Chromosomally integrated human herpesvirus 6: questions and answers

SUMMARY Chromosomally integrated human herpesvirus 6 (ciHHV‐6) is a condition in which the complete HHV‐6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found...

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Published inReviews in medical virology Vol. 22; no. 3; pp. 144 - 155
Main Authors Pellett, Philip E., Ablashi, Dharam V., Ambros, Peter F., Agut, Henri, Caserta, Mary T., Descamps, Vincent, Flamand, Louis, Gautheret-Dejean, Agnès, Hall, Caroline B., Kamble, Rammurti T., Kuehl, Uwe, Lassner, Dirk, Lautenschlager, Irmeli, Loomis, Kristin S., Luppi, Mario, Lusso, Paolo, Medveczky, Peter G., Montoya, Jose G., Mori, Yasuko, Ogata, Masao, Pritchett, Joshua C., Rogez, Sylvie, Seto, Edward, Ward, Katherine N., Yoshikawa, Tetsushi, Razonable, Raymund R.
Format Journal Article
LanguageEnglish
Published Chichester, UK John Wiley & Sons, Ltd 01.05.2012
Wiley Periodicals Inc
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Abstract SUMMARY Chromosomally integrated human herpesvirus 6 (ciHHV‐6) is a condition in which the complete HHV‐6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV‐6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV‐6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV‐6 due to cell lysis and release of cellular DNA. High HHV‐6 DNA loads associated with ciHHV‐6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV‐6 may be at increased risk for bacterial infection and graft rejection. ciHHV‐6 can be induced to a state of active viral replication in vitro. It is not known whether ciHHV‐6 individuals are put at clinical risk by the use of drugs that have been associated with HHV‐6 reactivation in vivo or in vitro. Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV‐6. Little is known about whether individuals with ciHHV‐6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV‐6 in disease. Copyright © 2011 John Wiley & Sons, Ltd.
AbstractList Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV-6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV-6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV-6 due to cell lysis and release of cellular DNA. High HHV-6 DNA loads associated with ciHHV-6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV-6 may be at increased risk for bacterial infection and graft rejection. ciHHV-6 can be induced to a state of active viral replication in vitro . It is not known whether ciHHV-6 individuals are put at clinical risk by the use of drugs that have been associated with HHV-6 reactivation in vivo or in vitro . Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV-6. Little is known about whether individuals with ciHHV-6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV-6 in disease. Copyright © 2011 John Wiley & Sons, Ltd.
SUMMARY Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV-6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV-6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV-6 due to cell lysis and release of cellular DNA. High HHV-6 DNA loads associated with ciHHV-6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV-6 may be at increased risk for bacterial infection and graft rejection. ciHHV-6 can be induced to a state of active viral replication in vitro. It is not known whether ciHHV-6 individuals are put at clinical risk by the use of drugs that have been associated with HHV-6 reactivation in vivo or in vitro. Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV-6. Little is known about whether individuals with ciHHV-6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV-6 in disease. Copyright © 2011 John Wiley & Sons, Ltd.
Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV-6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV-6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV-6 due to cell lysis and release of cellular DNA. High HHV-6 DNA loads associated with ciHHV-6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV-6 may be at increased risk for bacterial infection and graft rejection. ciHHV-6 can be induced to a state of active viral replication in vitro. It is not known whether ciHHV-6 individuals are put at clinical risk by the use of drugs that have been associated with HHV-6 reactivation in vivo or in vitro. Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV-6. Little is known about whether individuals with ciHHV-6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV-6 in disease.
SUMMARY Chromosomally integrated human herpesvirus 6 (ciHHV‐6) is a condition in which the complete HHV‐6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV‐6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV‐6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV‐6 due to cell lysis and release of cellular DNA. High HHV‐6 DNA loads associated with ciHHV‐6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV‐6 may be at increased risk for bacterial infection and graft rejection. ciHHV‐6 can be induced to a state of active viral replication in vitro. It is not known whether ciHHV‐6 individuals are put at clinical risk by the use of drugs that have been associated with HHV‐6 reactivation in vivo or in vitro. Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV‐6. Little is known about whether individuals with ciHHV‐6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV‐6 in disease. Copyright © 2011 John Wiley & Sons, Ltd.
Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV-6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV-6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV-6 due to cell lysis and release of cellular DNA. High HHV-6 DNA loads associated with ciHHV-6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV-6 may be at increased risk for bacterial infection and graft rejection. ciHHV-6 can be induced to a state of active viral replication in vitro. It is not known whether ciHHV-6 individuals are put at clinical risk by the use of drugs that have been associated with HHV-6 reactivation in vivo or in vitro. Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV-6. Little is known about whether individuals with ciHHV-6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV-6 in disease.Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome and is vertically transmitted in a Mendelian manner. The condition is found in less than 1% of controls in the USA and UK, but has been found at a somewhat higher prevalence in transplant recipients and other patient populations in several small studies. HHV-6 levels in whole blood that exceed 5.5 log10 copies/ml are strongly suggestive of ciHHV-6. Monitoring DNA load in plasma and serum is unreliable, both for identifying and for monitoring subjects with ciHHV-6 due to cell lysis and release of cellular DNA. High HHV-6 DNA loads associated with ciHHV-6 can lead to erroneous diagnosis of active infection. Transplant recipients with ciHHV-6 may be at increased risk for bacterial infection and graft rejection. ciHHV-6 can be induced to a state of active viral replication in vitro. It is not known whether ciHHV-6 individuals are put at clinical risk by the use of drugs that have been associated with HHV-6 reactivation in vivo or in vitro. Nonetheless, we urge careful observation when use of such drugs is indicated in individuals known to have ciHHV-6. Little is known about whether individuals with ciHHV-6 develop immune tolerance for viral proteins. Further research is needed to determine the role of ciHHV-6 in disease.
Author Kuehl, Uwe
Pellett, Philip E.
Yoshikawa, Tetsushi
Montoya, Jose G.
Pritchett, Joshua C.
Ablashi, Dharam V.
Descamps, Vincent
Luppi, Mario
Caserta, Mary T.
Flamand, Louis
Mori, Yasuko
Ambros, Peter F.
Lusso, Paolo
Seto, Edward
Hall, Caroline B.
Rogez, Sylvie
Agut, Henri
Gautheret-Dejean, Agnès
Ward, Katherine N.
Kamble, Rammurti T.
Loomis, Kristin S.
Lassner, Dirk
Medveczky, Peter G.
Ogata, Masao
Lautenschlager, Irmeli
Razonable, Raymund R.
Author_xml – sequence: 1
  givenname: Philip E.
  surname: Pellett
  fullname: Pellett, Philip E.
  email: ppellett@med.wayne.edu, P. E. Pellett, PhD, Professor, Department of Immunology, and Microbiology, Wayne State University, 6225 Scott Hall, 540 East Canfield Avenue, Detroit, MI 48201. R. Razonable, MD, Associate Professor, Division of Infectious Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905., ppellett@med.wayne.edurazonable.raymund@mayo.edu
  organization: Department of Immunology and Microbiology, Wayne State University School of Medicine, MI, Detroit, USA
– sequence: 2
  givenname: Dharam V.
  surname: Ablashi
  fullname: Ablashi, Dharam V.
  organization: HHV-6 Foundation, CA, Santa Barbara, USA
– sequence: 3
  givenname: Peter F.
  surname: Ambros
  fullname: Ambros, Peter F.
  organization: Children's Cancer Research Institute, Vienna, Austria
– sequence: 4
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  surname: Agut
  fullname: Agut, Henri
  organization: Service of Virology, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
– sequence: 5
  givenname: Mary T.
  surname: Caserta
  fullname: Caserta, Mary T.
  organization: Department of Pediatrics, University of Rochester School of Medicine, NY, Rochester, USA
– sequence: 6
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  surname: Descamps
  fullname: Descamps, Vincent
  organization: Department of Dermatology, Bichat Claude Bernard Hospital, Paris, France
– sequence: 7
  givenname: Louis
  surname: Flamand
  fullname: Flamand, Louis
  organization: Rheumatology and Immunology Research Center, Université Laval, Quebec, Canada
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  surname: Gautheret-Dejean
  fullname: Gautheret-Dejean, Agnès
  organization: Service of Virology, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
– sequence: 9
  givenname: Caroline B.
  surname: Hall
  fullname: Hall, Caroline B.
  organization: Departments of Pediatrics and Medicine, University of Rochester School of Medicine and Dentistry, NY, Rochester, USA
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  givenname: Rammurti T.
