Persistent human herpesvirus-6 infection in patients with an inherited form of the virus

Human herpesvirus‐6 (HHV‐6)A and 6B are ubiquitous betaherpesviruses viruses with lymphotropic and neurotropic potential. As reported earlier, these viruses establish latency by integration into the telomeres of host chromosomes. Chromosomally integrated HHV‐6 (CIHHV‐6) can be transmitted vertically...

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Veröffentlicht in:Journal of medical virology 2013-11, Vol.85 (11), p.1940-1946
Hauptverfasser: Pantry, Shara N., Medveczky, Maria M., Arbuckle, Jesse H., Luka, Janos, Montoya, Jose G., Hu, Jianhong, Renne, Rolf, Peterson, Daniel, Pritchett, Joshua C., Ablashi, Dharam V., Medveczky, Peter G.
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container_end_page 1946
container_issue 11
container_start_page 1940
container_title Journal of medical virology
container_volume 85
creator Pantry, Shara N.
Medveczky, Maria M.
Arbuckle, Jesse H.
Luka, Janos
Montoya, Jose G.
Hu, Jianhong
Renne, Rolf
Peterson, Daniel
Pritchett, Joshua C.
Ablashi, Dharam V.
Medveczky, Peter G.
description Human herpesvirus‐6 (HHV‐6)A and 6B are ubiquitous betaherpesviruses viruses with lymphotropic and neurotropic potential. As reported earlier, these viruses establish latency by integration into the telomeres of host chromosomes. Chromosomally integrated HHV‐6 (CIHHV‐6) can be transmitted vertically from parent to child. Some CIHHV‐6 patients are suffering from neurological symptoms, while others remain asymptomatic. Four patients with CIHHV‐6 and CNS dysfunction were treated with valganciclovir or foscarnet. HHV‐6 replication was detected by reverse transcriptase polymerase chain reaction amplification of a late envelope glycoprotein. In this study we also compared the inherited and persistent HHV‐6 viruses by DNA sequencing. The prevalence of CIHHV‐6 in this cohort of adult patients from the USA suffering from a wide range of neurological symptoms including long‐term fatigue were found significantly greater than the reported 0.8% in the general population. Long‐term antiviral therapy inhibited HHV‐6 replication as documented by loss of viral mRNA production. Sequence comparison of the mRNA and the inherited viral genome revealed that the transcript is produced by an exogenous virus. In conclusion, the data presented here document that some individuals with CIHHV‐6 are infected persistently with exogenous HHV‐6 strains that lead to a wide range of neurological symptoms; the proposed name for this condition is inherited herpesvirus 6 syndrome or IHS. J Med. Virol. 85:1940–1946, 2013. © 2013 Wiley Periodicals, Inc.
doi_str_mv 10.1002/jmv.23685
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As reported earlier, these viruses establish latency by integration into the telomeres of host chromosomes. Chromosomally integrated HHV‐6 (CIHHV‐6) can be transmitted vertically from parent to child. Some CIHHV‐6 patients are suffering from neurological symptoms, while others remain asymptomatic. Four patients with CIHHV‐6 and CNS dysfunction were treated with valganciclovir or foscarnet. HHV‐6 replication was detected by reverse transcriptase polymerase chain reaction amplification of a late envelope glycoprotein. In this study we also compared the inherited and persistent HHV‐6 viruses by DNA sequencing. The prevalence of CIHHV‐6 in this cohort of adult patients from the USA suffering from a wide range of neurological symptoms including long‐term fatigue were found significantly greater than the reported 0.8% in the general population. Long‐term antiviral therapy inhibited HHV‐6 replication as documented by loss of viral mRNA production. Sequence comparison of the mRNA and the inherited viral genome revealed that the transcript is produced by an exogenous virus. In conclusion, the data presented here document that some individuals with CIHHV‐6 are infected persistently with exogenous HHV‐6 strains that lead to a wide range of neurological symptoms; the proposed name for this condition is inherited herpesvirus 6 syndrome or IHS. J Med. 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Med. Virol</addtitle><description>Human herpesvirus‐6 (HHV‐6)A and 6B are ubiquitous betaherpesviruses viruses with lymphotropic and neurotropic potential. As reported earlier, these viruses establish latency by integration into the telomeres of host chromosomes. Chromosomally integrated HHV‐6 (CIHHV‐6) can be transmitted vertically from parent to child. Some CIHHV‐6 patients are suffering from neurological symptoms, while others remain asymptomatic. Four patients with CIHHV‐6 and CNS dysfunction were treated with valganciclovir or foscarnet. HHV‐6 replication was detected by reverse transcriptase polymerase chain reaction amplification of a late envelope glycoprotein. In this study we also compared the inherited and persistent HHV‐6 viruses by DNA sequencing. 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Med. Virol</addtitle><date>2013-11</date><risdate>2013</risdate><volume>85</volume><issue>11</issue><spage>1940</spage><epage>1946</epage><pages>1940-1946</pages><issn>0146-6615</issn><eissn>1096-9071</eissn><coden>JMVIDB</coden><abstract>Human herpesvirus‐6 (HHV‐6)A and 6B are ubiquitous betaherpesviruses viruses with lymphotropic and neurotropic potential. As reported earlier, these viruses establish latency by integration into the telomeres of host chromosomes. Chromosomally integrated HHV‐6 (CIHHV‐6) can be transmitted vertically from parent to child. Some CIHHV‐6 patients are suffering from neurological symptoms, while others remain asymptomatic. Four patients with CIHHV‐6 and CNS dysfunction were treated with valganciclovir or foscarnet. HHV‐6 replication was detected by reverse transcriptase polymerase chain reaction amplification of a late envelope glycoprotein. In this study we also compared the inherited and persistent HHV‐6 viruses by DNA sequencing. 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subjects Adult
Antiviral Agents - administration & dosage
antiviral drug treatment
Biological and medical sciences
Central nervous system
chronic fatigue syndrome
Cohort Studies
DNA, Viral - genetics
Foscarnet - administration & dosage
Fundamental and applied biological sciences. Psychology
Ganciclovir - administration & dosage
Ganciclovir - analogs & derivatives
Herpesvirus
Herpesvirus 6, Human - isolation & purification
Herpesvirus 6, Human - physiology
HHV-6
human herpesvirus 6
Human viral diseases
Humans
Infectious Disease Transmission, Vertical
Infectious diseases
integration
Medical sciences
Microbiology
Miscellaneous
Prevalence
RNA, Viral - genetics
Roseolovirus Infections - epidemiology
Roseolovirus Infections - pathology
Roseolovirus Infections - transmission
Roseolovirus Infections - virology
Sequence Analysis, DNA
Treatment Outcome
United States - epidemiology
Viral diseases
Virology
Virus Replication - drug effects
title Persistent human herpesvirus-6 infection in patients with an inherited form of the virus
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