Polymorphisms of the Cytomegalovirus (CMV)–Encoded Tumor Necrosis Factor–α and β-Chemokine Receptors in Congenital CMV Disease

Some congenital cytomegalovirus (CMV) infections lead to neonatal disease, whereas others have no associated sequelae. To explore a possible role for viral genes as determinants of virulence, portions of the UL144 tumor necrosis factor (TNF)–α–like receptor gene, the US28 β-chemokine receptor gene,...

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Veröffentlicht in:The Journal of infectious diseases 2002-10, Vol.186 (8), p.1057-1064
Hauptverfasser: Arav-Boger, Ravit, Willoughby, Rodney E., Pass, Robert F., Zong, Jian-Chao, Jang, Won-Jong, Alcendor, Donald, Hayward, Gary S.
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container_end_page 1064
container_issue 8
container_start_page 1057
container_title The Journal of infectious diseases
container_volume 186
creator Arav-Boger, Ravit
Willoughby, Rodney E.
Pass, Robert F.
Zong, Jian-Chao
Jang, Won-Jong
Alcendor, Donald
Hayward, Gary S.
description Some congenital cytomegalovirus (CMV) infections lead to neonatal disease, whereas others have no associated sequelae. To explore a possible role for viral genes as determinants of virulence, portions of the UL144 tumor necrosis factor (TNF)–α–like receptor gene, the US28 β-chemokine receptor gene, and the UL55 envelope glycoprotein B gene from 33 patients with congenital CMV infection were sequenced. Three major UL144 subtypes (A, B, and C) and 2 recombinants (A/C and A/B) were detected. Infection with the least common UL144 subtypes (A, C, A/C, and A/B) was associated with unfavorable disease outcome (P=.04). There was no association between specific subtypes of the US28 and UL55 genes and outcome (P=.864 and P=.765, respectively). Multiple genotypes (implying multiple infections) were detected in tissues from 8 of 10 autopsies. Therefore, polymorphism in the CMV-encoded TNF-α–like receptor appears to be associated with congenital CMV disease. Other CMV polymorphisms should be further evaluated for potential relevance to neonatal infection, transplantation, and acquired immunodeficiency syndrome–associated CMV diseases
doi_str_mv 10.1086/344238
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To explore a possible role for viral genes as determinants of virulence, portions of the UL144 tumor necrosis factor (TNF)–α–like receptor gene, the US28 β-chemokine receptor gene, and the UL55 envelope glycoprotein B gene from 33 patients with congenital CMV infection were sequenced. Three major UL144 subtypes (A, B, and C) and 2 recombinants (A/C and A/B) were detected. Infection with the least common UL144 subtypes (A, C, A/C, and A/B) was associated with unfavorable disease outcome (P=.04). There was no association between specific subtypes of the US28 and UL55 genes and outcome (P=.864 and P=.765, respectively). Multiple genotypes (implying multiple infections) were detected in tissues from 8 of 10 autopsies. Therefore, polymorphism in the CMV-encoded TNF-α–like receptor appears to be associated with congenital CMV disease. Other CMV polymorphisms should be further evaluated for potential relevance to neonatal infection, transplantation, and acquired immunodeficiency syndrome–associated CMV diseases</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>12355354</pmid><doi>10.1086/344238</doi><tpages>8</tpages></addata></record>
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subjects Amino Acid Sequence
Autopsies
Biological and medical sciences
Cytomegalovirus
Cytomegalovirus - genetics
Cytomegalovirus - pathogenicity
Cytomegalovirus infections
Cytomegalovirus Infections - congenital
Cytomegalovirus Infections - mortality
Cytomegalovirus Infections - transmission
Cytomegalovirus Infections - virology
DNA
Female
Fetus
Genes, Viral - genetics
Genotype
Genotypes
Human viral diseases
Humans
Infant, Newborn
Infant, Newborn, Diseases - mortality
Infant, Newborn, Diseases - virology
Infants
Infections
Infectious Disease Transmission, Vertical
Infectious diseases
Major Articles
Medical sciences
Membrane Glycoproteins - chemistry
Membrane Glycoproteins - genetics
Miscellaneous
Molecular Sequence Data
Phylogeny
Polymerase Chain Reaction
Polymorphism, Genetic - genetics
Pregnancy
Receptors, Chemokine - chemistry
Receptors, Chemokine - genetics
Receptors, Tumor Necrosis Factor - chemistry
Receptors, Tumor Necrosis Factor - genetics
Tissue samples
Viral diseases
Viral Proteins - chemistry
Viral Proteins - genetics
Virulence
title Polymorphisms of the Cytomegalovirus (CMV)–Encoded Tumor Necrosis Factor–α and β-Chemokine Receptors in Congenital CMV Disease
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