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Original Article
Brief Report
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Volume 345:1250-1255 October 25, 2001 Number 17
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BK-Related Polyomavirus Vasculopathy in a Renal-Transplant Recipient
Tina Petrogiannis-Haliotis, M.D., Ph.D., George Sakoulas, M.D., James Kirby, M.D., Ph.D., Igor J. Koralnik, M.D., Ann M. Dvorak, M.D., Rita Monahan-Earley, Paola C. De Girolami, M.D., Umberto De Girolami, M.D., Melissa Upton, M.D., Eugene O. Major, Ph.D., Luz-Andrea Pfister, M.D., and Jeffrey T. Joseph, M.D., Ph.D.

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Polyomaviruses typically infect a single species and limited types of tissue. Examples include the human BK and JC viruses and simian virus 40 (SV40). These three viruses are approximately 70 percent homologous with each other. They are nonenveloped viruses with a circular, double-stranded–DNA genome of 5 kb and a virion with a diameter of 45 nm.1 Their genome has an early region encoding the large T and small t proteins, a late region encoding viral capsid proteins, and a noncoding regulatory region.

Primary infection with BK or JC virus usually occurs in childhood and is asymptomatic. More than 80 percent . . . [Full Text of this Article]

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From the Department of Pathology (T.P.-H., J.K., A.M.D., R.M.-E., P.C.D., M.U., J.T.J.), the Division of Infectious Diseases, Department of Internal Medicine (G.S.), the Division of Viral Pathogenesis (I.J.K., L.-A.P.), and the Department of Neurology (I.J.K., J.T.J.), Beth Israel Deaconess Medical Center and Harvard Medical School, Boston; the Division of Neuropathology, Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston (U.D.); and the Laboratory of Molecular Medicine and Neuroscience, National Institute of Neurological Disorders and Stroke, Bethesda, Md. (E.O.M.).

Address reprint requests to Dr. Joseph at the Department of Neurology, KS418, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02115, or at jjoseph@caregroup.harvard.edu.

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