PMID- 23009575 OWN - NLM STAT- MEDLINE DCOM- 20130606 LR - 20211021 IS - 1471-2377 (Electronic) IS - 1471-2377 (Linking) VI - 12 DP - 2012 Sep 25 TI - MHC2TA mRNA levels and human herpesvirus 6 in multiple sclerosis patients treated with interferon beta along two-year follow-up. PG - 107 LID - 10.1186/1471-2377-12-107 [doi] AB - BACKGROUND: In previous studies we found that MHC2TA +1614 genotype frequency was very different when MS patients with and without human herpesvirus 6 (HHV-6) in serum samples were compared; a different clinical behavior was also described. The purpose of the study was: 1. To evaluate if MHC2TA expression in MS patients was influenced by interferon beta (IFN-beta) treatment. 2. To study MHC2TA expression in MS patients with and without minor allele C. 3. To analyze the relation between MHC2TA mRNA levels and HHV-6 active infection in MS patients. METHODS: Blood and serum samples of 154 MS patients were collected in five programmed visits: basal (prior to beginning IFN-beta treatment), six, twelve, eighteen and twenty-four months later. HHV-6 in serum and MHC2TA mRNA levels were evaluated by PCR and RT-PCR, respectively. Neutralizing antibodies (NAbs) against IFN-beta were analyzed by the cytopathic effect assay. RESULTS: We found that MHC2TA mRNA levels were significantly lower among MS patients with HHV-6 active infection at the basal visit (without treatment) than in those MS patients without HHV-6 active infection at the basal visit (p = 0.012); in all the positive samples we only found variant A. Furthermore, 58/99 (58.6%) MS patients without HHV-6 along the five programmed visits and an increase of MHC2TA expression after two-years of IFN-beta treatment were clinical responders vs. 5/21 (23.8%) among those MS patients with HHV-6 and a decrease of MHC2TA mRNA levels along the two-years with IFN-beta treatment (p = 0.004); no differences were found between patients with and without NAbs. CONCLUSIONS: MHC2TA mRNA levels could be decreased by the active replication of HHV-6; the absence of HHV-6 in serum and the increase of MHC2TA expression could be further studied as markers of good clinical response to IFN-beta treatment. FAU - Dominguez-Mozo, Maria Inmaculada AU - Dominguez-Mozo MI AD - Servicio de Neurologia, Hospital Clinico San Carlos, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos IdISSC, Madrid, Spain. FAU - Garcia-Montojo, Marta AU - Garcia-Montojo M FAU - De Las Heras, Virginia AU - De Las Heras V FAU - Garcia-Martinez, Angel AU - Garcia-Martinez A FAU - Arias-Leal, Ana Maria AU - Arias-Leal AM FAU - Casanova, Ignacio AU - Casanova I FAU - Arroyo, Rafael AU - Arroyo R FAU - Alvarez-Lafuente, Roberto AU - Alvarez-Lafuente R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120925 PL - England TA - BMC Neurol JT - BMC neurology JID - 100968555 RN - 0 (Antibodies, Neutralizing) RN - 0 (Immunologic Factors) RN - 0 (MHC class II transactivator protein) RN - 0 (Nuclear Proteins) RN - 0 (RNA, Messenger) RN - 0 (Trans-Activators) RN - 77238-31-4 (Interferon-beta) SB - IM MH - Adult MH - Antibodies, Neutralizing MH - Female MH - Gene Frequency MH - Genotype MH - Herpesvirus 6, Human/*isolation & purification MH - Humans MH - Immunologic Factors/*therapeutic use MH - Interferon-beta/immunology/*therapeutic use MH - Male MH - Middle Aged MH - Multiple Sclerosis/*drug therapy/genetics/virology MH - Nuclear Proteins/*genetics MH - RNA, Messenger/genetics MH - Roseolovirus Infections/*genetics/immunology/virology MH - Trans-Activators/*genetics MH - Virus Replication/genetics PMC - PMC3585729 EDAT- 2012/09/27 06:00 MHDA- 2013/06/07 06:00 PMCR- 2012/09/25 CRDT- 2012/09/27 06:00 PHST- 2012/05/24 00:00 [received] PHST- 2012/09/24 00:00 [accepted] PHST- 2012/09/27 06:00 [entrez] PHST- 2012/09/27 06:00 [pubmed] PHST- 2013/06/07 06:00 [medline] PHST- 2012/09/25 00:00 [pmc-release] AID - 1471-2377-12-107 [pii] AID - 10.1186/1471-2377-12-107 [doi] PST - epublish SO - BMC Neurol. 2012 Sep 25;12:107. doi: 10.1186/1471-2377-12-107.