disease 2,404 words KG: ent-dise-72f7c8e2
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Progressive Multifocal Leukoencephalopathy (PML)

Disease Info
Pre-AIDS eraExtremely rare, with fewer than 200 cases reported in the medical literature by 1984
Antiretroviral therapy (ART) eraCombined ART has reduced PML incidence in HIV patients by approximately 50–60%, though it remains a significant complication
Drug-associated PMLThe natalizumab era (post-2005) brought renewed attention to PML risk in iatrogenic immunosuppression
RituximabAnti-CD20 antibody used in lymphoma, rheumatoid arthritis, and MS
Early regionEncodes large T antigen (T-Ag) and small t antigen — regulatory proteins essential for viral DNA replication and host cell cycle manipulation
Late regionEncodes the structural capsid proteins VP1, VP2, and VP3, and the regulatory agnoprotein
Non-coding control region (NCCR)Contains the origin of replication and promoter/enhancer elements; rearrangements in this region are critical for neurotropism and PML pathogenesis
DatabasesOMIMOrphanetClinicalTrialsPubMed

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