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肾移植受者JC病毒感染综述。

A review on JC virus infection in kidney transplant recipients.

作者信息

Delbue Serena, Ferraresso Mariano, Ghio Luciana, Carloni Camilla, Carluccio Silvia, Belingheri Mirco, Edefonti Alberto, Ferrante Pasquale

机构信息

Laboratory of Translational Research, Health Science Foundation "Ettore Sansavini", Corso Garibaldi 11, 48022 Lugo, Italy.

出版信息

Clin Dev Immunol. 2013;2013:926391. doi: 10.1155/2013/926391. Epub 2013 Jan 29.

DOI:10.1155/2013/926391
PMID:23424601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3569895/
Abstract

The polyomavirus (PyV), JC virus (JCV), is a small nonenveloped DNA virus that asymptomatically infects about 80% of healthy adults and establishes latency in the kidney tissue. In case of immunodeficient hosts, JCV can lytically infect the oligodendrocytes, causing a fatal demyelinating disease, known as progressive multifocal leukoencephalopathy (PML). Although the reactivation of another human PyV, BK virus (BKV), is relatively common and its association with the polyomavirus associated nephropathy (PyVAN) following renal transplantation is proven, JCV replication and its impact on graft function and survival are less well studied. Here we describe the biology of JCV and its pathological features and we review the literature regarding the JCV infection analyzed in the setting of transplantations.

摘要

多瘤病毒(PyV)中的JC病毒(JCV)是一种小型无包膜DNA病毒,约80%的健康成年人会被其无症状感染,并在肾脏组织中建立潜伏感染。在免疫缺陷宿主中,JCV可裂解性感染少突胶质细胞,引发一种致命的脱髓鞘疾病,即进行性多灶性白质脑病(PML)。尽管另一种人类多瘤病毒BK病毒(BKV)的再激活相对常见,且已证实其与肾移植后多瘤病毒相关性肾病(PyVAN)有关,但JCV的复制及其对移植肾功能和存活的影响研究较少。在此,我们描述JCV的生物学特性及其病理特征,并回顾在移植背景下分析JCV感染的相关文献。

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A review on JC virus infection in kidney transplant recipients.肾移植受者JC病毒感染综述。
Clin Dev Immunol. 2013;2013:926391. doi: 10.1155/2013/926391. Epub 2013 Jan 29.
2
JC virus: an oncogenic virus in animals and humans?JC病毒:一种存在于动物和人类中的致癌病毒?
Semin Cancer Biol. 2009 Aug;19(4):261-9. doi: 10.1016/j.semcancer.2009.02.013. Epub 2009 Feb 24.
3
Cellular immunotherapy for patients with reactivation of JC and BK polyomaviruses after transplantation.移植后JC和BK多瘤病毒再激活患者的细胞免疫疗法。
Cytotherapy. 2014 Oct;16(10):1325-35. doi: 10.1016/j.jcyt.2014.04.003. Epub 2014 Jun 13.
4
BKV and JCV large T antigen-specific CD8+ T cell response in HLA A*0201+ kidney transplant recipients with polyomavirus nephropathy and patients with progressive multifocal leukoencephalopathy.在患有多瘤病毒肾病的 HLA A*0201+ 肾移植受者和进行性多灶性白质脑病患者中 BK 病毒和 JC 病毒大 T 抗原特异性 CD8+ T 细胞反应
J Clin Virol. 2008 Jun;42(2):198-202. doi: 10.1016/j.jcv.2008.01.005. Epub 2008 Mar 4.
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Immunosuppression increases JC polyomavirus large T antigen DNA load in the brains of patients without progressive multifocal leukoencephalopathy.免疫抑制会增加无进行性多灶性白质脑病患者大脑中的 JC 多瘤病毒大 T 抗原 DNA 载量。
J Infect Dis. 2013 Jan 1;207(1):133-6. doi: 10.1093/infdis/jis668. Epub 2012 Oct 30.
6
Polyomavirus BK versus JC replication and nephropathy in renal transplant recipients: a prospective evaluation.肾移植受者中多瘤病毒BK与JC的复制及肾病:一项前瞻性评估
Transplantation. 2007 Aug 15;84(3):323-30. doi: 10.1097/01.tp.0000269706.59977.a5.
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History and current concepts in the pathogenesis of PML.原发性中枢神经系统淋巴瘤的发病机制的历史和当前概念。
Cleve Clin J Med. 2011 Nov;78 Suppl 2:S3-7. doi: 10.3949/ccjm.78.s2.02.
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Presence and expression of JCV early gene large T Antigen in the brains of immunocompromised and immunocompetent individuals.免疫功能低下和免疫功能正常个体大脑中JC病毒早期基因大T抗原的存在与表达。
J Med Virol. 2008 Dec;80(12):2147-52. doi: 10.1002/jmv.21313.
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New JC virus infection patterns by in situ polymerase chain reaction in brains of acquired immunodeficiency syndrome patients with progressive multifocal leukoencephalopathy.采用原位聚合酶链反应检测获得性免疫缺陷综合征合并进行性多灶性白质脑病患者脑内新型JC病毒感染模式
J Neurovirol. 2004 Feb;10(1):1-11. doi: 10.1080/13550280490269691.
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Progressive multifocal leukoencephalopathy with gastrointestinal disease in a pediatric kidney transplant recipient.一名小儿肾移植受者发生的合并胃肠道疾病的进行性多灶性白质脑病。
Pediatr Transplant. 2013 Aug;17(5):E119-24. doi: 10.1111/petr.12107.

