BK virus, a double-stranded DNA virus, is a member of the Polyomaviridae family which is known to infect humans. Clinical evidence of disease is mostly encountered in immunosuppressed individuals such as AIDS patients or those who undergo renal or bone marrow transplantation where complications associated with BKV infection manifest commonly as a polyomavirus nephropathy or hemorrhagic cystitis, respectively. Recent evidence suggests that in addition to the JC virus (the other member of the same family known to be strongly neurotropic and responsible for the progressive multifocal leukoencephalopathy), BK virus can infect and cause clinically relevant disease in the human central nervous system. In this mini-review, an analysis of the literature is made. A special focus is given to alert clinicians to the possibility of this association during the differential diagnosis of infections of the central nervous system in the immunocompromised host.
Journal Information
Vol. 15. Issue 3.
Pages 276-284 (May - June 2011)
Vol. 15. Issue 3.
Pages 276-284 (May - June 2011)
Open Access
Polyoma BK virus: an emerging opportunistic infectious agent of the human central nervous system
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Rodrigo Lopes da Silva
Corresponding author
ronolosi@gmail.com
Hospital Santo António dos Capuchos – CHLC, Alameda Santo António dos Capuchos, 1169-050 Lisbon, Portugal.
Hospital Santo António dos Capuchos – CHLC, Alameda Santo António dos Capuchos, 1169-050 Lisbon, Portugal.
Hospital Santo António dos Capuchos - CHLC, Lisbon, Portugal
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Article information
Abstract
Keywords:
BK virus
bone marrow transplantation
AIDS-related opportunistic infections
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References
[1.]
M.D. Reploeg, G.A. Storch, D.B. Clifford.
BK virus: a clinical review.
Clin Infect Dis, 33 (2001), pp. 191-202
[2.]
H.H. Hirsch.
BK virus: opportunity makes a pathogen.
Clin Infect Dis, 41 (2005), pp. 60-354
[3.]
M. Jiang, J.R. Abend, S.F. Johnson, M.J. Imperiale.
The role of polyomaviruses in human disease.
Virology, 384 (2009), pp. 73-266
[4.]
R. Boothpur, D.C. Brennan.
Human polyoma viruses and disease with emphasis on clinical BK and JC.
J Clin Virol, 47 (2010), pp. 12-306
[5.]
L. Vago, P. Cinque, E. Sala, et al.
JCV-DNA and BKV-DNA in the CNS tissue and CSF of AIDS patients and normal subjects.Study of 41 cases and review of the literature.
J Acquir Immune Def Syndr Hum Retrovirol, 12 (1996), pp. 46-139
[6.]
A. Vallbracht, J. Löhler, J. Gossmann, et al.
Disseminated BK type polyomavirus infection in an AIDS patient associated with central nervous system disease.
Am J Pathol, 143 (1993), pp. 29-39
[7.]
R. Voltz, G. Jäger, K. Seelos, L. Fuhry, R. Hohlfeld.
BK virus encephalitis in an immunocompetent patient.
Arch Neurol, 53 (1996), pp. 3-101
[8.]
G. Bratt, A.L. Hammarin, M. Grandien, et al.
BK virus as the cause of meningoencephalitis, retinitis and nephritis in a patient with AIDS.
AIDS, 13 (1999), pp. 5-1071
[9.]
B.G. Hedquist, G. Bratt, A.L. Hammarin, et al.
Identification of BK virus in a patient with acquired immune deficiency syndrome and bilateral atypical retinitis.
Ophthalmology, 106 (1999), pp. 32-129
[10.]
P. Lesprit, D. Chaline-Lehmann, F.J. Authier, T. Ponnelle, F. Gray, Y. Levy.
BK virus encephalitis in a patient with AIDS and lymphoma.
AIDS, 15 (2001), pp. 9-1196
[11.]
G.L. Stoner, R. Alappan, D.V. Jobes, C.F. Ryschkewitsch, M.L. Landry.
BK virus regulatory region rearrangements in brain and cerebrospinal fluid from a leukemia patient with tubulointerstitial nephritis and meningoencephalitis.
Am J Kidney Dis, 39 (2002), pp. 12-1102
[12.]
P.L. Garavelli, R. Boldorini.
BK virus encephalitis in an HIV-seropositive patient Preliminary data.
Recenti Prog Med, 93 (2002), pp. 247
[13.]
