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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.
Abstract:
TNFRSF6B and TNFRSF14 genes were recently associated with Crohn's disease and rheumatoid arthritis. TNFRSF14 is known as herpes virus entry mediator (HVEM), and herpes viruses have been involved in the aetiology of multiple sclerosis (MS). MS patients present human herpes virus 6 (HHV6) in active plaques and increased antibody responses to HHV6. We aimed to ascertain the role of these genes in MS susceptibility and to investigate the relationship of the gene encoding the widely expressed HVEM receptor with the active replication of HHV6 found in some MS patients. Genotyping of 1370 Spanish MS patients and 1715 ethnically matched controls was performed. HHV6A DNA levels (surrogate of active viral replication) were analysed in serum of MS patients during a 2-year follow-up. Both polymorphisms were associated with MS predisposition, with stronger effect in patients with HHV6 active replication-TNFRSF6B-rs4809330(*)A: P=0.028, OR=1.13; TNFRSF14-rs6684865(*)A: overall P=0.0008, OR=1.2; and HHV6-positive patients vs controls: P=0.017, OR=1.69.
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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