Detection of human herpesvirus-6 in cerebrospinal fluid of patients with encephalitis

Karen Yao1, Somayeh Honarmand, Alex Espinosa

  • 1Viral Immunology Section, Neuroimmunology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA.

Annals of Neurology
|April 1, 2009
PubMed
Abstract

Insights

Human herpesvirus-6 (HHV-6) may cause encephalitis, a brain inflammation. Researchers found HHV-6 DNA and antibodies in some encephalitis patients, suggesting it as a potential pathogen.

Area of Science:

  • Neurology
  • Virology
  • Infectious Diseases

Background:

  • Virus infections are primary causes of encephalitis, leading to acute brain inflammation.
  • The causative agents for over half of encephalitis cases remain unidentified due to diagnostic limitations.

Purpose of the Study:

  • To investigate the role of human herpesvirus-6 (HHV-6) as a potential cause of encephalitis.
  • To determine if HHV-6 is present in patients with unexplained encephalitis.

Main Methods:

  • Examined cerebrospinal fluid (CSF) from encephalitis patients for HHV-6 DNA using polymerase chain reaction (PCR).
  • Assessed HHV-6 specific antibody (IgG and IgM) levels in CSF.
  • Compared findings with CSF samples from patients with multiple sclerosis and other neurological diseases.

Main Results:

  • Elevated HHV-6 IgG and IgM antibodies were detected in a subset of encephalitis patients.
  • Cell-free viral DNA, indicating active infection, was found in 40% of encephalitis patients.
  • A significant correlation was observed between PCR detection of HHV-6 and the presence of anti-HHV-6 antibodies.

Conclusions:

  • Human herpesvirus-6 (HHV-6) is suggested as a potential pathogen in some cases of encephalitis.
  • These findings highlight the importance of considering HHV-6 in the differential diagnosis of encephalitis.

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