Mutagenesis of the varicella-zoster virus genome: lessons learned

Author(s):  
J. I. Cohen
2021 ◽  
Vol 103 (6) ◽  
pp. e181-e183
Author(s):  
R Shah ◽  
N Jayakumar ◽  
S Athar ◽  
N Ashwood

A 63-year-old man presented to the emergency department with low back pain, perineal and genital numbness, together with bilateral lower limb paraesthesia and urinary retention. He was admitted under the orthopaedic service for investigation of suspected cauda equina syndrome. Magnetic resonance imaging of his spine did not reveal any evidence of cauda equina compression. Magnetic resonance imaging of his brain demonstrated nonspecific multiple hyperintensities in the right frontotemporal and left temporo-occipital regions. Computed tomography of his chest, abdomen, and pelvis did not identify any evidence of malignancy. Cerebrospinal fluid from a lumbar puncture showed a high leucocyte count (predominantly lymphocytes). Viral cerebrospinal fluid polymerase chain reaction was positive for varicella zoster virus. A diagnosis of varicella zoster virus myeloradiculitis (Elsberg syndrome) was established and the patient was treated with intravenous aciclovir. Unfortunately, the patient succumbed to a devastating intracerebral haemorrhage during his inpatient stay, probably due to vasculopathy from the underlying varicella zoster virus infection. This case describes a rare infectious mimic of cauda equina syndrome. Elsberg syndrome is an infectious syndrome characterised by bilateral lumbosacral myeloradiculitis, with varicella zoster virus being a well-recognised aetiological agent. We discuss the relevant literature in detail and identify the key, cautionary lessons learned from this case.


1985 ◽  
Vol 56 (1) ◽  
pp. 194-200 ◽  
Author(s):  
P R Kinchington ◽  
W C Reinhold ◽  
T A Casey ◽  
S E Straus ◽  
J Hay ◽  
...  

1985 ◽  
Vol 56 (2) ◽  
pp. 600-606 ◽  
Author(s):  
J M Ostrove ◽  
W Reinhold ◽  
C M Fan ◽  
S Zorn ◽  
J Hay ◽  
...  

2002 ◽  
Vol 76 (14) ◽  
pp. 7228-7238 ◽  
Author(s):  
Randall J. Cohrs ◽  
Jeanne Wischer ◽  
Carrie Essman ◽  
Donald H. Gilden

ABSTRACT Varicella-zoster virus (VZV) transcription is limited in latently infected human ganglia. Note that much of the transcriptional capacity of the virus genome has not been analyzed in detail; to date, only VZV genes mapping to open reading frames (ORFs) 4, 21, 29, 62, and 63 have been detected. ORF 62 encodes the major immediate-early virus transcription transactivator IE62, ORF 29 encodes the major virus DNA binding protein, and ORF 21 encodes a protein associated with the developing virus nucleocapsid. We analyzed the cellular location of proteins encoded by ORF 21 (21p) and ORF 29 (29p), their phosphorylation state during productive infection, and their ability form a protein-protein complex. The locations of both 21p and 29p within infected cells mimic those of their herpes simplex virus type 1 (HSV-1) homologues (UL37 and ICP8); however, unlike these homologues, 21p is not phosphorylated and neither 21p nor 29p exhibits a protein-protein interaction. Transient transfection assays to determine the effect of 21p and 29p on transcription from VZV gene 20, 21, 28, and 29 promoters revealed no significant activation of transcription by 21p or 29p from any of the VZV gene promoters tested, and 21p did not significantly modulate the ability of IE62 to activate gene transcription. A modest increase in IE62-induced activation of gene 28 and 29 promoters was seen in the presence of 29p; however, IE62-induced activation of gene 28 and 29 promoters was reduced in the presence of 21p. A Saccharomyces cerevisiae two-hybrid analysis of 21p indicated that the protein can activate transcription when tethered within a responsive promoter. Together, the data reveal that while VZV gene 21 and HSV-1 UL37 share homology at the nucleic acid level, these proteins differ functionally.


1981 ◽  
Vol 39 (2) ◽  
pp. 390-400 ◽  
Author(s):  
A M Dumas ◽  
J L Geelen ◽  
M W Weststrate ◽  
P Wertheim ◽  
J van der Noordaa

1995 ◽  
Vol 27 (5) ◽  
pp. 310-316 ◽  
Author(s):  
Yuji Kumano ◽  
Jun-ichi Manabe ◽  
Mika Hamamoto ◽  
Yoh-Ichi Kawano ◽  
Hiroko Minagawa ◽  
...  

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