PMID- 21437187 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 2042-003X (Electronic) IS - 2090-8091 (Print) IS - 2042-003X (Linking) VI - 2011 DP - 2011 Feb 22 TI - Human Polyomavirus-Associated Cerebral Disorders in the Post-HAART Era. PG - 562427 LID - 10.4061/2011/562427 [doi] LID - 562427 AB - Human polyomavirus JC is the causative agent of a deadly form of sudden onset dementia, progressive multifocal leukocoencephalopathy (PML). PML is highly prevalent in immunodeficient populations, specially those undergoing chemotherapy, immunosuppressive treatments for autoimmune conditions, and HIV-1/AIDS patients. In fact, before the highly active antiretroviral therapy (HAART) regimens became available, PML was a leading cause of death in HIV-1 seropositive individuals. However, patients under HAART show increased survival times with better prognoses. In this report we described the main differences between PML before and after the HAART era; highlighting the new patterns of presentation, the neurotropism of other human polyomaviruses, and the increased prevalence of immune reconstitution inflammatory syndrome (IRIS), as a complication of PML in patients under HAART. Lastly, we propose a revised classification of human poliomavirus-associated cerebral disorders that may reflect more accurately what clinicians encounter in their everyday practice. FAU - Cedeno-Laurent, Filiberto AU - Cedeno-Laurent F AD - Harvard Medical School, Boston, MA 02215, USA. FAU - Penalva de Oliveira, Augusto C AU - Penalva de Oliveira AC FAU - Vidal, Jose E AU - Vidal JE FAU - Trujillo, J Roberto AU - Trujillo JR LA - eng PT - Journal Article DEP - 20110222 PL - United States TA - Patholog Res Int JT - Pathology research international JID - 101526292 PMC - PMC3062102 EDAT- 2011/03/26 06:00 MHDA- 2011/03/26 06:01 PMCR- 2011/02/22 CRDT- 2011/03/26 06:00 PHST- 2010/12/26 00:00 [received] PHST- 2011/01/17 00:00 [accepted] PHST- 2011/03/26 06:00 [entrez] PHST- 2011/03/26 06:00 [pubmed] PHST- 2011/03/26 06:01 [medline] PHST- 2011/02/22 00:00 [pmc-release] AID - 10.4061/2011/562427 [doi] PST - epublish SO - Patholog Res Int. 2011 Feb 22;2011:562427. doi: 10.4061/2011/562427.