PMID- 15288607 OWN - NLM STAT- MEDLINE DCOM- 20050215 LR - 20220311 IS - 1386-6532 (Print) IS - 1386-6532 (Linking) VI - 31 IP - 1 DP - 2004 Sep TI - No detection of parvovirus B19 or herpesvirus DNA in giant cell arteritis. PG - 11-5 AB - BACKGROUND: Compelling arguments exist for a role of infectious agent in giant cell arteritis (GCA). Parvovirus B19 and several herpesviruses have focussed the attention in recent years, but the few studies to date have yielded inconsistent results. OBJECTIVES: To study the relationship between the presence of parvovirus B19 DNA or major known herpesviruses and the histopathological features of GCA. STUDY DESIGN: Between January 1997 and March 2002, 147 consecutive temporal artery biopsies were performed in our center because of a clinical suspicion of GCA. Using polymerase chain reaction (PCR) procedures validated by the World Health Organization and employed routinely by our laboratory, we examined the paraffin-embedded specimens for DNA from parvovirus B19, herpes simplex viruses (HSV) 1 and 2, Epstein-Barr virus (EBV), varicella-zoster virus (VZV), human cytomegalovirus (HCMV), and human herpesvirus 6 (HHV-6). We investigated positive results further with immunohistochemistry studies. RESULTS: Fifty of the 147 temporal artery biopsies (34%) showed histological features of GCA. Three biopsies (2.5%) were initially PCR positive for parvovirus B19. None of the herpesvirus PCR assays were positive. Upon repeat testing by both PCR and immunohistochemistry, none of the three initially positive parvovirus B19 assays were confirmed. The results of both positive and negative control assays in these studies validated these findings. We confirmed the presence of amplifiable DNA in the temporal artery biopsy specimens using PCR primers for beta-globin and indoleamine 2,3-dioxygenase (IDO). CONCLUSIONS: The results of our study do not support a role in the etiopathogenesis of GCA for either parvovirus B19 or any of these six herpesviruses. FAU - Rodriguez-Pla, Alicia AU - Rodriguez-Pla A AD - Pediatrics Department, Stanley Division of Developmental Neurovirology, Johns Hopkins University, Baltimore, MD 21287-4933, USA. arodri12@jhmi.edu FAU - Bosch-Gil, Josep A AU - Bosch-Gil JA FAU - Echevarria-Mayo, Juan E AU - Echevarria-Mayo JE FAU - Rossello-Urgell, Jose AU - Rossello-Urgell J FAU - Solans-Laque, Roser AU - Solans-Laque R FAU - Huguet-Redecilla, Pere AU - Huguet-Redecilla P FAU - Stone, John H AU - Stone JH FAU - Vilardell-Tarres, Miquel AU - Vilardell-Tarres M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Clin Virol JT - Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology JID - 9815671 RN - 0 (DNA, Viral) RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) RN - 9004-22-2 (Globins) RN - EC 1.13.11.11 (Tryptophan Oxygenase) SB - IM MH - Aged MH - Biopsy MH - DNA, Viral/*analysis MH - Female MH - Giant Cell Arteritis/etiology/*virology MH - Globins/genetics MH - Herpesviridae/genetics/*isolation & purification MH - Herpesviridae Infections/virology MH - Humans MH - Immunohistochemistry MH - Indoleamine-Pyrrole 2,3,-Dioxygenase MH - Male MH - Parvoviridae Infections/virology MH - Parvovirus B19, Human/genetics/*isolation & purification MH - Polymerase Chain Reaction MH - Temporal Arteries/pathology/virology MH - Tryptophan Oxygenase/genetics EDAT- 2004/08/04 05:00 MHDA- 2005/02/16 09:00 CRDT- 2004/08/04 05:00 PHST- 2004/05/10 00:00 [revised] PHST- 2004/05/11 00:00 [accepted] PHST- 2004/08/04 05:00 [pubmed] PHST- 2005/02/16 09:00 [medline] PHST- 2004/08/04 05:00 [entrez] AID - S1386653204001489 [pii] AID - 10.1016/j.jcv.2004.05.003 [doi] PST - ppublish SO - J Clin Virol. 2004 Sep;31(1):11-5. doi: 10.1016/j.jcv.2004.05.003.