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Published on: October 15, 2019
A possible link between multiple sclerosis and Creutzfeldt-Jakob disease based on clinical, genetic, pathological and
Alan Ebringer1, Taha Rashid, Clyde Wilson
1Infection and Immunity Group, Division of Health and Life Sciences, King's College London, 150 Stamford Street, London SE1 9NN, UK. alan.ebringer@kcl.ac.uk
Abstract:
Multiple sclerosis (MS) is an immune-mediated demyelinating disease of the nervous system. There is an increasingly likelihood that MS could be triggered/perpetuated by environmental (microbial) agents. Sporadic Creutzfeldt-Jakob disease (sCJD) is a relatively rare but fatal disease, which shows various clinical, genetic, pathological and immunological features through which it resembles a severe form of MS. The disease in some patients with MS may show a rapidly downhill course with death occurring within one to two years and a similar situation occurs in sCJD. The occurrence of these comparative similarities between MS and sCJD could be explained on the basis that both of these conditions might be sharing a common aetiopathogenic factor such as infection by Acinetobacter microbes and this possibility could be investigated further by carrying out immunological studies on a relatively large numbers of patients with MS and CJD.
Insights
Multiple sclerosis and sporadic Creutzfeldt-Jakob disease may share a common microbial trigger, possibly Acinetobacter. Further immunological studies are needed to investigate this potential link in patients.
Area of Science:
- Neuroimmunology
- Infectious Diseases
- Neurology
Background:
- Multiple sclerosis (MS) is an immune-mediated demyelinating disease.
- Environmental (microbial) agents are increasingly implicated in MS etiology.
- Sporadic Creutzfeldt-Jakob disease (sCJD) shares clinical and pathological similarities with severe MS.
Purpose of the Study:
- To explore the hypothesis that MS and sCJD share a common aetiopathogenic factor.
- To investigate the potential role of Acinetobacter microbes in the pathogenesis of both diseases.
Main Methods:
- Comparative analysis of clinical, genetic, pathological, and immunological features of MS and sCJD.
- Proposal for future immunological studies in large patient cohorts.
Main Results:
- Identified significant similarities between MS and sCJD, including rapid disease progression and fatality.
- Highlighted the potential for a shared underlying cause, such as microbial infection.
Conclusions:
- The observed similarities suggest a possible common aetiopathogenic factor, potentially Acinetobacter infection, in MS and sCJD.
- Further immunological investigation is warranted to validate this hypothesis and understand the link between these neurological diseases.
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