed viruria (controllers). The infectivity and neutralization resistance of representative VP1 mutants were investigated using pseudotype viruses. In all patients, the virus population was initially dominated by wild-type VP1 sequences, then non-synonymous VP1 mutations accumulated over time in non-controllers. BC-loop mutations resulted in reduced infectivity in 293TT cells and conferred neutralization escape from cognate serum in five out of six non-controller patients studied. When taken as a group, non-controller sera were not more susceptible to neutralization escape than controller sera, so serological profiling cannot predict subsequent control of virus replication. However, at an individual level, in three non-controller patients the VP1 variants that emerged exploited specific "holes" in the patient's humoral response. Persistent high-level BK polyomavirus replication in KTx recipients is therefore associated with the accumulation of VP1 mutations that can confer resistance to neutralization, implying that future BKPyV therapies involving IVIG or monoclonal antibodies may be more effective when used as preventive or pre-emptive, rather than curative, strategies.

Indexed as

MutationAdultAgedAnimalsBK VirusCapsid ProteinsChlorocebus aethiopsFemaleHEK293 CellsHumansImmune EvasionKidney TransplantationLongitudinal StudiesMaleMiddle AgedNeutralization TestsCapsid ProteinsVP1 protein, polyomavirusimmunityneutralizationpolyomavirustransplantation

Identifiers

PMID32751274
PMCPMC7472262

What OpenQuestion holds

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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.