Detection of Merkel cell polyomavirus in oral samples of renal transplant recipients without Merkel cell carcinoma

J Med Virol. 2013 Nov;85(11):2016-9. doi: 10.1002/jmv.23687. Epub 2013 Jul 12.

Abstract

Merkel cell carcinoma (MCC) is a rare but aggressive neuroendocrine cancer, with approximately 80% of cases associated with Merkel cell polyomavirus (MCPyV). The lack of information concerning its occurrence in non-MCC immunosuppressed populations led to the investigation of MCPyV DNA in saliva and oral biopsies from 60 kidney allograft recipients and 75 non-transplanted individuals (control group). In contrast to herpesviruses, which was also investigated (CMV, HHV-6A, and B, HHV-7) MCPyV was detected predominantly in patients with oral lesions (gingivitis and/or periodontitis) of both transplanted and non-transplanted groups (P=0.016) and in the saliva of the transplanted group (P=0.009). MCPyV co-detection with CMV (P=0.048), and HHV-6 (P=0.020) in the saliva of transplanted patients requires further investigation on a possible role of co-infection.

Keywords: Merkel cell polyomavirus; kidney transplantation; oral cavity.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biopsy
  • Cytomegalovirus / isolation & purification
  • Female
  • Herpesvirus 6, Human / isolation & purification
  • Herpesvirus 7, Human / isolation & purification
  • Humans
  • Immunocompromised Host
  • Kidney Transplantation
  • Male
  • Merkel cell polyomavirus / isolation & purification*
  • Middle Aged
  • Mouth Mucosa / virology*
  • Prevalence
  • Saliva / virology*
  • Transplantation*
  • Young Adult