PMID- 19515610 OWN - NLM STAT- MEDLINE DCOM- 20090930 LR - 20090804 IS - 1873-5967 (Electronic) IS - 1386-6532 (Linking) VI - 46 IP - 1 DP - 2009 Sep TI - Reactivation of human herpesvirus 6 (HHV-6) infection in patients with connective tissue diseases. PG - 43-6 LID - 10.1016/j.jcv.2009.05.010 [doi] AB - BACKGROUND: Little is known about the involvement of human herpesviruses 6 and 7 (HHV-6 and HHV-7) in autoimmune connective tissue diseases (ACTD). OBJECTIVE: To determine the prevalence of active infection with HHV-6 and HHV-7 in patients with ACTD. STUDY DESIGN: The presence and quantity of HHV-6 DNA was determined by quantitative real-time PCR in a cross-sectional study of serum, peripheral blood mononuclear cells, and tissues obtained from 58 ACTD patients and 38 healthy subjects (HS). Specific anti-HHV-6 antibody titer was also measured. RESULTS: HHV-6 serum viremia occurred in a significantly higher proportion of ACTD patients compared to HS [26/58 (44.8%) vs. 1/38 (2.6%), p=0.001] with the highest reactivation frequency [7/10 (70%)] observed in patients with scleroderma. Moreover, HHV-6 in serum was associated with ACTD activity (22/38 vs. 4/20, p<0.05). Higher titers of HHV-6 antibodies were found in ACTD patients than in HS, although HHV-6 seroprevalence among patients with ACTD and HS was similar. HHV-7 viremia was not detected in any patients or HS controls. CONCLUSION: The frequent reactivation of HHV-6 in scleroderma and other ACTD, especially when active, suggests that HHV-6 may play a role in the pathogenesis of these diseases. FAU - Broccolo, Francesco AU - Broccolo F AD - Department of Clinical Medicine, Prevention and Biotechnology, University of Milano-Bicocca, Via Cadore, 48, 20052 Monza, Italy. francesco.broccolo@unimib.it FAU - Drago, Francesco AU - Drago F FAU - Paolino, Stefania AU - Paolino S FAU - Cassina, Giulia AU - Cassina G FAU - Gatto, Francesca AU - Gatto F FAU - Fusetti, Lisa AU - Fusetti L FAU - Matteoli, Barbara AU - Matteoli B FAU - Zaccaria, Elisa AU - Zaccaria E FAU - Parodi, Aurora AU - Parodi A FAU - Lusso, Paolo AU - Lusso P FAU - Ceccherini-Nelli, Luca AU - Ceccherini-Nelli L FAU - Malnati, Mauro S AU - Malnati MS LA - eng PT - Journal Article DEP - 20090609 PL - Netherlands TA - J Clin Virol JT - Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology JID - 9815671 RN - 0 (Antibodies, Viral) RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Viral/blood MH - Autoimmune Diseases/*virology MH - Child MH - Connective Tissue Diseases/*complications/*virology MH - Cross-Sectional Studies MH - DNA, Viral/genetics MH - Female MH - Herpesvirus 6, Human/isolation & purification/*physiology MH - Herpesvirus 7, Human/isolation & purification/physiology MH - Humans MH - Male MH - Middle Aged MH - Polymerase Chain Reaction/methods MH - Prevalence MH - Roseolovirus Infections/*complications/*epidemiology/virology MH - Viremia MH - *Virus Activation MH - Young Adult EDAT- 2009/06/12 09:00 MHDA- 2009/10/01 06:00 CRDT- 2009/06/12 09:00 PHST- 2009/06/12 09:00 [entrez] PHST- 2009/06/12 09:00 [pubmed] PHST- 2009/10/01 06:00 [medline] AID - S1386-6532(09)00191-7 [pii] AID - 10.1016/j.jcv.2009.05.010 [doi] PST - ppublish SO - J Clin Virol. 2009 Sep;46(1):43-6. doi: 10.1016/j.jcv.2009.05.010. Epub 2009 Jun 9.