Neurological Disease-Affected Patients, including Multiple Sclerosis, Are Poor Responders to BKPyV, a Human

Ilaria Bononi1, Elisa Mazzoni2, Silvia Pietrobon3

  • 1Department of Translational Medicine and for Romagna, University of Ferrara, 44121 Ferrara, Italy.

Insights

Patients with multiple sclerosis (MS) and other neurological diseases show a weaker immune response to the BK polyomavirus (BKPyV). This suggests specific immune system dysfunction in these conditions.

Area of Science:

  • Neuroimmunology
  • Virology
  • Immunology

Background:

  • Multiple sclerosis (MS) is a neurological disease involving immune dysregulation, with viruses potentially acting as triggers.
  • Individual responses to viral infections vary, particularly in patients with neurological conditions.

Purpose of the Study:

  • To investigate the association between the BK polyomavirus (BKPyV) and multiple sclerosis (MS).
  • To examine immune responses to BKPyV in patients with other neurological diseases, both inflammatory (OIND) and non-inflammatory (NIND), compared to healthy subjects (HS).

Main Methods:

  • Serum samples from MS patients, OIND, NIND, and HS were analyzed for IgG antibodies against BKPyV using indirect ELISA with VP1 synthetic peptides.
  • Immune responses to Epstein-Barr virus (EBV) and total IgG levels were assessed as controls.

Main Results:

  • A significantly lower prevalence and titer of IgG antibodies against BKPyV VP1 epitopes were observed in MS and OIND patients compared to HS.
  • No significant differences in EBV-antibody values or total IgG levels were found across MS, OIND, NIND, and HS groups.

Conclusions:

  • Patients with neurological diseases, including MS, exhibit a reduced immune response to BKPyV VP1 antigens.
  • This suggests specific immunologic dysfunction related to BKPyV in individuals with neurological disorders.
  • Findings contribute to understanding immune reactions in neurological conditions.