Mikovits claimed that the study was not a true replication study and was, therefore, invalid. Myra McClure, even received death threats. Further U. She and her colleague Vincent Lombardi posted rebuttals on the WPI website every time a new one came out.
Then an article from Harvey Alter, a clinician who first recognized hepatitis C, found evidence of murine leukemia virus-like sequences in both CFS and healthy blood samples. But there was an issue. To detect the signal, Alter's colleagues had amplified the viral DNA vastly more than is normal in a diagnostic test, greatly increasing the risk of picking up a contaminant.
Despite this, Mikovits hailed the article as a validation of her study. There was something strange about the Alter study, first noticed by Stephane Hue in Prof.
Greg Towers' group at University College London. They make mistakes, or mutations, in the sequence. This is a hallmark of retrovirus replication—so much so that a lack of sequence diversity means the virus is not actually replicating. In fact, these sequences were identical to one of the 22RV1 viruses. This was very compelling evidence that not only could not XMRV be replicating in these people, it was very likely to be a laboratory contamination from the 22RV1 cell line.
In their excitement to publish this, they at first failed to notice another damning issue. The integration sites—the sequence of the human DNA either side of the virus—were identical to integration sites sequenced from experimentally infected cells in the same laboratory. Alter had published a laboratory contamination which he ultimately retracted At this point, the National Institute of Health and the U.
If there was a new retrovirus infecting untold number of Americans, they needed to know right now. Graham Simmons led a group from the blood transfusion service, who collaborated with Mikovits to try and reproduce the WPI's findings. Again, Mikovits and WPI agreed to collaborate.
There was disquiet brewing in Bob Silverman's team. Included in the plasmid was a gene for resistance to the antibiotic, neomycin. Now Silverman was worried.
He pulled the samples from the WPI out of the freezer, but this time, instead of testing for XMRV, he did two other tests in case something more serious than a laboratory contamination had happened. He ran tests for the presence of both the neomycin resistance gene and the hybrid CMV promoter he had engineered into the virus when he cloned it. Coffin's group had found parts of the XMRV genome in strains of laboratory mice. Delving through the records, they found that 22RV1 had been established at the Cleveland Cancer Center in the s using a fairly common trick.
To get difficult cells to grow from human cancers, parts of the tumor were injected under the skin of laboratory mice lacking an immune system. Once the tumor grew, it would be excised and passed on to a new mouse until a cell line that grew well in culture was established. Not only that, in the freezers of the laboratories where the cell line was derived, they found stored samples of each of these passages.
Working backward through the samples, they found that the human prostate tumor from which 22RV1 had been derived was not originally XMRV positive, but the virus had appeared during the sequential grafting of the cells in mice. What had clearly happened was that, by chance, two of these endogenous retroviruses had begun producing infectious viruses in the mouse bearing the tumor, they had infected the human cells and recombined together to make XMRV!
The virus had never existed outside the laboratory that derived the cells and thus could not be causing human disease. Then Silverman's group wrote to Science to explain that they had found evidence of plasmid DNA spiking in the WPI samples and, therefore, were not confident of the veracity of their part of Mikovits's article. Xpr-1 from non-murine species binds both xenotropic and polytropic Env.
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Analysis of single-nucleotide polymorphisms in patient-derived retrovirus integration sites reveals contamination from cell lines acutely infected by xenotropic murine leukemia virus-related virus. Prevalence of human gammaretrovirus XMRV in sporadic prostate cancer. J Clin Virol. XMRV is present in malignant prostatic epithelium and is associated with prostate cancer, especially high-grade tumors. Xenotropic murine leukemia virus-related virus establishes an efficient spreading infection and exhibits enhanced transcriptional activity in prostate carcinoma cells.
Multiple integrated copies and high-level production of the human retrovirus XMRV xenotropic murine leukemia virus-related virus from 22Rv1 prostate carcinoma cells. No evidence for a role of xenotropic murine leukaemia virus-related virus and BK virus in prostate cancer of German patients. Med Microbiol Immunol. Lack of evidence for xenotropic murine leukemia virus-related virus XMRV in German prostate cancer patients.
No biological evidence of XMRV in blood or prostatic fluid from prostate cancer patients. Detection of an infectious retrovirus, XMRV, in blood cells of patients with chronic fatigue syndrome.
Urisman et al. However, they observed that only stromal but not epithelial cells were infected with XMRV [ 1 ].
In contrast, Schlaberg et al. XMRV-specific staining was predominantly observed in malignant prostatic epithelial cells [ 23 ]. Differences between the two methods were argued to be attributed to very low viral loads, sampling differences, and varying proportions of XMRV-infected cells [ 23 ].
Aloia et al. They were unable to stain positive samples from the Schlaberg study, raising the question of whether the findings by Schlaberg et al. Barnes et al. The number of reactive cells was counted. However, patient cells were responsive to other antigens, suggesting that the absence of XMRV gag -specific T cells in their study.
The relative sensitivity and specificity of various assay methodologies and strategies i. The use of multiple testing methodologies may be required because of the biology of the viruses, such as transient viremia and relatively low-immune response observed in the Macaque model. In order to avoid false-positive detection, mouse DNA contamination should be carefully examined and excluded.
The authors wish to acknowledge Dr. Krishna Devadas and Dr. Xue Wang for their review of this paper. The findings and conclusions in this paper have not been formally disseminated by the Food and Drug Administration and should not be construed to represent any agency determination of policy. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors. Read the winning articles. Journal overview. Special Issues. Shixing Tang 1 and Indira K. Academic Editor: Myra McClure. Received 10 Mar Revised 18 May Accepted 10 Jun Published 28 Jul Serology Antibody detection is considered as strong evidence of XMRV infection, in particular, in the absence of positive PCR results, or when the PCR results are not very reliable due to differences in assay sensitivity and specificity.
Acknowledgments The authors wish to acknowledge Dr. References A. Urisman, R. Molinaro, N. Fischer et al. Lombardi, F. Ruscetti, J. Gupta et al. View at: Google Scholar J. Coffin and J. A new virus for old diseases? View at: Google Scholar M. McClure and S. Silverman, C. Nguyen, C. Weight, and E. Wainberg and K. Lo, N. Pripuzova, B.
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