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Published on: February 17, 2016
Multiple sclerosis and human herpesvirus 6
J Gutiérrez1, M J Vergara, M Guerrero
1Dept. of Microbiology, Faculty of Medicine, University Hospital San Cecilio, Granada, Spain. josegf@ugr.es
Background:
A possible but as yet unproven relationship has been proposed between the onset or persistence of multiple sclerosis (MS) symptoms and herpesviruses, including, most recently, human herpesvirus 6 (HHV-6). A study was conducted to investigate the presence of HHV-6 DNA and the synthesis of antibodies against HHV-6, cytomegalovirus (CMV) and Epstein-Barr virus (EBV) in serum and cerebrospinal fluid (CSF) of patients with MS.
Materials And Methods:
PCR and ELISA were used to detect HHV-6 DNA and specific antibodies against HHV-6, CMV and EBV in 211 samples (139 sera and 72 CSF). There were three groups of samples: group I, paired samples of serum and CSF from 41 MS patients; group II, paired samples of serum and CSF from 31 patients with neurological diseases other than MS (OND); group III, 67 serum samples from 27 different MS patients undergoing serologic follow-up.
Results:
No HHV-6 DNA was found in any sample. Group I sera showed elevated anti-HHV-6 IgG and IgA levels. In group II, anti-CMV IgG was detected in one CSF sample and anti-HHV-6 IgM in one serum sample. Group III sera showed high concentrations of anti-HHV-6 IgG, IgA and IgM.
Conclusion:
Given the clinical implications of the presence of antibodies against HHV-6 in MS patients, a viral reactivation cannot be excluded as an environmental factor.
Insights
This study found no human herpesvirus 6 (HHV-6) DNA in multiple sclerosis (MS) patients, but detected elevated antibodies against HHV-6. Viral reactivation is a potential environmental factor in MS.
Area of Science:
- Neuroimmunology
- Virology
Background:
- A potential link between herpesviruses and multiple sclerosis (MS) symptoms is under investigation.
- Human herpesvirus 6 (HHV-6) is a recent focus in MS research.
Purpose of the Study:
- To investigate the presence of HHV-6 DNA.
- To analyze antibody synthesis against HHV-6, CMV, and EBV in MS patients' serum and cerebrospinal fluid (CSF).
Main Methods:
- Polymerase Chain Reaction (PCR) and Enzyme-Linked Immunosorbent Assay (ELISA) were employed.
- 211 samples (139 sera, 72 CSF) were analyzed from MS patients and controls.
- Three groups included paired serum/CSF from MS patients, paired serum/CSF from non-MS neurological disease patients, and MS patient serum for follow-up.
Main Results:
- No HHV-6 DNA was detected in any samples.
- Elevated anti-HHV-6 IgG and IgA levels were observed in MS patient sera.
- High concentrations of anti-HHV-6 IgG, IgA, and IgM were found in follow-up MS sera.
Conclusions:
- The presence of HHV-6 antibodies in MS patients suggests a possible viral reactivation.
- Viral reactivation may act as an environmental factor contributing to MS.
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