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Updated: Aug 22, 2026

A Primary Neuron Culture System for the Study of Herpes Simplex Virus Latency and Reactivation
Published on: April 2, 2012
Human herpesvirus type 6 and multiple sclerosis
1Department of Virology, Royal Free and University College Medical School, London, UK. d.clark@rfc.ucl.ac.uk
Abstract:
The aetiology of multiple sclerosis (MS) is unknown, but is probably the result of an interaction between predisposing genetic and environmental factors. The potential role of an infectious agent in MS aetiology stems from evidence of a geographical risk component, with disease being more prevalent in temperate regions. Also, several epidemics of MS have been recorded, suggesting a transmittable element to the disease. Although no one particular virus has been implicated as a causative factor, several herpesviruses have been incriminated due to their neurotropism, ubiquitous nature and ability to establish latency. The majority of evidence supporting a link between MS and human herpesvirus-6 (HHV-6) comes from case control studies comparing the presence of HHV-6 in brain tissue, cerebrospinal fluid (CSF) and peripheral blood mononuclear cells (PBMCs) in patients with and without MS. HHV-6 was detected in a high proportion of individuals without MS, indicating that HHV-6 polymerase chain reaction (PCR) positivity in itself is not sufficient for its causality in the development of MS. Studies of the association between HHV-6 and MS have been contradictory and the International Herpes Management Forum (IHMF) recommends that any future studies should use validated, sensitive methods and that masked samples should undergo independent analyses. If therapy trials are indicated, it is recommended that drugs with improved activity against HHV-6 are evaluated.
Insights
The cause of multiple sclerosis (MS) remains unknown, but research suggests a potential link with human herpesvirus-6 (HHV-6). Current evidence is contradictory, necessitating further rigorous studies to confirm causality.
Area of Science:
- Neuroimmunology
- Virology
- Epidemiology
Background:
- The etiology of multiple sclerosis (MS) is multifactorial, likely involving genetic and environmental factors.
- Geographical distribution and epidemic patterns suggest a potential infectious component in MS.
- Herpesviruses, including human herpesvirus-6 (HHV-6), are investigated due to their neurotropic and latent properties.
Purpose of the Study:
- To review the evidence linking human herpesvirus-6 (HHV-6) to the etiology of multiple sclerosis (MS).
- To assess the validity and contradictions in studies investigating HHV-6 and MS.
- To provide recommendations for future research and therapeutic evaluations.
Main Methods:
- Analysis of case-control studies comparing HHV-6 detection in brain tissue, cerebrospinal fluid (CSF), and peripheral blood mononuclear cells (PBMCs) of MS patients and controls.
- Evaluation of polymerase chain reaction (PCR) positivity for HHV-6 in relation to MS diagnosis.
- Review of recommendations from the International Herpes Management Forum (IHMF) for future studies.
Main Results:
- HHV-6 was detected in a significant proportion of both MS patients and healthy individuals, indicating PCR positivity alone is insufficient to establish causality.
- Studies investigating the association between HHV-6 and MS have yielded contradictory findings.
- The International Herpes Management Forum (IHMF) highlights the need for validated, sensitive methods and independent analyses in future research.
Conclusions:
- The causal role of HHV-6 in multiple sclerosis (MS) remains unproven due to conflicting evidence.
- Future research must employ rigorous methodologies, including masked sample analysis, to clarify the association.
- Therapeutic trials evaluating drugs with activity against HHV-6 may be considered if further evidence emerges.
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