感染或接种疫苗后的红疹病毒血清阳性作为多发性硬化症的危险因素
Jens Ingvarsson1, Viktor Grut1, Martin Biström1
1Department of Clinical Sciences, Neurosciences, Umeå University, Umeå, Sweden.
European journal of neurology
|July 18, 2024
概括
早期的红疹病毒 (RV) 感染可能会增加多发性硬化症 (MS) 风险,特别是在未接种疫苗的人群中. 这项研究表明,病毒在多发性硬化症的发展中起着更广泛的作用,可能是通过分子模仿.
科学领域:
- 神经免疫学 神经免疫学
- 病毒学 病毒学
- 流行病学 流行病学
背景情况:
- 多发性硬化症 (MS) 是一种复杂的神经系统疾病,具有已知的遗传和环境风险因素.
- 爱斯坦-巴尔病毒 (EBV) 和人类疹病毒6A (HHV-6A) 都与MS的发病有关.
- 由于有限和相互矛盾的证据,其他神经向病毒,如红疹病毒 (RV) 在MS中的作用仍然不清楚.
研究的目的:
- 调查红疹病毒 (RV) 的血清反应与患多发性硬化症 (MS) 的风险之间的关联.
- 探索RV在多发性硬化症病原发生的潜在作用,考虑疫苗接种状态和其他病毒感染.
主要方法:
- 一项嵌套病例控制研究使用来自瑞典队列的生物库样本进行.
- 在MS发作之前,在接种疫苗和未接种疫苗的受试者中,使用基于珠子的多重检测分析了对RV的血清反应.
- 使用条件后勤回归来评估VR血清阳性和MS风险之间的关联,并对混因素进行调整.
主要成果:
- 对RV的血清阳性与未接种疫苗的人群中MS风险增加显著相关 (AOR=4.0,95% CI 1.8-8.8),即使在对EBV,HHV-6A,细胞巨血病毒和维生素D进行调整后也是如此.
- 与对照组相比,病例对红疹的抗体反应性更强,这种模式在其他疹病毒中没有观察到.
- 在接种疫苗的受试者中也发现了相关性,尽管在混调整后没有达到统计显著性 (AOR=1.7,95% CI 1.0-2.9).
结论:
- 这项研究提供了第一个证据,将早期红疹病毒的血清阳性与随后的MS发展联系起来.
- 这些发现支持扩大MS病因学中的"病毒假说".
- 红疹表位和中枢神经系统分子之间的分子模仿被认为是一种潜在的机制.
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