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Immunological evidence of an early seroconversion to oncogenic Merkel cell polyomavirus in healthy children and young adults
Authors:Chiara Mazziotta  Carmen Lanzillotti  Marcello Govoni  Simonetta Falzoni  Maria Letizia Tramarin  Elisa Mazzoni  Mauro Tognon  Fernanda Martini  John Charles Rotondo
Affiliation:1. Department of Medical Sciences, University of Ferrara, Ferrara, Italy

Center for Studies on Gender Medicine – Department of Medical Sciences, University of Ferrara, Ferrara, Italy;2. Department of Medical Sciences, Rheumatology Unit, University of Ferrara, Ferrara, Italy;3. Department of Medical Sciences, University of Ferrara, Ferrara, Italy;4. Department of Chemistry, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy

Abstract:Oncogenic Merkel cell polyomavirus (MCPyV) provokes a widespread and asymptomatic infection in humans. Herein, sera from healthy children and young adults (HC, n = 344) aged 0–20 years old were evaluated for anti-MCPyV immunoglobulin G (IgG) and IgM antibodies employing a recently developed immunoassay. Serum MCPyV IgG data from healthy subjects (HS, n = 510) and elderlies (ES, n = 226), aged 21–65/66–100 years old, from our previous studies, were included. The anti-MCPyV IgG and IgM rates in HC sera were 40.7% and 29.7%, respectively. A lower prevalence of anti-MCPyV IgGs was found in HC aged 0–5 years old (13%) compared to 6–10 (52.3%), 11–15 (60.5%) and 16–20 years old (61.6%) cohorts. Age-stratified HCs exhibited similar anti-MCPyV IgM rates (27.9%–32.9%). Serological profiles indicated that anti-MCPyV IgGs and IgMs had low optical densities (ODs) during the first years of life, while IgM ODs appeared to decrease throughout young adulthood. A lower anti-MCPyV IgGs rate was found in HC (40.7%) than HS (61.8%) and ES (63.7%). Upon the 5-years range age-stratification, a lower anti-MCPyV IgGs rate was found in the younger HC cohort aged 0–5 years old compared to the remaining older HC/HS/ES cohorts (52.3%–72%). The younger HC cohort exhibited the lowest anti-MCPyV IgG ODs than the older cohorts. Low anti-MCPyV IgMs rates and ODs were found in the 21–25 (17.5%) and 26–30 (7.7%) years old cohorts. Our data indicate that, upon an early-in-life seroconversion, the seropositivity for oncogenic MCPyV peaks in late childhood/young adulthood and remains at high prevalence and relatively stable throughout life.
Keywords:adults  antibodies  children  elderly  enzyme-linked immunosorbent assay  immune system  immunological assay  MCPyV  Merkel cell carcinoma  Merkel cell polyomavirus  young adults
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