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Comprehensive Investigations Relationship Between Viral Infections and Multiple Sclerosis Pathogenesis
Somayeh Sedighi1, Omid Gholizadeh2,3, Saman Yasamineh3
1Department of Immunology, Faculty of Medicine, Medical Science of Mashhad, Mashhad, Iran.
Abstract:
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system (CNS). Compared to other types of self-limiting myelin disorders, MS compartmentalizes and maintains chronic inflammation in the CNS. Even though the exact cause of MS is unclear, it is assumed that genetic and environmental factors play an important role in susceptibility to this disease. The progression of MS is triggered by certain environmental factors, such as viral infections. The most important viruses that affect MS are Epstein-Barr virus (EBV), human herpes virus 6 (HHV-6), human endogenous retrovirus (HERV), cytomegalovirus (CMV), and varicella zoster virus (VZV). These viruses all have latent stages that allow them to escape immune detection and reactivate after exposure to various stimuli. Furthermore, their tropism for CNS and immune system cells explains their possible deleterious function in neuroinflammation. In this study, the effect of viral infections on MS disease focuses on the details of viruses that can change the risk of the disease. Paying attention to the most recent articles on the role of SARS-CoV-2 in MS disease, laboratory indicators show the interaction of the immune system with the virus. Also, strategies to prevent viruses that play a role in triggering MS are discussed, such as EBV, which is one of the most important.
Insights
Viral infections like Epstein-Barr virus (EBV) are linked to multiple sclerosis (MS) risk. This study reviews viruses impacting MS and discusses prevention strategies, including for EBV.
Area of Science:
- Neuroimmunology
- Virology
- Autoimmune Diseases
Background:
- Multiple sclerosis (MS) is a chronic central nervous system (CNS) autoimmune disease characterized by persistent inflammation.
- The etiology of MS involves genetic and environmental factors, with viral infections being significant triggers.
- Viruses implicated in MS progression include Epstein-Barr virus (EBV), human herpes virus 6 (HHV-6), and others, known for latency and CNS tropism.
Purpose of the Study:
- To investigate the role of viral infections in the pathogenesis and risk of multiple sclerosis (MS).
- To detail specific viruses that can alter MS disease risk and progression.
- To review recent findings on SARS-CoV-2 and its interaction with the immune system in MS, and discuss preventative strategies.
Main Methods:
- Literature review focusing on viral infections and their impact on MS.
- Analysis of recent articles concerning SARS-CoV-2 and its immunological interactions in MS.
- Synthesis of information on viruses like EBV and their role in triggering MS.
Main Results:
- Several viruses, including EBV, HHV-6, HERV, CMV, and VZV, are associated with MS.
- These viruses exhibit latency and tropism for CNS and immune cells, contributing to neuroinflammation.
- Emerging evidence highlights the immune system's interaction with SARS-CoV-2 in the context of MS.
Conclusions:
- Viral infections are critical environmental factors influencing MS susceptibility and progression.
- Understanding viral mechanisms in MS is crucial for developing targeted prevention and treatment strategies.
- Preventative measures against key viruses like EBV are important for mitigating MS risk.
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