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Antivirus immune activity in multiple sclerosis correlates with MRI activity.

L B Latham1, M J Lee2, J A Lincoln1

  • 1Department of Neurology, University of Texas Health Science Center at Houston, Houston, TX, USA.

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Immune responses to Epstein-Barr virus (EBV) in the blood correlate with future multiple sclerosis (MS) disease activity shown on MRI scans. This suggests a link between EBV and MS progression.

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Area of Science:

  • Neuroimmunology
  • Viral Immunology

Background:

  • Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system.
  • The role of viral infections, particularly Epstein-Barr virus (EBV), in MS pathogenesis is under investigation.

Purpose of the Study:

  • To investigate the correlation between Epstein-Barr virus (EBV) reactivation or anti-EBV immune response and MS disease activity.
  • To assess if immune responses to EBV predict future MS lesions on MRI.

Main Methods:

  • Longitudinal study of 20 early, active relapsing-remitting MS patients over 16 weeks.
  • Regular blood and saliva sampling for immune response assays (proliferation, ELISPOT) and viral DNA quantification (qPCR).
  • Serial brain MRI scans to quantify new and enhancing lesions.

Main Results:

  • A significant correlation was found between T-cell proliferation to autologous EBV-infected lymphoblastoid cell lines (LCL) and the number of active MRI lesions 4 weeks later.
  • Both proliferation and interferon-γ secretion in response to LCL correlated with the number of enhancing lesions 8 weeks later.

Conclusions:

  • Antiviral immune responses in peripheral blood are associated with subsequent MS disease activity.
  • These findings suggest a potential role for EBV-specific immune responses in predicting MS relapses.