PMID- 12443897 OWN - NLM STAT- MEDLINE DCOM- 20030305 LR - 20191106 IS - 1286-4579 (Print) IS - 1286-4579 (Linking) VI - 4 IP - 13 DP - 2002 Nov TI - Human herpesvirus 6 and Chlamydia pneumoniae as etiologic agents in multiple sclerosis - a critical review. PG - 1327-33 AB - Multiple sclerosis (MS) is thought by many investigators to have an infectious component, and several microorganisms have been associated with the disease during the last three decades. Recent studies have implicated both human herpesvirus 6 (HHV-6) and the obligate intracellular bacterium Chlamydia pneumoniae in the etiology of MS. As with earlier studies of other potential agents, however, evidence linking either of these organisms to the disease is equivocal. In this article, we review data for and against involvement of HHV-6 and C. pneumoniae in MS, as well as evidence concerning auxiliary factors, such as possession of the APOE epsilon4 allele, which may influence the role of these organisms in pathogenesis. Further, we suggest several lines of investigation that should clarify whether either or both pathogens are associated meaningfully with this disease. FAU - Swanborg, Robert H AU - Swanborg RH AD - Department Immunology, Wayne State University School of Medicine, Detroit, MI 48201, USA. FAU - Whittum-Hudson, Judith A AU - Whittum-Hudson JA FAU - Hudson, Alan P AU - Hudson AP LA - eng GR - AI-44055/AI/NIAID NIH HHS/United States GR - AI-44493/AI/NIAID NIH HHS/United States GR - NS-06985/NS/NINDS NIH HHS/United States GR - RG1073/RG/CSR NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - France TA - Microbes Infect JT - Microbes and infection JID - 100883508 RN - 0 (Antigens, Viral) RN - 0 (DNA, Viral) SB - IM MH - Antigens, Viral/cerebrospinal fluid MH - Autoimmunity MH - Child MH - Chlamydophila Infections/*microbiology MH - Chlamydophila pneumoniae/*pathogenicity MH - DNA, Viral/cerebrospinal fluid MH - Encephalitis/virology MH - Herpesvirus 6, Human/*pathogenicity MH - Humans MH - Infant, Newborn MH - Multiple Sclerosis/*microbiology/virology MH - Roseolovirus Infections/*virology RF - 41 EDAT- 2002/11/22 04:00 MHDA- 2003/03/06 04:00 CRDT- 2002/11/22 04:00 PHST- 2002/11/22 04:00 [pubmed] PHST- 2003/03/06 04:00 [medline] PHST- 2002/11/22 04:00 [entrez] AID - S1286457902000096 [pii] AID - 10.1016/s1286-4579(02)00009-6 [doi] PST - ppublish SO - Microbes Infect. 2002 Nov;4(13):1327-33. doi: 10.1016/s1286-4579(02)00009-6.