Persistent virus infection of muscle in postviral fatigue syndrome
- 1 October 1991
- journal article
- review article
- Published by Oxford University Press (OUP) in British Medical Bulletin
- Vol. 47 (4) , 852-871
- https://doi.org/10.1093/oxfordjournals.bmb.a072516
Abstract
Nucleic acid was extracted from muscle biopsy samples from a series of highly selected patients suffering from chronic muscle fatiguability following a viral infection (Postviral Fatigue Syndrome: PVFS). Samples were examined for the presence of enteroviral RNA sequences or Epstein-Barr (EBV) virus DNA sequences by molecular hybridsation as these two agents have been implicated by reterospective serology in the aetiology of PVFS. We found enteroviral RNA in 24% of bioposy samples and EBV DNA in a further 9% of biopsy samples: no biopsy was positive for both enteroviral we found that the persisting virus is defective in control of RNA replication as both strands of enteroviral RNA are present in similar amounts: this is unlike the asymmetric synthesis of genomic RNA seen in a productive, cytolytic enterovirus infection. The implications of these data in relation to mechanisms of viral persistence and muscle dysfuction are discussed.Keywords
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