G.E. Jørgensen, A.L. Hammarin, G. Bratt, M. Grandien, T. Flaegstad, J.I. Johnsen.
Identification of a unique BK virus variant in the CNS of a patient with AIDS.
J Med Virol, 70 (2003), pp. 9-14
[14.]
A. Behzad-Behbahani, P.E. Klapper, P.J. Vallely, G.M. Cleator.
Bonington A BKV DNA and JCV-DNA in CSF of patients with suspected meningitis or encephalitis.
Infection, 31 (2003), pp. 8-374
[15.]
A. Behzad-Behbahani, P.E. Klapper, P.J. Vallely, G.M. Cleator.
BK virus DNA in CSF of immunocompetent and immunocompromised patients.
Arch Dis Child, 88 (2003), pp. 5-174
[16.]
J.K. Hix, W.E. Braun, C.M. Isada.
Delirium in a renal transplant recipient associated with BK virus in the cerebrospinal fluid.
Transplantation, 78 (2004), pp. 8-1407
[17.]
L. Cabrejo, M. Diop, A. Blohorn-Sense, B. Mihout.
Progressive BK virus associated multifocal leukoencephalopathy in an immunocompromised patient treated with corticosteroids.
Revue Neurologique, 161 (2005), pp. 30-326
[18.]
D.P. Friedman, A.E. Flanders.
MR Imaging of BK virus encephalitis.
AJNR Am J Neuroradiol, 27 (2006), pp. 8-1016
[19.]
J.E. Vidal, M.C. Fink, F. Cedeno-Laurent, et al.
BK virus associated Meningoencephalitis in na AIDS patient treated with HAART.
AIDS Res Therapy, 4 (2007), pp. 13
[20.]
A. Ferrari, M. Luppi, R. Marasca, et al.
BK virus infection and neurologic dysfunctions in a patient with lymphoma treated with chemotherapy and rituximab.
Eur J Haematol, 81 (2008), pp. 5-244
[21.]
G. Behre, M. Becker, M. Christopeit.
BK virus encephalitis in an allogeneic hematopoietic stem cell recipient.
Bone Marrow Transplant, 42 (2008), pp. 499
[22.]
A.N. Kinnaird, G.M. Anstead.
Hemorrhagic cystitis and possible neurologic disease from BK virus infection in a patient with AIDS.
Infection, 38 (2010), pp. 7-124
[23.]
R. Lopes da Silva, I. Ferreira, G. Teixeira, et al.
BK virus encephalitis with thrombotic microangiopathy in an allogeneic hematopoietic stem cell transplant recipient.
Transpl Infect Dis, 13 (2010), pp. 7-161
[24.]
H. Moret, M. Guichard, S. Matheron, et al.
Virologic diagnosis of progressive multifocal leukoencephalopathy: detection of JC Virus DNA in cerebrospinal fluid and brain tissue of AIDS patients.
J Clin Microbiol, 31 (1993), pp. 3-3310
[25.]
M. De Mattei, F. Martini, M. Tognon, et al.
Polyomavirus latency and human tumors.
J Infect Dis, 169 (1994), pp. 6-1175
[26.]
M. De Mattei, F. Martini, A. Corallini, et al.
High incidence of BK virus large-T-antigen-coding sequences in normal human tissues and tumors of different histotypes.
Int J Cancer, 61 (1995), pp. 60-756
[27.]
C. Elsner, K. Dorries.
Evidence of human polyomavirus BK and JC infection in normal brain tissue.
Virology, 191 (1992), pp. 72-80
[28.]
K. Dorries.
Molecular biology and pathogenesis of human polyomavirus infections.
Dev Biol Stand, 94 (1998), pp. 9-71
[29.]
P.M. Chesters, J. Heritage, D.J. McCance.
Persistence of DNA sequences of BK virus and JC virus in normal human tissues and in diseased tissues.
J Infect Dis, 147 (1983), pp. 84-676
[30.]
F.A. White III, M. Ishaq, G.L. Stoner, et al.
JC virus DNA is present in many human brain samples from patients without progressive multifocal leukoencephalopathy.
J Virol, 66 (1992), pp. 34-5726
[31.]
P. Ferrante, R. Caldarelli-Stefano, E. Omodeo-Zorini, et al.
PCR detection of JC virus DNA in brain tissue from patients with and without progressive multifocal leukoencephalopathy.
