PMID- 20298966 OWN - NLM STAT- MEDLINE DCOM- 20100412 LR - 20220410 IS - 1474-4465 (Electronic) IS - 1474-4422 (Print) IS - 1474-4422 (Linking) VI - 9 IP - 4 DP - 2010 Apr TI - Progressive multifocal leukoencephalopathy and other disorders caused by JC virus: clinical features and pathogenesis. PG - 425-37 LID - 10.1016/S1474-4422(10)70040-5 [doi] AB - Progressive multifocal leukoencephalopathy (PML) is a rare but often fatal brain disease caused by reactivation of the polyomavirus JC. Knowledge of the characteristics of PML has substantially expanded since the introduction of combination antiretroviral therapy during the HIV epidemic and the development of immune reconstitution inflammatory syndrome (IRIS) in patients with PML. Recently, the monoclonal antibodies natalizumab, efalizumab, and rituximab--used for the treatment of multiple sclerosis, psoriasis, haematological malignancies, Crohn's disease, and rheumatic diseases--have been associated with PML. Additionally, the JC virus can also lead to novel neurological disorders such as JC virus granule cell neuronopathy and JC virus encephalopathy, and might also cause meningitis. The increasingly diverse populations at risk and the recent discovery of the presence of the JC virus in the grey matter invite us to reappraise the pathogenesis of this virus in the CNS. CI - 2010 Elsevier Ltd. All rights reserved. FAU - Tan, Chen S AU - Tan CS AD - Division of Viral Pathogenesis, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. FAU - Koralnik, Igor J AU - Koralnik IJ LA - eng GR - T32 AI007061/AI/NIAID NIH HHS/United States GR - K24 NS 060950/NS/NINDS NIH HHS/United States GR - P30 AI60354/AI/NIAID NIH HHS/United States GR - K08 NS064215-01A1/NS/NINDS NIH HHS/United States GR - R01 NS041198-09/NS/NINDS NIH HHS/United States GR - K08 NS064215/NS/NINDS NIH HHS/United States GR - NS 047029/NS/NINDS NIH HHS/United States GR - R01 NS 041198/NS/NINDS NIH HHS/United States GR - R01 NS047029-06/NS/NINDS NIH HHS/United States GR - R01 NS041198/NS/NINDS NIH HHS/United States GR - K08 NS 064215-01A1/NS/NINDS NIH HHS/United States GR - K24 NS060950-03/NS/NINDS NIH HHS/United States GR - P30 AI060354/AI/NIAID NIH HHS/United States GR - R01 NS047029/NS/NINDS NIH HHS/United States GR - K24 NS060950/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - England TA - Lancet Neurol JT - The Lancet. Neurology JID - 101139309 SB - IM CIN - Clin Neuroradiol. 2010 Jun;20(2):141-2. PMID: 20512302 MH - Humans MH - *JC Virus MH - Leukoencephalopathy, Progressive Multifocal/diagnosis/pathology/*physiopathology/therapy MH - Polyomavirus Infections/diagnosis/pathology/*physiopathology/therapy MH - Tumor Virus Infections/diagnosis/pathology/*physiopathology/therapy PMC - PMC2880524 MID - NIHMS200940 EDAT- 2010/03/20 06:00 MHDA- 2010/04/13 06:00 PMCR- 2011/04/01 CRDT- 2010/03/20 06:00 PHST- 2010/03/20 06:00 [entrez] PHST- 2010/03/20 06:00 [pubmed] PHST- 2010/04/13 06:00 [medline] PHST- 2011/04/01 00:00 [pmc-release] AID - S1474-4422(10)70040-5 [pii] AID - 10.1016/S1474-4422(10)70040-5 [doi] PST - ppublish SO - Lancet Neurol. 2010 Apr;9(4):425-37. doi: 10.1016/S1474-4422(10)70040-5.