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Vitamin D status and antibody levels to common viruses in pediatric-onset multiple sclerosis
Ellen M Mowry1, Judith A James, Lauren B Krupp
1MS Center, Department of Neurology, University of California-San Francisco, 350 Parnassus Avenue, San Francisco, CA 94117, USA. ellen.mowry@ucsf.edu
Insights
Vitamin D levels show varied associations with common viral antibodies in pediatric multiple sclerosis (MS) and clinically isolated syndrome (CIS) patients. Vitamin D sufficiency correlates with higher Epstein-Barr virus antibodies in MS/CIS patients.
Area of Science:
- Neuroimmunology
- Infectious Disease Immunology
- Nutritional Neuroscience
Background:
- The interplay of risk factors for multiple sclerosis (MS) remains incompletely understood.
- Investigating environmental factors like vitamin D is crucial for understanding MS etiology.
Purpose of the Study:
- To examine the relationship between vitamin D status and antibody levels against common viruses.
- To determine if this association differs in pediatric-onset MS or clinically isolated syndrome (CIS) patients compared to controls.
Main Methods:
- Assessed vitamin D levels and antibody titers to Epstein-Barr virus, cytomegalovirus (CMV), and herpes simplex virus (HSV)-1/2.
- Analyzed associations between vitamin D status and viral antibodies, considering disease status (MS/CIS vs. controls).
Main Results:
- Vitamin D status showed a weak association with CMV antibodies but not other tested viruses.
- Vitamin D sufficiency was linked to higher Epstein-Barr nuclear antigen-1 antibody levels in MS/CIS patients versus controls.
- Associations between vitamin D and CMV/HSV-2 antibodies varied between MS/CIS patients and controls.
Conclusions:
- Vitamin D status may influence antibody levels to common viruses differently in seropositive individuals.
- These findings suggest a potential role for vitamin D in modulating immune responses to viral infections in the context of MS/CIS.
Background:
The relative contribution and interaction of risk factors for multiple sclerosis (MS) have not been evaluated.
Objectives:
To determine whether vitamin D status is associated with antibody levels to common viruses in pediatric-onset MS or clinically isolated syndrome (CIS) patients and controls.
Methods:
We assessed whether vitamin D status was associated with viral antibody levels to Epstein-Barr virus, cytomegalovirus (CMV), and herpes simplex virus (HSV)-1 or -2 in subjects who demonstrated evidence of remote infection with these viruses and whether these associations differed depending on disease status.
Results:
In 140 subjects, vitamin D status was weakly associated with antibody levels to CMV but not to the other viruses. However, there were some interactions between vitamin D status and disease state. Among those with vitamin D sufficiency (≥30 ng/ml), MS/CIS patients had higher antibody levels to Epstein-Barr nuclear antigen-1 than controls. Vitamin D sufficiency was associated with higher CMV antibody levels in MS/CIS subjects but lower CMV antibody levels in controls. Higher vitamin D levels appeared to be associated with higher titers to HSV-2 in MS/CIS patients but not controls.
Conclusions:
Vitamin D status may be differentially associated with antibody levels to common childhood viruses among seropositive subjects.
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