PMID- 26041797 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20161230 IS - 1477-0970 (Electronic) IS - 1352-4585 (Linking) VI - 22 IP - 3 DP - 2016 Mar TI - Intrathecal CD8 T-cells of multiple sclerosis patients recognize lytic Epstein-Barr virus proteins. PG - 279-91 LID - 10.1177/1352458515588581 [doi] AB - BACKGROUND: The association between Epstein-Barr virus (EBV) and multiple sclerosis (MS) may involve intrathecal EBV-specific T-cell responses targeting the virus or indirectly, autoantigens. OBJECTIVE: Compare the prevalence and fine-specificity of EBV-specific T-cells in the cerebrospinal fluid (CSF) of patients with MS (n = 12), clinically-isolated syndrome (CIS) (n = 17) and other neurological diseases (OND) (n = 13). METHODS: Intrathecal EBV-specific T-cell reactivity was assayed using CSF-derived T-cell lines (CSF-TCL) and autologous EBV-transformed B-cells (autoBLCL) as antigen-presenting cells (APC). EBV proteins recognized by autoBLCL-specific CD8 T-cells were identified using human leukocyte antigen class I (HLA-I)-negative monkey cells as artificial APC, co-transfected with 59 different EBV genes and the corresponding patient's HLA-I alleles that were involved in autoBLCL T-cell reactivity. Reactivity towards the MS-associated autoantigen alphaB-crystallin (CRYAB) was determined analogously. RESULTS: CSF-TCL from CIS and MS patients had significantly higher frequencies of autoBLCL-reactive CD4 T-cells, compared to the OND patients. CIS patients also had significantly higher autoBLCL-reactive CD8 T cells, which correlated with reactive CD4 T-cell frequencies. AutoBLCL-specific CD8 T-cell responses of four CSF-TCL analyzed in detail were oligoclonal and directed to lytic EBV proteins, but not CRYAB endogenously expressed by autoBLCL. CONCLUSIONS: Enhanced intrathecal autoBLCL-specific T-cell reactivity, selectively directed towards lytic EBV proteins in two CSF-TCL, suggested a localized T-cell response to EBV in patients with MS. Our data warrant further characterization of the magnitude and breadth of intrathecal EBV-specific T-cell responses in larger patient cohorts. CI - (c) The Author(s), 2015. FAU - van Nierop, Gijsbert P AU - van Nierop GP AD - Department of Neurology, Erasmus Medical Center, Rotterdam, the Netherlands/Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands. FAU - Mautner, Josef AU - Mautner J AD - Helmholtz Zentrum Munchen and Technical University, Munich, Germany. FAU - Mitterreiter, Johanna G AU - Mitterreiter JG AD - Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands/Research Center for Emerging Infections and Zoonoses, University of Veterinary Medicine, Hannover, Germany. FAU - Hintzen, Rogier Q AU - Hintzen RQ AD - Department of Neurology, Erasmus Medical Center, Rotterdam, the Netherlands. FAU - Verjans, Georges M G M AU - Verjans GM AD - Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands/Research Center for Emerging Infections and Zoonoses, University of Veterinary Medicine, Hannover, Germany g.verjans@erasmusmc.nl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150603 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 RN - 0 (Autoantigens) RN - 0 (CRYAB protein, human) RN - 0 (Viral Proteins) RN - 0 (alpha-Crystallin B Chain) SB - IM MH - Adult MH - Autoantigens/immunology MH - CD8-Positive T-Lymphocytes/*immunology MH - Enzyme-Linked Immunosorbent Assay MH - Epstein-Barr Virus Infections/*immunology MH - Female MH - Herpesvirus 4, Human MH - Humans MH - Male MH - Middle Aged MH - Multiple Sclerosis/*cerebrospinal fluid/*immunology MH - Real-Time Polymerase Chain Reaction MH - Viral Proteins/*immunology MH - alpha-Crystallin B Chain/immunology OTO - NOTNLM OT - Autoantibodies OT - Epstein-Barr virus OT - T-cells OT - cerebrospinal fluid OT - clinically-isolated syndrome OT - crystallin OT - disease control OT - herpesviridae OT - intrathecal space OT - lytic antigen OT - multiple sclerosis OT - target antigen EDAT- 2015/06/05 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/06/05 06:00 PHST- 2014/10/30 00:00 [received] PHST- 2015/05/01 00:00 [accepted] PHST- 2015/06/05 06:00 [entrez] PHST- 2015/06/05 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 1352458515588581 [pii] AID - 10.1177/1352458515588581 [doi] PST - ppublish SO - Mult Scler. 2016 Mar;22(3):279-91. doi: 10.1177/1352458515588581. Epub 2015 Jun 3.