Members 6B and 14 of the TNF receptor superfamily in multiple sclerosis predisposition

F Blanco-Kelly1, R Alvarez-Lafuente, A Alcina

  • 1Department of Immunology, Hospital Clínico San Carlos, Madrid, Spain.

Genes and Immunity
|October 22, 2010
PubMed

Insights

Genetic variations in TNFRSF6B and TNFRSF14 influence multiple sclerosis (MS) risk, particularly in patients with active human herpes virus 6 (HHV6) replication. These findings highlight a potential link between viral activity and MS susceptibility.

Area of Science:

  • Genetics
  • Neuroimmunology
  • Virology

Background:

  • Tumor necrosis factor receptor superfamily member 6B (TNFRSF6B) and 14 (TNFRSF14) genes are linked to autoimmune diseases.
  • TNFRSF14, also known as herpes virus entry mediator (HVEM), is implicated due to herpes virus involvement in multiple sclerosis (MS) etiology.
  • MS patients exhibit human herpes virus 6 (HHV6) in active lesions and elevated antibodies to HHV6.

Purpose of the Study:

  • To investigate the association of TNFRSF6B and TNFRSF14 gene polymorphisms with MS susceptibility.
  • To explore the relationship between the HVEM receptor gene and active HHV6 replication in MS patients.

Main Methods:

  • Genotyping of 1370 Spanish MS patients and 1715 controls for TNFRSF6B and TNFRSF14 polymorphisms.
  • Analysis of HHV6A DNA levels in MS patient serum over a 2-year follow-up as a surrogate for active viral replication.

Main Results:

  • Both TNFRSF6B (rs4809330) and TNFRSF14 (rs6684865) polymorphisms were associated with increased MS predisposition.
  • The association was stronger in MS patients with evidence of active HHV6 replication.
  • HHV6-positive MS patients showed a significantly higher risk compared to controls (P=0.017, OR=1.69).

Conclusions:

  • TNFRSF6B and TNFRSF14 gene variants contribute to MS susceptibility.
  • Active HHV6 replication may exacerbate the genetic predisposition to MS.
  • These findings suggest a potential interplay between specific genetic factors and viral activity in MS pathogenesis.

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