Detection of enteroviral sequences from frozen spinal cord samples of Japanese ALS patients
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Enteroviruses (EV) are responsible for acute infections of the CNS, such as aseptic meningitis and encephalitis, and are involved also in chronic diseases like myocardiopathy and some type 2 juvenile diabetes.1 We have recently reported that echovirus 6- or 7-like sequences could be detected in motor neurons of the anterior horn of patients with ALS.2 Previous studies on ALS have suggested viruses as putative etiologic agents.3,4⇓ However, these studies turned out to be negative or their results could not be confirmed, leading to a viral hide-and-seek in sporadic ALS.5 However, our previous study carried out with spinal cord samples collected from French patients was consistent with a report with British samples.6 Both studies reported that enterovirus sequences could be detected by PCR in spinal cord samples of 86% (15/17) and 72% (8/11) of the patients with ALS analyzed, respectively. In the light of the past false leads on viruses in ALS, these findings have to be confirmed with additional studies.5 Moreover, as these two studies were performed with samples collected in Europe, these data might have a very unlikely but, however, possible geographic bias. To investigate both questions (reproducibility and geographic bias), we analyzed 19 spinal cord samples collected from Japanese patients, which included ALS and non-ALS cases. The material consisted of 5- to 7-cm-long blocks of the cervical enlargement of the spinal cord collected during autopsy and immediately frozen on dry ice and stored at −80 °C. These specimens had been blinded before being sent on dry ice to Lyon, France. …
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