Detection of lymphotropic herpesvirus DNA by polymerase chain reaction in cerebrospinal fluid of AIDS patients with neurological disease

Acta Virol. Jun-Aug 2000;44(3):137-43.

Abstract

Cerebrospinal fluid (CSF) samples from 49 acquired immunodefficiency disease syndrome (AIDS) patients with a central nervous system (CNS) disease were examined by polymerase chain reaction (PCR) to evaluate the association between the positivity for cytomegalovirus (CMV) and Epstein-Barr virus (EBV), and clinical diagnosis of a CNS disease. Frequency and clinical relevance of detection of DNA of human herpesviruses 6 (HHV-6), 7 (HHV-7) and 8 (HHV-8) were also determined. DNA of one or more of the following viruses was found in 26 of 49 patients (53%): CMV in 16 (33%), EBV in 13 (27%), human herpesvirus 6 (HHV-6) in 2 (4%), human herpesvirus 7 (HHV-7) in 1 (2%), and human herpesvirus 8 (HHV-8) in 1 (2%). The CMV detection was significantly associated with encephalitis and peripheral neuropathy (7/16 vs. 2/33, p = 0.003), while EBV with primary CNS lymphoma (P-CNSL) (8/13 vs. 0/36, p < 0.0001). HHV-6 DNA was found in CSF of two patients with neuroradiological features suggestive of cerebral lesions. HHV-8 or HHV-7 DNA was detected in the CSF of patients with unexplained neurological symptoms. This study confirms that the PCR analysis of CSF is a valid tool for the diagnosis of neurological diseases associated with CMV and EBV. On the other hand, HHV-6, HHV-7 and HHV-8, instead, were rarely detected in CSF of AIDS patients and have certainly no correlation with the CNS disease found.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • AIDS-Related Opportunistic Infections / cerebrospinal fluid
  • AIDS-Related Opportunistic Infections / virology*
  • Acquired Immunodeficiency Syndrome / complications*
  • Central Nervous System Diseases / cerebrospinal fluid
  • Central Nervous System Diseases / complications*
  • Central Nervous System Diseases / virology
  • Cytomegalovirus / genetics
  • Cytomegalovirus / isolation & purification*
  • Cytomegalovirus Infections / cerebrospinal fluid
  • Cytomegalovirus Infections / complications*
  • Cytomegalovirus Infections / virology
  • DNA, Viral / cerebrospinal fluid*
  • Encephalitis, Viral / complications
  • Encephalitis, Viral / virology
  • Epstein-Barr Virus Infections / cerebrospinal fluid
  • Epstein-Barr Virus Infections / complications
  • Epstein-Barr Virus Infections / virology
  • Herpesvirus 4, Human / genetics
  • Herpesvirus 4, Human / isolation & purification
  • Herpesvirus 6, Human / genetics
  • Herpesvirus 6, Human / isolation & purification
  • Herpesvirus 7, Human / genetics
  • Herpesvirus 7, Human / isolation & purification
  • Herpesvirus 8, Human / genetics
  • Herpesvirus 8, Human / isolation & purification
  • Humans
  • Lymphoma, AIDS-Related / complications
  • Lymphoma, AIDS-Related / virology
  • Peripheral Nervous System Diseases / complications
  • Peripheral Nervous System Diseases / virology
  • Polymerase Chain Reaction

Substances

  • DNA, Viral