PMID- 23722324 OWN - NLM STAT- MEDLINE DCOM- 20140821 LR - 20211021 IS - 1477-0970 (Electronic) IS - 1352-4585 (Print) IS - 1352-4585 (Linking) VI - 20 IP - 1 DP - 2014 Jan TI - Oligoclonal bands in multiple sclerosis reactive against two herpesviruses and association with magnetic resonance imaging findings. PG - 27-34 LID - 10.1177/1352458513490545 [doi] AB - BACKGROUND: Two human herpesviruses, human herpesvirus 6 (HHV-6), and Epstein-Barr virus (EBV), have been repeatedly linked to multiple sclerosis (MS). OBJECTIVE: The aim of this study was to investigate HHV-6 and EBV reactive oligoclonal bands (OCBs), and viral DNA in the intrathecal compartment in MS. METHODS: The reactivity of OCBs in cerebrospinal fluid (CSF) for EBV and HHV-6 antigens and stability of virus reactive OCBs over time were studied in a well-characterized MS patient cohort. Associations between virus reactive OCBs and viral DNA in CSF (and any clinical and/or radiological findings) were investigated. RESULTS: Of patients with MS, 38% had OCBs reactive to either one of the viruses studied, compared to none in the patients with other inflammatory neurological diseases (p=0.005). The banding pattern of virus reactive OCBs remained the same over time. Furthermore, MS patients with viral DNA in CSF had more contrast enhancing lesions (CELs). CONCLUSION: The stable presence of herpesvirus reactive OCBs in CSF further strengthens the association of MS with these viruses. The finding that herpesviruses might be linked to the appearance of active lesions warrants investigation of new therapeutic strategies to treat these viruses in MS. FAU - Virtanen, J O AU - Virtanen JO AD - Neuroimmunology Branch, National Institute of Neurological Disorders and Stroke, USA. FAU - Wohler, J AU - Wohler J FAU - Fenton, K AU - Fenton K FAU - Reich, D S AU - Reich DS FAU - Jacobson, S AU - Jacobson S LA - eng GR - Z01 NS002817-18/Intramural NIH HHS/United States GR - Z01 NS002817-19/Intramural NIH HHS/United States GR - Z01 NS003040-01/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20130530 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 RN - 0 (DNA, Viral) RN - 0 (Oligoclonal Bands) SB - IM CIN - Mult Scler. 2014 Apr;20(5):638. PMID: 23959710 MH - Adult MH - DNA, Viral/cerebrospinal fluid MH - Epstein-Barr Virus Infections/cerebrospinal fluid/*complications MH - Female MH - Herpesvirus 4, Human MH - Herpesvirus 6, Human MH - Humans MH - Immunoblotting MH - Isoelectric Focusing MH - Luminescent Measurements MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Multiple Sclerosis/cerebrospinal fluid/pathology/*virology MH - Oligoclonal Bands/cerebrospinal fluid MH - Polymerase Chain Reaction MH - Roseolovirus Infections/cerebrospinal fluid/*complications MH - Young Adult PMC - PMC5001156 MID - NIHMS809452 OTO - NOTNLM OT - Multiple sclerosis OT - immunology OT - magnetic resonance imaging COIS- statement The authors declare that there are no conflicts of interest. EDAT- 2013/06/01 06:00 MHDA- 2014/08/22 06:00 PMCR- 2016/08/26 CRDT- 2013/06/01 06:00 PHST- 2013/06/01 06:00 [entrez] PHST- 2013/06/01 06:00 [pubmed] PHST- 2014/08/22 06:00 [medline] PHST- 2016/08/26 00:00 [pmc-release] AID - 1352458513490545 [pii] AID - 10.1177/1352458513490545 [doi] PST - ppublish SO - Mult Scler. 2014 Jan;20(1):27-34. doi: 10.1177/1352458513490545. Epub 2013 May 30.