Abstract
The postpolio syndrome (PPS) is characterized by new neuromuscular symptoms occurring 30 to 40 years after the acute episode of poliomyelitis paralysis. The presence of the poliovirus RNA genome in the cerebrospinal fluid from 10 patients with PPS and from 23 control patients was sought by using reverse transcription and a PCR specific for polioviruses and/or other enteroviruses. Poliovirus-specific genomic sequences in the 5' untranslated region and in the capsid region (VP1) were detected by reverse transcription PCR in 5 of 10 patients with PPS but in none of the control patients. Sequencing confirmed the presence of mutated poliovirus sequences. This finding suggests persistent viral infection in the central nervous system related to the presence of poliovirus genomes.
Full Text
The Full Text of this article is available as a PDF (222.7 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Colbère-Garapin F., Christodoulou C., Crainic R., Pelletier I. Persistent poliovirus infection of human neuroblastoma cells. Proc Natl Acad Sci U S A. 1989 Oct;86(19):7590–7594. doi: 10.1073/pnas.86.19.7590. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dalakas M. C., Sever J. L., Madden D. L., Papadopoulos N. M., Shekarchi I. C., Albrecht P., Krezlewicz A. Late postpoliomyelitis muscular atrophy: clinical, virologic, and immunologic studies. Rev Infect Dis. 1984 May-Jun;6 (Suppl 2):S562–S567. doi: 10.1093/clinids/6.supplement_2.s562. [DOI] [PubMed] [Google Scholar]
- Dalakas M., Illa I. Post-polio syndrome: concepts in clinical diagnosis, pathogenesis, and etiology. Adv Neurol. 1991;56:495–511. [PubMed] [Google Scholar]
- Gow J. W., Behan W. M., Clements G. B., Woodall C., Riding M., Behan P. O. Enteroviral RNA sequences detected by polymerase chain reaction in muscle of patients with postviral fatigue syndrome. BMJ. 1991 Mar 23;302(6778):692–696. doi: 10.1136/bmj.302.6778.692. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Henson J., Rosenblum M., Armstrong D., Furneaux H. Amplification of JC virus DNA from brain and cerebrospinal fluid of patients with progressive multifocal leukoencephalopathy. Neurology. 1991 Dec;41(12):1967–1971. doi: 10.1212/wnl.41.12.1967. [DOI] [PubMed] [Google Scholar]
- Higgins D. G., Sharp P. M. Fast and sensitive multiple sequence alignments on a microcomputer. Comput Appl Biosci. 1989 Apr;5(2):151–153. doi: 10.1093/bioinformatics/5.2.151. [DOI] [PubMed] [Google Scholar]
- Jubelt B., Salazar-Grueso E. F., Roos R. P., Cashman N. R. Antibody titer to the poliovirus in blood and cerebrospinal fluid of patients with post-polio syndrome. Ann N Y Acad Sci. 1995 May 25;753:201–207. doi: 10.1111/j.1749-6632.1995.tb27546.x. [DOI] [PubMed] [Google Scholar]
- Kopecka H., Dubrou S., Prevot J., Marechal J., López-Pila J. M. Detection of naturally occurring enteroviruses in waters by reverse transcription, polymerase chain reaction, and hybridization. Appl Environ Microbiol. 1993 Apr;59(4):1213–1219. doi: 10.1128/aem.59.4.1213-1219.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leparc I., Aymard M., Fuchs F. Acute, chronic and persistent enterovirus and poliovirus infections: detection of viral genome by seminested PCR amplification in culture-negative samples. Mol Cell Probes. 1994 Dec;8(6):487–495. doi: 10.1006/mcpr.1994.1070. [DOI] [PubMed] [Google Scholar]