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  fullname: Kamble, Rammurti T.
  organization: Hematology & Oncology, Baylor College of Medicine, TX, Houston, USA
– sequence: 11
  givenname: Uwe
  surname: Kuehl
  fullname: Kuehl, Uwe
  organization: Cardiology and Pneumonology, Charite University Berlin, Berlin, Germany
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  givenname: Dirk
  surname: Lassner
  fullname: Lassner, Dirk
  organization: Institute for Cardiac Diagnosis & Treatment, Berlin, Germany
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  organization: Department of Virology, HUSLAB & University of Helsinki, Helsinki, Finland
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  givenname: Kristin S.
  surname: Loomis
  fullname: Loomis, Kristin S.
  organization: HHV-6 Foundation, CA, Santa Barbara, USA
– sequence: 15
  givenname: Mario
  surname: Luppi
  fullname: Luppi, Mario
  organization: University of Modena and Reggio Emilia, Emilia-Romagna, Italy
– sequence: 16
  givenname: Paolo
  surname: Lusso
  fullname: Lusso, Paolo
  organization: National Institute of Allergy and Infectious Diseases, NIH, MD, Bethesda, USA
– sequence: 17
  givenname: Peter G.
  surname: Medveczky
  fullname: Medveczky, Peter G.
  organization: Department of Molecular Medicine, University of South Florida, FL, Tampa, USA
– sequence: 18
  givenname: Jose G.
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  organization: Department of Infectious Disease, Stanford University, CA, Stanford, USA
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  givenname: Yasuko
  surname: Mori
  fullname: Mori, Yasuko
  organization: Division of Clinical Virology, Kobe University, Hyōgo, Kobe, Japan
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  surname: Ogata
  fullname: Ogata, Masao
  organization: Hematology, Blood Transfusion Center, Oita University, Oita, Japan
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  organization: Department of Molecular Oncology, Moffitt Cancer Center & Research Institute, USA
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  email: P. E. Pellett, PhD, Professor, Department of Immunology, and Microbiology, Wayne State University, 6225 Scott Hall, 540 East Canfield Avenue, Detroit, MI 48201. R. Razonable, MD, Associate Professor, Division of Infectious Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905., ppellett@med.wayne.edurazonable.raymund@mayo.edu
  organization: Division of Infectious Diseases, Mayo Clinic, MN, Rochester, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22052666$$D View this record in MEDLINE/PubMed
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Snippet SUMMARY Chromosomally integrated human herpesvirus 6 (ciHHV‐6) is a condition in which the complete HHV‐6 genome is integrated into the host germ line genome...
Chromosomally integrated human herpesvirus 6 (ciHHV‐6) is a condition in which the complete HHV‐6 genome is integrated into the host germ line genome and is...
Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome and is...
SUMMARY Chromosomally integrated human herpesvirus 6 (ciHHV-6) is a condition in which the complete HHV-6 genome is integrated into the host germ line genome...
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SubjectTerms Chromosomes, Human - virology
Herpesvirus 6, Human - genetics
Herpesvirus 6, Human - physiology
Humans
Reviews
Roseolovirus Infections - genetics
Roseolovirus Infections - virology
Virus Integration
Title Chromosomally integrated human herpesvirus 6: questions and answers
URI https://api.istex.fr/ark:/67375/WNG-4SQ474D3-W/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Frmv.715
https://www.ncbi.nlm.nih.gov/pubmed/22052666
https://www.proquest.com/docview/1766842775
https://www.proquest.com/docview/1009131754
https://pubmed.ncbi.nlm.nih.gov/PMC3498727
Volume 22
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