J Med Virol, 47 (1995), pp. 25-219
[32.]
C.J. Perrons, J.D. Fox, S.B. Lucas, et al.
Detection of polyomaviral DNA in clinical samples from immunocompromised patients: correlation with clinical disease.
J Infect, 32 (1996), pp. 9-205
[33.]
K. Dorries, E. Vogel, S. Gunther, et al.
Infection of human polyomaviruses JC and BK in peripheral blood leukocytes from immunocompetent individuals.
Virology, 198 (1994), pp. 59-70
[34.]
A. Sundsfjord, T. Flaegstad, R. Flo, et al.
BK and JC viruses in human immunodeficiency virus type 1-infected persons: prevalence, excretion, viremia, and viral regulatory regions.
J Infect Dis, 169 (1994), pp. 90-485
[35.]
R. De Santis, A. Azzi.
Duplex polymerase chain reaction for the simultaneous detection of the human polyomavirus BK and JC DNA.
Mol Cell Probes, 10 (1996), pp. 30-325
[36.]
C. Hanssen Rinaldo, H. Hansen, T. Traavik.
Human endothelial cells allow passage of an archetypal BK virus (BKV) strain--a tool for cultivation and functional studies of natural BKV strains.
Arch Virol, 150 (2005), pp. 58-1449
[37.]
W. Siegert.
Treatment of BK virus-associated hemorrhagic cystitis and simultaneous CMV reactivation with cidofovir.
Bone Marrow Transplant, 26 (2000), pp. 50-347
[38.]
M.I. González-Fraile, C. Cañizo, D. Caballero, et al.
Cidofovir treatment of human polyomavirus-associated acute haemorrhagic cystitis.
Transpl. Infect Dis, 3 (2001), pp. 44-46
[39.]
D.H. Barouch, W.C. Faquin, Y. Chen, I.J. Koralnik, G.K. Robbins, B.T. Davis.
BK virus-associated hemorrhagic cystitis in a human immunodeficiency virus-infected patient.
Clin Infect Dis, 35 (2002), pp. 9-326
[40.]
N. Ganguly, L.A. Clough, L.K. Dubois, et al.
Low-dose cidofovir in the treatment of symptomatic BK virus infection in patients undergoing allogeneic hematopoietic stem cell transplantation: a retrospective analysis of an algorithmic approach.
Transpl Infect Dis, 12 (2010), pp. 11-406
[41.]
N. Pallet, M. Burgard, O. Quamouss, et al.
Cidofovir may be deleterious in BK virus-associated nephropathy.
Transplantation, 89 (2010), pp. 4-1542
[42.]
J.K. Wu, M.T. Harris.
Use of leflunomide in the treatment of polyomavirus BK-associated nephropathy.
Ann Pharmacother, 42 (2008), pp. 85-1679
[43.]
C.E. Araya, E.H. Garin, R.E. Neiberger, V.R. Dharnidharka.
Leflunomide therapy for BK virus allograft nephropathy in pediatric and young adult kidney transplant recipients.
Pediatr Transplant, 14 (2010), pp. 50-145
[44.]
A.Y. Leung, M.T. Chan, K.Y. Yuen, et al.
Ciprofloxacin decreased polyoma BK virus load in patients who underwent allogeneic hematopoietic stem cell transplantation.
Clin Infect Dis, 40 (2005), pp. 37-528
[45.]
M. Koukoulaki, T. Apostolou, V. Hadjiconstantinou, S. Drakopoulos.
Impact of prophylactic administration of ciprofloxacin on BK polyoma virus replication.
Transpl Infect Dis, 10 (2008), pp. 51-449
[46.]
S. Gabardi, S.S. Waikar, S. Martin, et al.
Evaluation of fluoroquinolones for the prevention of BK viremia after renal transplantation.
Clin J Am Soc Nephrol, 5 (2010), pp. 304-1298
[47.]
P.S. Randhawa, N.A. Farasati, Y. Huang, M.Y. Mapara, R. Shapiro.
Viral drug sensitivity testing using quantitative PCR: effect of tyrosine kinase inhibitors on polyomavirus BK replication.
Am J Clin Pathol, 134 (2010), pp. 20-916
[48.]
L.K. Dropulic, J.I. Cohen.
Update on new antivirals under development for the treatment of double-stranded DNA virus infections.
Clin Pharmacol Ther, 88 (2010), pp. 9-610
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