Citation: Yongzhi Li, Liting Zheng, Huan He, Husheng Xiong, Jiaqi Chen, Hengbiao Sun, Caiyun Chen, Qiushuang Li, Jiaqi Fu, Fei Wu, Yuhan Gao, Juxian Xian, Minyi Liang, Gang Xiao, Qing Chen. First detection of cutavirus DNA in stools of patients with rheumatic diseases in Guangzhou, China .VIROLOGICA SINICA, 2023, 38(6) : 860-867.  http://dx.doi.org/10.1016/j.virs.2023.10.006

First detection of cutavirus DNA in stools of patients with rheumatic diseases in Guangzhou, China

  • Cutavirus (CuV) is a novel protoparvovirus possibly associated with diarrhea and cutaneous T-cell lymphomas. Patients with rheumatic disease are immunosuppressed and may be more vulnerable to pathogenic viruses. A descriptive study was conducted among hospitalized patients with rheumatic diseases and individuals undergoing medical health check-ups between June 2019 and June 2022 in Guangzhou, China. Stool samples of subjects were tested for CuV DNA. Demographic and fecal examination data of patients were obtained from electronic medical records. A total of 505 patients with rheumatic diseases and 244 individuals who underwent medical health check-ups were included in the study. Of the patients with rheumatic disease, 5.74% [95% confidence interval (CI): 4.03%–8.12%] were positive for CuV DNA, while no individual in the medical health check-up group was positive, indicating a close correlation between CuV and rheumatic disease. Men and patients with rheumatoid arthritis or ankylosing spondylitis, according to the disease classification, were more susceptible to being infected with CuV (P < 0.01). After adjustments, being male remained the only significant factor, with an adjusted odd ratio (OR) of 4.4 (95% CI: 1.7–11.4, P = 0.002). Phylogenetic analysis of the CuV VP2 sequences showed three diverse clades, one of which was segregated to be a single branching independent of previously known sequences, which is possible a new genotype.

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  • 10.1016j.virs.2023.10.006-ESM.doc
    1. Braun J, Sieper J. 2007. Ankylosing spondylitis. Lancet, 369: 1379-1390.

    2. Chakravarty SD, Zabriskie JB, Gibofsky A. 2014. Acute rheumatic fever and streptococci: The quintessential pathogenic trigger of autoimmunity. Clin Rheumatol, 33: 893-901.

    3. Cotmore SF, Agbandje-McKenna M, Chiorini JA, Mukha DV, Pintel DJ, Qiu J, Soderlund-Venermo M, Tattersall P, Tijssen P, Gatherer D, Davison AJ. 2014. The family parvoviridae. Arch Virol, 159: 1239-1247.

    4. Crossfield SSR, Marzo-Ortega H, Kingsbury SR, Pujades-Rodriguez M, Conaghan PG. 2021. Changes in ankylosing spondylitis incidence, prevalence and time to diagnosis over two decades. RMD Open, 7: e001888.

    5. Esse S, Mason KJ, Green AC, Warren RB. 2020. Melanoma risk in patients treated with biologic therapy for common inflammatory diseases: A systematic review and meta-analysis. JAMA Dermatol, 156: 787-794.

    6. Favalli EG, Biggioggero M, Crotti C, Becciolini A, Raimondo MG, Meroni PL. 2019. Sex and management of rheumatoid arthritis. Clin Rev Allergy Immunol, 56: 333-345.

    7. Galmiche S, Luong Nguyen LB, Tartour E, de Lamballerie X, Wittkop L, Loubet P, Launay O. 2022. Immunological and clinical efficacy of covid-19 vaccines in immunocompromised populations: A systematic review. Clin Microbiol Infect, 28: 163-177.

    8. Gay L, Melenotte C, Lakbar I, Mezouar S, Devaux C, Raoult D, Bendiane MK, Leone M, Mège JL. 2021. Sexual dimorphism and gender in infectious diseases. Front Immunol, 12: 698121.

    9. Goldman JD, Robinson PC, Uldrick TS, Ljungman P. 2021. Covid-19 in immunocompromised populations: Implications for prognosis and repurposing of immunotherapies. J Immunother Cancer, 9: e002630.

    10. Hall BG. 2013. Building phylogenetic trees from molecular data with mega. Mol Biol Evol, 30: 1229-1235.

    11. Hochberg MC. 1997. Updating the american college of rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum, 40: 1725.

    12. Kreuter A, Nasserani N, Tigges C, Oellig F, Silling S, Akgül B, Wieland U. 2018. Cutavirus infection in primary cutaneous b- and t-cell lymphoma. JAMA Dermatol, 154: 965-967.

    13. Lewis SJ, Heaton KW. 1997. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol, 32: 920-924.

    14. Li WX, Wei Y, Jiang Y, Liu YL, Ren L, Zhong YS, Ye LC, Zhu DX, Niu WX, Qin XY, Xu JM. 2014. Primary colonic melanoma presenting as ileocecal intussusception: Case report and literature review. World J Gastroenterol, 20: 9626-9630.