- Leparc I., Fuchs F., Kopecka H., Aymard M. Use of the polymerase chain reaction with a murine model of picornavirus-induced myocarditis. J Clin Microbiol. 1993 Nov;31(11):2890–2894. doi: 10.1128/jcm.31.11.2890-2894.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Masu Y., Wolf E., Holtmann B., Sendtner M., Brem G., Thoenen H. Disruption of the CNTF gene results in motor neuron degeneration. Nature. 1993 Sep 2;365(6441):27–32. doi: 10.1038/365027a0. [DOI] [PubMed] [Google Scholar]
- Melchers W., de Visser M., Jongen P., van Loon A., Nibbeling R., Oostvogel P., Willemse D., Galama J. The postpolio syndrome: no evidence for poliovirus persistence. Ann Neurol. 1992 Dec;32(6):728–732. doi: 10.1002/ana.410320605. [DOI] [PubMed] [Google Scholar]
- Miller J. R. Prolonged intracerebral infection with poliovirus in asymptomatic mice. Ann Neurol. 1981 Jun;9(6):590–596. doi: 10.1002/ana.410090613. [DOI] [PubMed] [Google Scholar]
- Minor P. D. Attenuation and reversion of the Sabin vaccine strains of poliovirus. Dev Biol Stand. 1993;78:17–26. [PubMed] [Google Scholar]
- Onrot J., Goldberg M. R., Biaggioni I., Wiley R. G., Hollister A. S., Robertson D. Oral yohimbine in human autonomic failure. Neurology. 1987 Feb;37(2):215–220. doi: 10.1212/wnl.37.2.215. [DOI] [PubMed] [Google Scholar]
- Pezeshkpour G. H., Dalakas M. C. Long-term changes in the spinal cords of patients with old poliomyelitis. Signs of continuous disease activity. Arch Neurol. 1988 May;45(5):505–508. doi: 10.1001/archneur.1988.00520290033010. [DOI] [PubMed] [Google Scholar]
- Ramlow J., Alexander M., LaPorte R., Kaufmann C., Kuller L. Epidemiology of the post-polio syndrome. Am J Epidemiol. 1992 Oct 1;136(7):769–786. doi: 10.1093/aje/136.7.769. [DOI] [PubMed] [Google Scholar]
- Rotbart H. A., Kinsella J. P., Wasserman R. L. Persistent enterovirus infection in culture-negative meningoencephalitis: demonstration by enzymatic RNA amplification. J Infect Dis. 1990 Apr;161(4):787–791. doi: 10.1093/infdis/161.4.787. [DOI] [PubMed] [Google Scholar]
- Salazar-Grueso E. F., Grimaldi L. M., Roos R. P., Variakojis R., Jubelt B., Cashman N. R. Isoelectric focusing studies of serum and cerebrospinal fluid in patients with antecedent poliomyelitis. Ann Neurol. 1989 Dec;26(6):709–713. doi: 10.1002/ana.410260604. [DOI] [PubMed] [Google Scholar]
- Sharief M. K., Hentges R., Ciardi M. Intrathecal immune response in patients with the post-polio syndrome. N Engl J Med. 1991 Sep 12;325(11):749–755. doi: 10.1056/NEJM199109123251101. [DOI] [PubMed] [Google Scholar]
- Southern P., Oldstone M. B. Medical consequences of persistent viral infection. N Engl J Med. 1986 Feb 6;314(6):359–367. doi: 10.1056/NEJM198602063140606. [DOI] [PubMed] [Google Scholar]
- Toyoda H., Kohara M., Kataoka Y., Suganuma T., Omata T., Imura N., Nomoto A. Complete nucleotide sequences of all three poliovirus serotype genomes. Implication for genetic relationship, gene function and antigenic determinants. J Mol Biol. 1984 Apr 25;174(4):561–585. doi: 10.1016/0022-2836(84)90084-6. [DOI] [PubMed] [Google Scholar]
- Yousef G. E., Isenberg D. A., Mowbray J. F. Detection of enterovirus specific RNA sequences in muscle biopsy specimens from patients with adult onset myositis. Ann Rheum Dis. 1990 May;49(5):310–315. doi: 10.1136/ard.49.5.310. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zoll G. J., Melchers W. J., Kopecka H., Jambroes G., van der Poel H. J., Galama J. M. General primer-mediated polymerase chain reaction for detection of enteroviruses: application for diagnostic routine and persistent infections. J Clin Microbiol. 1992 Jan;30(1):160–165. doi: 10.1128/jcm.30.1.160-165.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]