title: Detection of JC virus DNA in the peripheral blood leukocytes of HIV-infected patients.
abstract: OBJECTIVE
  To assess whether JC virus (JCV) DNA is frequently harboured by peripheral blood leukocytes (PBL) in HIV-positive patients, before the onset of progressive multifocal leukoencephalopathy (PML).
  
  
  METHODS
  The polyomavirus JCV induces PML in immunocompromised persons and particularly AIDS patients. Leukocytes may play a central part in the onset of PML, but their precise role in JCV latency and reactivation still remains hypothetical. The controversial presence of JCV DNA in PBL has been, until now, investigated only among small groups of patients. We therefore studied 157 HIV-positive persons and compared them with 65 HIV-negative immunocompromised patients.
  
  
  METHODS
  DNA was extracted from PBL. The presence of JCV DNA was demonstrated by the polymerase chain reaction (PCR) alone or combined with a molecular hybridization assay. RESULTS. The presence of JCV DNA was ascertained by PCR and hybridization in 28.9% of 135 HIV-infected persons at all stages of HIV infection and only 16.4% of 61 HIV-negative immunocompromised patients. No correlation could be drawn between the detection of JCV DNA and the clinical or biological status of the HIV-positive patients.
  
  
  CONCLUSIONS
  JCV DNA is detectable in the PBL of 28.9% of HIV-infected persons, even in the early stages of infection. JCV is more seldomly amplified in HIV-negative immunocompromised patients. Further work is in progress to determine the prognostic value of the presence of JCV DNA in the blood of HIV-positive patients.
authors.affiliation: Department of Virology, Pellegrin Hospital, University of Bordeaux 2, France.
authors.forename: V
authors.initials: V
authors.lastname: Dubois
authors.forename: M E
authors.initials: ME
authors.lastname: Lafon
authors.forename: J M
authors.initials: JM
authors.lastname: Ragnaud
authors.forename: J L
authors.initials: JL
authors.lastname: Pellegrin
authors.forename: F
authors.initials: F
authors.lastname: Damasio
authors.forename: C
authors.initials: C
authors.lastname: Baudouin
authors.forename: V
authors.initials: V
authors.lastname: Michaud
authors.forename: H J
authors.initials: HJ
authors.lastname: Fleury
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001483:Base Sequence; D004279:DNA, Viral / Q000097:blood*; D015658:HIV Infections / Q000821:virology*; D006801:Humans; D016867:Immunocompromised Host; D007577:JC Virus / Q000302:isolation & purification*; D007962:Leukocytes / Q000821:virology*; D008875:Middle Aged; D008969:Molecular Sequence Data; D009693:Nucleic Acid Hybridization; D016133:Polymerase Chain Reaction / Q000379:methods; D012680:Sensitivity and Specificity
chemical_list: D004279:DNA, Viral