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Related Experiment Video

Updated: Aug 15, 2025

Isolation and Quantification of Epstein-Barr Virus from the P3HR1 Cell Line
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The concentrations of antibodies to Epstein-Barr virus decrease during ocrelizumab treatment.

H Phuong T Pham1, Sepideh Saroukhani2, J William Lindsey1

  • 1Department of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA.

Multiple Sclerosis and Related Disorders
|January 5, 2023
PubMed
Summary
This summary is machine-generated.

Ocrelizumab (OCR) treatment for multiple sclerosis (MS) reduces antibodies to Epstein-Barr Virus (EBV) antigens. This suggests OCR may benefit MS patients by decreasing the EBV antigenic stimulus.

Keywords:
B cell depletionEpstein-Barr virusMultiple sclerosisOcrelizumabantibody response

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Area of Science:

  • Immunology
  • Virology
  • Neurology

Background:

  • Epstein-Barr Virus (EBV) infection is linked to multiple sclerosis (MS).
  • EBV establishes lifelong latent infection in B lymphocytes.
  • Ocrelizumab (OCR), an anti-CD20 antibody, depletes B cells and reduces MS disease activity.

Purpose of the Study:

  • To investigate the impact of OCR treatment on antibody responses to EBV antigens.
  • To assess antibody responses to human antigens cross-reactive with EBV during OCR therapy.

Main Methods:

  • Blood samples from MS patients before and during OCR treatment were analyzed.
  • Antibodies to EBV antigens (EBNA-1, BFRF3, gp350) and cross-reactive human proteins (septin-9, DLST, HNRNPL) were measured using Western blots and ELISA.

Main Results:

  • OCR treatment significantly decreased antibodies to EBV antigens EBNA-1 and BFRF3 after 12 months.
  • A trend towards decreased antibody response to cross-reactive human proteins septin-9 and DLST was observed.
  • No significant change in antibodies to HNRNPL or total IgG concentration was noted.

Conclusions:

  • Ocrelizumab treatment leads to a reduction in antibody responses to specific EBV antigens in MS patients.
  • The therapeutic benefit of OCR in MS may involve mitigating the EBV antigenic stimulus.