Parvovirus B19 infection of bone marrow in systemic sclerosis patients

To investigate the prevalence of human parvovirus B19 (B19) infection in the bone marrow of systemic sclerosis (SSc) patients. Twenty-one consecutive SSc patients and 15 sex- and age-matched subjects without immunological rheumatic diseases were studied for: (i) the presence of circulating anti-B19...

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Veröffentlicht in:Clinical and experimental rheumatology 1999-11, Vol.17 (6), p.718-720
Hauptverfasser: FERRI, C, ZAKRZEWSKA, K, LONGOMBARDO, G, GIUGGIOLI, D, STORINO, F. A. A, PASERO, G, AZZI, A
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container_end_page 720
container_issue 6
container_start_page 718
container_title Clinical and experimental rheumatology
container_volume 17
creator FERRI, C
ZAKRZEWSKA, K
LONGOMBARDO, G
GIUGGIOLI, D
STORINO, F. A. A
PASERO, G
AZZI, A
description To investigate the prevalence of human parvovirus B19 (B19) infection in the bone marrow of systemic sclerosis (SSc) patients. Twenty-one consecutive SSc patients and 15 sex- and age-matched subjects without immunological rheumatic diseases were studied for: (i) the presence of circulating anti-B19 antibodies (anti-B19 IgG and IgM type and anti-B19 NS1 IgG) detected by means of standard methodologies, and (ii) B19 genomic sequences in sera and bone marrow biopsy specimens using a nested-PCR technique. The presence of B19 DNA was demonstrated in a significant percentage of bone marrow biopsies from SSc patients (12/21; 57%) and was never detected in the control group (p < 0.01). In no case was the B19 viremia observed, while serum anti-B19 NS1 antibodies, possible markers of B19 persistent infection, were more frequently detected in SSc patients than in controls (33% vs 13%). SSc patients with bone marrow B19 infection showed a shorter mean disease duration than B19-negative patients (5.6 +/- 4.2 vs 12.7 +/- 7.8 yrs; p < 0.01). This is the first demonstration of bone marrow B19 infection in a significant percentage of SSc patients. The possible etiopathogenetic role of B19 should be verified in a larger patients series and further investigated by means of molecular biology studies.
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In no case was the B19 viremia observed, while serum anti-B19 NS1 antibodies, possible markers of B19 persistent infection, were more frequently detected in SSc patients than in controls (33% vs 13%). SSc patients with bone marrow B19 infection showed a shorter mean disease duration than B19-negative patients (5.6 +/- 4.2 vs 12.7 +/- 7.8 yrs; p &lt; 0.01). This is the first demonstration of bone marrow B19 infection in a significant percentage of SSc patients. 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Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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A</au><au>PASERO, G</au><au>AZZI, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parvovirus B19 infection of bone marrow in systemic sclerosis patients</atitle><jtitle>Clinical and experimental rheumatology</jtitle><addtitle>Clin Exp Rheumatol</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>17</volume><issue>6</issue><spage>718</spage><epage>720</epage><pages>718-720</pages><issn>0392-856X</issn><eissn>1593-098X</eissn><abstract>To investigate the prevalence of human parvovirus B19 (B19) infection in the bone marrow of systemic sclerosis (SSc) patients. Twenty-one consecutive SSc patients and 15 sex- and age-matched subjects without immunological rheumatic diseases were studied for: (i) the presence of circulating anti-B19 antibodies (anti-B19 IgG and IgM type and anti-B19 NS1 IgG) detected by means of standard methodologies, and (ii) B19 genomic sequences in sera and bone marrow biopsy specimens using a nested-PCR technique. 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subjects Adult
Aged
Antibodies, Viral - blood
Biological and medical sciences
Bone Marrow - virology
Bone Marrow Diseases - blood
Bone Marrow Diseases - etiology
Bone Marrow Diseases - virology
DNA, Viral - analysis
Female
Humans
Immunoglobulin G - blood
Italy
Male
Medical sciences
Middle Aged
Parvoviridae Infections - blood
Parvoviridae Infections - etiology
Parvoviridae Infections - virology
Parvovirus B19, Human - genetics
Parvovirus B19, Human - immunology
Parvovirus B19, Human - isolation & purification
Polymerase Chain Reaction
Prevalence
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Scleroderma, Systemic - blood
Scleroderma, Systemic - complications
Scleroderma, Systemic - virology
title Parvovirus B19 infection of bone marrow in systemic sclerosis patients
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