Human demyelinating disease and the polyomavirus JCV

Mult Scler. 2006 Apr;12(2):133-42. doi: 10.1191/135248506ms1264oa.

Abstract

Many human neurological diseases involve demyelination of the central and/or peripheral nervous systems. These include the hereditary leukodystrophies--which have a genetic basis; multiple sclerosis (MS)--where the underlying cause of demyelination remains unknown; and progressive multifocal leukoencephalopathy (PML)--where the etiology is well-established as being viral. The human neurotropic polyomavirus--JC virus (JCV)--is the etiologic agent of PML, a fatal demyelinating disease of the central nervous system that occurs mainly in immunosuppressed patients, especially those with HIV/AIDS. JCV belongs to the polyomavirus family of tumor viruses that are characterized by non-enveloped icosahedral capsids containing small, circular, double-stranded DNA genomes. Serological studies have shown that JCV is widespread throughout the human population, but infections are usually restricted by the immune system, particularly cell-mediated immunity, causing the virus to enter a latent phase. An important corollary of this is that situations of severe immunosuppression may permit JCV to replicate and are thus a risk factor for PML.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Demyelinating Diseases / virology*
  • Humans
  • JC Virus / classification
  • JC Virus / growth & development
  • JC Virus / isolation & purification*
  • Leukoencephalopathy, Progressive Multifocal / epidemiology
  • Models, Biological
  • Multiple Sclerosis / virology
  • Neoplasms / virology
  • Polyomavirus Infections / epidemiology