Epstein-Barr virus induces erosive arthritis in humanized mice

Yoshikazu Kuwana1, Masami Takei, Misako Yajima

  • 1Division of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.

Plos One
|October 27, 2011
PubMed

Insights

Epstein-Barr virus (EBV) may cause rheumatoid arthritis (RA). Researchers developed a new animal model using humanized mice that developed erosive arthritis after EBV inoculation, suggesting a direct viral link to RA pathogenesis.

Area of Science:

  • Immunology
  • Virology
  • Rheumatology

Background:

  • Rheumatoid arthritis (RA) pathogenesis is linked to Epstein-Barr virus (EBV) through indirect evidence.
  • Evidence includes EBV presence in joints, antigenic cross-reactivity, and heightened anti-EBV immune responses in RA patients.

Purpose of the Study:

  • To investigate the potential causative role of Epstein-Barr virus (EBV) in rheumatoid arthritis (RA) development.
  • To establish a novel animal model for studying EBV-induced arthritis.

Main Methods:

  • Humanized NOD/Shi-scid/IL-2Rγ(null) (NOG) mice were created by transplanting CD34(+) hematopoietic stem cells (HSCs) from cord blood.
  • These humanized mice were inoculated with Epstein-Barr virus (EBV).
  • Pathological examination was performed to assess for signs of arthritis.

Main Results:

  • Fifteen of twenty-three EBV-inoculated humanized mice developed erosive arthritis.
  • The observed arthritis exhibited synovial proliferation, pannus formation, and bone marrow edema, closely resembling human RA.
  • Control mice (transplanted with HSCs but not inoculated with EBV) did not develop arthritis.

Conclusions:

  • This study presents the first animal model of EBV-induced arthritis.
  • The findings strongly suggest a causative role for Epstein-Barr virus (EBV) in the development of rheumatoid arthritis (RA).

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