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John Cunningham virus conversion in relation to natalizumab concentration in multiple sclerosis patients
Author(s) -
Kempen Z. L. E.,
Leurs C. E.,
Vries A.,
Vennegoor A.,
Rispens T.,
Wattjes M. P.,
Killestein J.
Publication year - 2017
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/ene.13355
Subject(s) - natalizumab , medicine , progressive multifocal leukoencephalopathy , multiple sclerosis , seroconversion , cohort , population , jc virus , virology , immunology , virus , environmental health
Background and purpose Infection with the John Cunningham virus ( JCV ) is required for the development of progressive multifocal leukoencephalopathy, the feared complication of natalizumab treatment in multiple sclerosis patients. The JCV seroconversion rate seems higher in natalizumab treated patients than in the normal population, with an unknown cause. Methods Natalizumab concentration was correlated to JCV antibody status and seroconversion in a large cohort of multiple sclerosis patients. Results One hundred and thirty‐five patients were included. No correlation was found between natalizumab concentration and JCV status, JCV seroconversion or JCV index. Conclusions Higher natalizumab concentrations do not explain the increased JCV seroconversion rate in natalizumab treated patients.