CYTOMEGALOVIRUS
VIROLOGY
Human cytomegalovirus (CMV) possesses the largest
genome of the herpesviruses (~240 kbp), and its replication, although slow, is
similar to HSV with the sequential appearance of immediate early, early and
late gene products. In addition to nuclear inclusions (“owl eye cells”), CMV
produces perinuclear cytoplasmic inclusions and enlargement of the cell
(cytomegaly), a property that gives the virus its name. Based on genomic and
phenotypic heterogeneity, innumerable strains of CMV exist, and restriction
endonucle-ase analysis of viral DNA has been useful for distinguishing strains
epidemiologically. Antigenic variations have been observed but are not of
clinical importance.
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