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J Neurovirol. 2025 May 12. doi: 10.1007/s13365-025-01262-x.
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JC Polyomavirus-Associated Nephropathy Case Report: Clinical and Laboratory Learning.JC多瘤病毒相关性肾病病例报告:临床与实验室经验总结
Br J Biomed Sci. 2025 Mar 28;82:14170. doi: 10.3389/bjbs.2025.14170. eCollection 2025.
3
JC Polyomavirus Nephropathy: A Rare Complication Late after Kidney Transplantation.JC多瘤病毒肾病:肾移植术后晚期的一种罕见并发症。

本文引用的文献

1
Longitudinal study of seroprevalence and serostability of the human polyomaviruses JCV and BKV in organ transplant recipients.器官移植受者中人多瘤病毒 JCV 和 BKV 的血清流行率和血清稳定性的纵向研究。
J Med Virol. 2013 Feb;85(2):327-35. doi: 10.1002/jmv.23472. Epub 2012 Nov 21.
2
Investigation of polyomaviruses replication in pediatric patients with nephropathy receiving rituximab.研究利妥昔单抗治疗肾病患儿的多瘤病毒复制情况。
J Med Virol. 2012 Sep;84(9):1464-70. doi: 10.1002/jmv.23339.
3
Polyomavirus JC urinary shedding in kidney and liver transplant recipients associated with reduced creatinine clearance.
Case Rep Nephrol Dial. 2024 Aug 29;14(1):148-157. doi: 10.1159/000540294. eCollection 2024 Jan-Dec.
4
JC Virus in Kidney Transplant Population: Are We Cautious Enough?肾移植人群中的JC病毒:我们是否足够谨慎?
J Clin Med. 2024 Apr 11;13(8):2217. doi: 10.3390/jcm13082217.
5
Hemorrhagic cystitis induced by JC polyomavirus infection following COVID-19: a case report.COVID-19 后 JC 多瘤病毒感染引起的出血性膀胱炎:一例报告。
BMC Urol. 2024 Apr 16;24(1):87. doi: 10.1186/s12894-024-01464-1.
6
Kidney Transplant-Associated Viral Infection Rates and Outcomes in a Single-Centre Cohort.单中心队列中肾移植相关病毒感染率和结局。
Viruses. 2022 Oct 29;14(11):2406. doi: 10.3390/v14112406.
7
Risk Factors for Polyomavirus, Cytomegalovirus, and Viruria Co-Infection for Follow-Up of Renal Transplant Patients.肾移植患者随访中多瘤病毒、巨细胞病毒和病毒尿症合并感染的危险因素。
Ann Transplant. 2022 Oct 25;27:e937771. doi: 10.12659/AOT.937771.
8
Determining host factors contributing to the reactivation of JC virus in kidney transplant recipients.确定导致肾移植受者体内 JC 病毒重新激活的宿主因素。
Virol J. 2022 Aug 8;19(1):131. doi: 10.1186/s12985-022-01843-w.
9
Lesson for the clinical nephrologist: immune monitoring of human JC-polyomavirus in kidney transplantation.临床肾脏病学家的经验教训:肾移植中人类多瘤病毒 JC 的免疫监测
J Nephrol. 2022 Sep;35(7):1901-1905. doi: 10.1007/s40620-021-01150-7. Epub 2021 Sep 6.
10
Advances in BK Virus Complications in Organ Transplantation and Beyond.器官移植及其他领域中BK病毒并发症的研究进展
Kidney Med. 2020 Oct 11;2(6):771-786. doi: 10.1016/j.xkme.2020.06.015. eCollection 2020 Nov-Dec.
多瘤病毒 JC 在肾和肝移植受者中的尿排泄与肌酐清除率降低有关。
J Infect Dis. 2012 Sep 15;206(6):875-80. doi: 10.1093/infdis/jis469. Epub 2012 Jul 16.
4
Comparison of polyomavirus (BK virus and JC viruses) viruria in renal transplant recipients with and without kidney dysfunction.肾功能正常和肾功能不全肾移植受者多瘤病毒(BK病毒和JC病毒)病毒尿症的比较。
J Res Med Sci. 2011 Jul;16(7):916-22.
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Opportunistic posttransplantation virus infections in renal transplant recipients.肾移植受者的机会性移植后病毒感染
Transplant Proc. 2011 Dec;43(10):3715-9. doi: 10.1016/j.transproceed.2011.07.024.
6
Progressive multifocal leukoencephalopathy in transplant recipients.移植受者的进行性多灶性白质脑病。
Ann Neurol. 2011 Aug;70(2):305-22. doi: 10.1002/ana.22408.
7
Inhibitory interactions between BK and JC virus among kidney transplant recipients.肾移植受者体内 BK 病毒和 JC 病毒的抑制性相互作用。
J Am Soc Nephrol. 2011 May;22(5):825-31. doi: 10.1681/ASN.2010080877. Epub 2011 Apr 21.
8
Prevalence of infection by JC and BK polyomaviruses in kidney transplant recipients and patients with chronic renal disease.肾移植受者和慢性肾病患者中JC和BK多瘤病毒的感染率
Transpl Infect Dis. 2011 Dec;13(6):633-7. doi: 10.1111/j.1399-3062.2011.00614.x. Epub 2011 Mar 17.
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JC virus-associated nephropathy in a renal transplant recipient and comparative analysis of previous cases.一名肾移植受者的JC病毒相关性肾病及既往病例的对比分析
Transpl Infect Dis. 2011 Feb;13(1):89-92. doi: 10.1111/j.1399-3062.2010.00567.x. Epub 2010 Sep 6.
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JC virus DNA in the peripheral blood of renal transplant patients: a 1-year prospective follow-up in France.肾移植患者外周血中的 JC 病毒 DNA:法国为期 1 年的前瞻性随访。
J Med Virol. 2011 Jan;83(1):132-6. doi: 10.1002/jmv.21951.