    15. Mäntylä E, Kann M, Vihinen-Ranta M. 2017. Protoparvovirus knocking at the nuclear door. Viruses, 9: 286.

    16. Mietzsch M, Pénzes JJ, Agbandje-McKenna M. 2019. Twenty-five years of structural parvovirology. Viruses, 11: 362.

    17. Mohanraj U, Jokinen M, Thapa RR, Paloniemi M, Vesikari T, Lappalainen M, Tarkka E, Nora-Krukle Z, Vilmane A, Vettenranta K, Mangani C, Oikarinen S, Fan YM, Ashorn P, Vaisanen E, Soderlund-Venermo M. 2021. Human protoparvovirus DNA and igg in children and adults with and without respiratory or gastrointestinal infections. Viruses, 13: 483.

    18. Mollerup S, Fridholm H, Vinner L, Kjartansdóttir KR, Friis-Nielsen J, Asplund M, Herrera JA, Steiniche T, Mourier T, Brunak S, Willerslev E, Izarzugaza JM, Hansen AJ, Nielsen LP. 2017. Cutavirus in cutaneous malignant melanoma. Emerg Infect Dis, 23: 363-365.

    19. Otón T, Carmona L. 2019. The epidemiology of established rheumatoid arthritis. Best Pract Res Clin Rheumatol, 33: 101477.

    20. Phan T, Nagaro K. 2020. Cutavirus: A newly discovered parvovirus on the rise. Infect Genet Evol, 80: 104175.

    21. Phan TG, Dreno B, da Costa AC, Li L, Orlandi P, Deng X, Kapusinszky B, Siqueira J, Knol AC, Halary F, Dantal J, Alexander KA, Pesavento PA, Delwart E. 2016. A new protoparvovirus in human fecal samples and cutaneous t cell lymphomas (mycosis fungoides). Virology, 496: 299-305.

    22. Söderlund-Venermo M. 2019. Emerging human parvoviruses: The rocky road to fame. Annu Rev Virol, 6: 71-91.

    23. Salem JE, Manouchehri A, Moey M, Lebrun-Vignes B, Bastarache L, Pariente A, Gobert A, Spano JP, Balko JM, Bonaca MP, Roden DM, Johnson DB, Moslehi JJ. 2018. Cardiovascular toxicities associated with immune checkpoint inhibitors: An observational, retrospective, pharmacovigilance study. Lancet Oncol, 19: 1579-1589.

    24. Smolen JS, Aletaha D, McInnes IB. 2016. Rheumatoid arthritis. Lancet, 388: 2023-2038.

    25. Väisänen E, Fu Y, Hedman K, Söderlund-Venermo M. 2017. Human protoparvoviruses. Viruses, 9: 354.

    26. Väisänen E, Fu Y, Koskenmies S, Fyhrquist N, Wang Y, Keinonen A, Mäkisalo H, Väkevä L, Pitkänen S, Ranki A, Hedman K, Söderlund-Venermo M. 2019. Cutavirus DNA in malignant and nonmalignant skin of cutaneous t-cell lymphoma and organ transplant patients but not of healthy adults. Clin Infect Dis, 68: 1904-1910.

    27. Wieland U, Silling S, Hufbauer M, Mauch C, Zigrino P, Oellig F, Kreuter A, Akgül B. 2019. No evidence for role of cutavirus in malignant melanoma. Emerg Infect Dis, 25: 1600-16002.

    28. Wolfe F, Michaud K. 2007. Biologic treatment of rheumatoid arthritis and the risk of malignancy: Analyses from a large us observational study. Arthritis Rheum, 56: 2886-2895.

    29. Zanella MC, Cordey S, Laubscher F, Docquier M, Vieille G, Van Delden C, Braunersreuther V, Ta MK, Lobrinus JA, Masouridi-Levrat S, Chalandon Y, Kaiser L, Vu DL. 2021. Unmasking viral sequences by metagenomic next-generation sequencing in adult human blood samples during steroid-refractory/dependent graft-versus-host disease. Microbiome, 9: 28.

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    First detection of cutavirus DNA in stools of patients with rheumatic diseases in Guangzhou, China

      Corresponding author: Gang Xiao, xiaogang2993@yeah.net
      Corresponding author: Qing Chen, qch.2009@163.com
    • a. Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515, China;
    • b. Clinical Laboratory of Third Affiliated Hospital of Southern Medical University, Guangzhou, 510500, China

    Abstract: Cutavirus (CuV) is a novel protoparvovirus possibly associated with diarrhea and cutaneous T-cell lymphomas. Patients with rheumatic disease are immunosuppressed and may be more vulnerable to pathogenic viruses. A descriptive study was conducted among hospitalized patients with rheumatic diseases and individuals undergoing medical health check-ups between June 2019 and June 2022 in Guangzhou, China. Stool samples of subjects were tested for CuV DNA. Demographic and fecal examination data of patients were obtained from electronic medical records. A total of 505 patients with rheumatic diseases and 244 individuals who underwent medical health check-ups were included in the study. Of the patients with rheumatic disease, 5.74% [95% confidence interval (CI): 4.03%–8.12%] were positive for CuV DNA, while no individual in the medical health check-up group was positive, indicating a close correlation between CuV and rheumatic disease. Men and patients with rheumatoid arthritis or ankylosing spondylitis, according to the disease classification, were more susceptible to being infected with CuV (P < 0.01). After adjustments, being male remained the only significant factor, with an adjusted odd ratio (OR) of 4.4 (95% CI: 1.7–11.4, P = 0.002). Phylogenetic analysis of the CuV VP2 sequences showed three diverse clades, one of which was segregated to be a single branching independent of previously known sequences, which is possible a new genotype.

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