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York Study Ties Childhood BK Virus to Bladder Cancer Through Immune 'Friendly Fire'

Researchers pinpoint antiviral enzyme activity as the source of mutational damage in urothelial cells.

Overview

  • The peer-reviewed Science Advances paper from the University of York reports APOBEC-type DNA damage after BK virus exposure in human urothelium and in patient samples.
  • The mutations arise from the host immune response rather than viral DNA integration, with damage also observed in neighbouring bystander cells.
  • The proposed mechanism helps explain why many bladder tumors show no detectable viral traces at diagnosis years later.
  • BK virus commonly infects in childhood, lies dormant in the urinary tract, and can reactivate under immunosuppression; kidney transplant recipients are reported to have more than triple the bladder cancer risk.
  • Kidney Research UK and the research team say the findings open prevention-focused research paths to detect and control BK reactivation, though clinical guidance remains unchanged as work moves toward translation.