PMID- 29569515 OWN - NLM STAT- MEDLINE DCOM- 20200327 LR - 20200401 IS - 1477-0970 (Electronic) IS - 1352-4585 (Print) IS - 1352-4585 (Linking) VI - 25 IP - 5 DP - 2019 Apr TI - Prevalence of salivary human herpesviruses in pediatric multiple sclerosis cases and controls. PG - 644-652 LID - 10.1177/1352458518765654 [doi] AB - BACKGROUND: Multiple sclerosis (MS) is a multifactorial disease of unknown origin. The current paradigm is that disease develops in genetically susceptible individuals, influenced by environmental factors. Epstein-Barr virus (EBV) and human herpesvirus 6 (HHV-6) have particularly strong associations with the disease. Both viruses are typically acquired during childhood, decades before MS presents. However, in patients with pediatric MS, the temporal window between viral acquisition and disease onset is shortened, which may provide insights into the association of herpesviruses with MS. OBJECTIVE: To compare the frequency of EBV and HHV-6 in the saliva of a cohort of pediatric MS patients and age-matched controls. METHODS: The study enrolled 32 pediatric MS patients and 42 controls and evaluated saliva for HHV-6 u57 and EBV lmp-1 amplification by droplet digital polymerase chain reaction (ddPCR). RESULTS: Pediatric MS patients did not differ from controls in the frequency or magnitude of salivary viral shedding. During the assessment of EBV positivity, distinct profiles emerged that correlated with target amplicon mutations. CONCLUSIONS: None of these mutations were evident in EBV-positive samples from pediatric MS patients, whereas they were present in pediatric controls, in addition to MS and control adults, suggesting differential host-immune control of EBV in this pediatric MS cohort. FAU - Leibovitch, Emily C AU - Leibovitch EC AD - National Institutes of Health, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA. FAU - Lin, Cheng-Te Major AU - Lin CM AD - National Institutes of Health, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA. FAU - Billioux, Bridgette J AU - Billioux BJ AD - National Institutes of Health, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA. FAU - Graves, Jennifer AU - Graves J AD - Multiple Sclerosis Center, University of California San Francisco, San Francisco, CA, USA. FAU - Waubant, Emmanuelle AU - Waubant E AD - Multiple Sclerosis Center, University of California San Francisco, San Francisco, CA, USA. FAU - Jacobson, Steven AU - Jacobson S AD - National Institutes of Health, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA. LA - eng GR - Z01 NS002817-18/Intramural NIH HHS/United States GR - Z01 NS002817-19/Intramural NIH HHS/United States PT - Journal Article DEP - 20180323 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 SB - IM MH - Adult MH - Child MH - Cohort Studies MH - Epstein-Barr Virus Infections/*epidemiology MH - Female MH - Herpesviridae/*pathogenicity MH - Herpesvirus 4, Human/immunology/pathogenicity MH - Humans MH - Male MH - Multiple Sclerosis/*epidemiology/*virology MH - Prevalence MH - Saliva/*virology MH - Virus Shedding/immunology PMC - PMC6119543 MID - NIHMS946930 OTO - NOTNLM OT - Epstein-Barr virus OT - Multiple sclerosis OT - ddPCR OT - herpesvirus OT - human herpesvirus 6 OT - pediatric multiple sclerosis OT - saliva EDAT- 2018/03/24 06:00 MHDA- 2020/03/28 06:00 PMCR- 2020/04/01 CRDT- 2018/03/24 06:00 PHST- 2018/03/24 06:00 [pubmed] PHST- 2020/03/28 06:00 [medline] PHST- 2018/03/24 06:00 [entrez] PHST- 2020/04/01 00:00 [pmc-release] AID - 10.1177/1352458518765654 [doi] PST - ppublish SO - Mult Scler. 2019 Apr;25(5):644-652. doi: 10.1177/1352458518765654. Epub 2018 Mar 23.