Molecular characterisation of virus in the brains of patients with measles inclusion body encephalitis (MIBE)

BACKGROUND: During 2009/10 a major measles epidemic caused by genotype B3 occurred in South Africa. Measles inclusion body encephalitis (MIBE) was diagnosed in a number of highly immuno-compromised HIV patients. The diagnosis was based on typical clinical and MRI findings and positive measles virus...

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Veröffentlicht in:Virology journal 2013-09, Vol.10 (1), p.283-283, Article 283
Hauptverfasser: Hardie, Diana R, Albertyn, Christine, Heckmann, Jeannine M, Smuts, Heidi EM
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Albertyn, Christine
Heckmann, Jeannine M
Smuts, Heidi EM
description BACKGROUND: During 2009/10 a major measles epidemic caused by genotype B3 occurred in South Africa. Measles inclusion body encephalitis (MIBE) was diagnosed in a number of highly immuno-compromised HIV patients. The diagnosis was based on typical clinical and MRI findings and positive measles virus PCR in brain or CSF. To characterize the brain virus, nucleoprotein, matrix, fusion and haemagglutinin genes from 4 cases was compared with virus from acutely infected patients. METHODS: cDNA was synthesized using random primers and viral genes were amplified by nested RT-PCR. PCR products were sequenced in the forward and reverse direction and a contig of each gene was created. Sequences were aligned with reference sequences from GenBank and other local sequences. RESULTS: Brain virus was very similar to the South African epidemic virus. Features characteristic of persistent measles virus in the brain were absent. Mutation frequency in brain virus was similar to epidemic virus and had the same substitution preference (U to C and C to U). The virus of 2 patients had the same L454W mutation in the fusion protein. CONCLUSION: The brain virus was very similar to the epidemic strain. The relatively few mutations probably reflect the short time from infection to brain disease in these highly immuno-compromised patients.
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Measles inclusion body encephalitis (MIBE) was diagnosed in a number of highly immuno-compromised HIV patients. The diagnosis was based on typical clinical and MRI findings and positive measles virus PCR in brain or CSF. To characterize the brain virus, nucleoprotein, matrix, fusion and haemagglutinin genes from 4 cases was compared with virus from acutely infected patients. METHODS: cDNA was synthesized using random primers and viral genes were amplified by nested RT-PCR. PCR products were sequenced in the forward and reverse direction and a contig of each gene was created. Sequences were aligned with reference sequences from GenBank and other local sequences. RESULTS: Brain virus was very similar to the South African epidemic virus. Features characteristic of persistent measles virus in the brain were absent. Mutation frequency in brain virus was similar to epidemic virus and had the same substitution preference (U to C and C to U). The virus of 2 patients had the same L454W mutation in the fusion protein. CONCLUSION: The brain virus was very similar to the epidemic strain. 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Measles inclusion body encephalitis (MIBE) was diagnosed in a number of highly immuno-compromised HIV patients. The diagnosis was based on typical clinical and MRI findings and positive measles virus PCR in brain or CSF. To characterize the brain virus, nucleoprotein, matrix, fusion and haemagglutinin genes from 4 cases was compared with virus from acutely infected patients. METHODS: cDNA was synthesized using random primers and viral genes were amplified by nested RT-PCR. PCR products were sequenced in the forward and reverse direction and a contig of each gene was created. Sequences were aligned with reference sequences from GenBank and other local sequences. RESULTS: Brain virus was very similar to the South African epidemic virus. Features characteristic of persistent measles virus in the brain were absent. Mutation frequency in brain virus was similar to epidemic virus and had the same substitution preference (U to C and C to U). The virus of 2 patients had the same L454W mutation in the fusion protein. CONCLUSION: The brain virus was very similar to the epidemic strain. 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purification</topic><topic>Molecular Sequence Data</topic><topic>mutation</topic><topic>Mutation Rate</topic><topic>nucleoproteins</topic><topic>Patients</topic><topic>Phylogenetics</topic><topic>Phylogeny</topic><topic>Physiological aspects</topic><topic>Point Mutation</topic><topic>Polymerase Chain Reaction</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>RNA, Viral - genetics</topic><topic>Sequence Alignment</topic><topic>Sequence Analysis, DNA</topic><topic>South Africa</topic><topic>Subacute sclerosing panencephalitis</topic><topic>Subacute Sclerosing Panencephalitis - virology</topic><topic>Trees</topic><topic>Values</topic><topic>Viral Proteins - genetics</topic><topic>viruses</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hardie, Diana R</creatorcontrib><creatorcontrib>Albertyn, Christine</creatorcontrib><creatorcontrib>Heckmann, Jeannine M</creatorcontrib><creatorcontrib>Smuts, Heidi EM</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; 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Measles inclusion body encephalitis (MIBE) was diagnosed in a number of highly immuno-compromised HIV patients. The diagnosis was based on typical clinical and MRI findings and positive measles virus PCR in brain or CSF. To characterize the brain virus, nucleoprotein, matrix, fusion and haemagglutinin genes from 4 cases was compared with virus from acutely infected patients. METHODS: cDNA was synthesized using random primers and viral genes were amplified by nested RT-PCR. PCR products were sequenced in the forward and reverse direction and a contig of each gene was created. Sequences were aligned with reference sequences from GenBank and other local sequences. RESULTS: Brain virus was very similar to the South African epidemic virus. Features characteristic of persistent measles virus in the brain were absent. Mutation frequency in brain virus was similar to epidemic virus and had the same substitution preference (U to C and C to U). The virus of 2 patients had the same L454W mutation in the fusion protein. CONCLUSION: The brain virus was very similar to the epidemic strain. The relatively few mutations probably reflect the short time from infection to brain disease in these highly immuno-compromised patients.</abstract><cop>England</cop><pub>Springer-Verlag</pub><pmid>24025157</pmid><doi>10.1186/1743-422X-10-283</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Brain
Brain - virology
Brain research
Children & youth
Cluster Analysis
Colleges & universities
complementary DNA
Complications and side effects
encephalitis
Female
Genes
Genetic aspects
genetic databases
genotype
Genotype & phenotype
Health aspects
hemagglutinins
HIV
HIV (Viruses)
HIV patients
Human immunodeficiency virus
Humans
magnetic resonance imaging
Male
Measles
Measles morbillivirus
Measles virus
Measles virus - genetics
Measles virus - isolation & purification
Molecular Sequence Data
mutation
Mutation Rate
nucleoproteins
Patients
Phylogenetics
Phylogeny
Physiological aspects
Point Mutation
Polymerase Chain Reaction
Reverse Transcriptase Polymerase Chain Reaction
RNA, Viral - genetics
Sequence Alignment
Sequence Analysis, DNA
South Africa
Subacute sclerosing panencephalitis
Subacute Sclerosing Panencephalitis - virology
Trees
Values
Viral Proteins - genetics
viruses
Young Adult
title Molecular characterisation of virus in the brains of patients with measles inclusion body encephalitis (MIBE)
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