Human polyomavirus 9 (HPyV9) was discovered recently in immunocompromised patients and shown to be genetically closely related to B-lymphotropic polyomavirus (LPyV). No serological data are available for HPyV9, but human antibodies against LPyV have been reported previously. To investigate the seroepidemiology of HPyV9 and the sero-cross-reactivity between HPyV9 and LPyV, a capsomer-based IgG ELISA was established using the major capsid protein VP1 of HPyV9 and LPyV. VP1 of an avian polyomavirus was used as control. For HPyV9, a seroprevalence of 47 % was determined in healthy adults and adolescents (n5328) and 20 % in a group of children (n5101). In both groups, the seroreactivities for LPyV were less frequent and the ELISA titres of LPyV were lower. Of the HPyV9-reactive sera, 47 % reacted also with LPyV, and the titres for both PyVs correlated. Sera from African green monkeys, the natural hosts of LPyV, reacted also with both HPyV9 and LPyV, but here the HPyV9 titres were lower. This potential sero-cross-reactivity between HPyV9 and LPyV was confirmed by competition assays, and it was hypothesized that the reactivity of human sera against LPyV may generally be due to cross-reactivity between HPyV9 and LPyV. The HPyV9 seroprevalence of liver transplant recipients and patients with neurological dysfunctions did not differ from that of age-matched controls, but a significantly higher seroprevalence was determined in renal and haematopoietic stem-cell transplant recipients, indicating that certain immunocompromised patient groups may be at a higher risk for primary infection with or for reactivation of HPyV9.
INTRODUCTIONHuman polyomavirus 9 (HPyV9) is the most recently identified of the nine human polyomaviruses (PyVs) reported to date, and was first detected in a renal transplant patient (Scuda et al., 2011). Later, the same virus was also found in human skin (Sauvage et al., 2011).PyVs are small, non-enveloped, circular dsDNA viruses. Primary infection with BK virus (BKV) and JC virus (JCV) occurs in childhood and is usually asymptomatic (Moens & Johannessen, 2008). Subsequently, these viruses establish a latent infection. Reactivation can occur in immunocompromised patients and cause serious disease, such as BKVassociated nephropathy or haemorrhagic cystitis (Gardner et al., 1971;Jiang et al., 2009), JCV-associated progressive multifocal leukoencephalopathy (Hou & Major, 2000;Jiang et al., 2009;Padgett et al., 1971) and trichodysplasia spinulosa caused by trichodysplasia spinulosa-associated PyV (Matthews et al., 2011;van der Meijden et al., 2010). PyVs have been shown to transform cells in vitro and to be tumorigenic in small laboratory rodents (Chen et al., 1989;Eddy et al., 1962;Gross, 1953;Stewart, 1953). BKV and JCV have been implicated aetiologically in a number of human cancers, but this issue is still controversial Maginnis & Atwood, 2009;zur Hausen, 2008). Merkel cell PyV (MCPyV) plays a causative role in Merkel cell carcinoma, a rare but aggressive skin cancer Feng et al., 2008).PyV serology has bee...