PMID- 29996002 OWN - NLM STAT- MEDLINE DCOM- 20190513 LR - 20190513 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 25 IP - 12 DP - 2018 Dec TI - Study of the possible link of 25-hydroxyvitamin D with Epstein-Barr virus and human herpesvirus 6 in patients with multiple sclerosis. PG - 1446-1453 LID - 10.1111/ene.13749 [doi] AB - BACKGROUND AND PURPOSE: Although the causes of multiple sclerosis (MS) remain partially unknown, environmental and genetic factors are thought to play a role in its aetiopathogenesis. Hypovitaminosis D, Epstein-Barr virus (EBV) and human herpesvirus 6 (HHV-6) infections have been described as possible MS triggers. Our aim was to analyse the possible link between 25-hydroxyvitamin D [25(OH)D] and viruses in patients with MS. METHODS: We included 482 patients with MS in a 2-year study. Serum samples were collected to analyse 25(OH)D levels and, according to sample availability, antibody titres against EBV and HHV-6 by enzyme-linked immunosorbent assay. DNA was extracted from blood in order to analyse EBV and HHV-6 viral load by quantitative real-time polymerase chain reaction and to genotype MS-related single nucleotide polymorphisms (rs3135388, rs2248359 and rs12368653) when possible. RESULTS: The 25(OH)D levels were significantly higher in the first semester of the year than in the second. Carriers of the risk allele rs2248359-C showed lower 25(OH)D levels than non-carriers. For EBV, viral load was significantly higher when 25(OH)D levels were low, demonstrating an inverse correlation between 25(OH)D levels and EBV load. CONCLUSIONS: The 25(OH)D levels could be involved in the regulation of EBV replication/reactivation in patients with MS. CI - (c) 2018 EAN. FAU - Perez-Perez, S AU - Perez-Perez S AUID- ORCID: 0000-0002-3899-8932 AD - Grupo Investigacion EM, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. FAU - Dominguez-Mozo, M I AU - Dominguez-Mozo MI AD - Grupo Investigacion EM, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. FAU - Garcia-Martinez, M A AU - Garcia-Martinez MA AD - Grupo Investigacion EM, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. FAU - Aladro, Y AU - Aladro Y AD - Servicio Neurologia, Hospital Universitario Getafe, Getafe. FAU - Martinez-Gines, M AU - Martinez-Gines M AD - Servicio Neurologia, Hospital General Universitario Gregorio Maranon, Madrid. FAU - Garcia-Dominguez, J M AU - Garcia-Dominguez JM AD - Servicio Neurologia, Hospital General Universitario Gregorio Maranon, Madrid. FAU - Lopez de Silanes, C AU - Lopez de Silanes C AD - Servicio Neurologia, Hospital Universitario Torrejon, Torrejon de Ardoz. FAU - Casanova, I AU - Casanova I AD - Servicio Neurologia, Hospital Universitario Torrejon, Torrejon de Ardoz. FAU - Ortega-Madueno, I AU - Ortega-Madueno I AD - Servicio Analisis Clinicos, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. FAU - Lopez-Lozano, L AU - Lopez-Lozano L AD - Servicio Analisis Clinicos, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. FAU - Torrejon, M J AU - Torrejon MJ AD - Servicio Analisis Clinicos, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. FAU - Arroyo, R AU - Arroyo R AD - Servicio Neurologia, Hospital Universitario Quironsalud Madrid, Madrid, Spain. FAU - Alvarez-Lafuente, R AU - Alvarez-Lafuente R AD - Grupo Investigacion EM, Hospital Clinico San Carlos, Instituto Investigacion Sanitaria San Carlos (IdISSC), Madrid. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180803 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 1406-16-2 (Vitamin D) RN - A288AR3C9H (25-hydroxyvitamin D) RN - P6YZ13C99Q (Calcifediol) SB - IM MH - Adult MH - Calcifediol MH - Female MH - Herpesviridae Infections/*blood/virology MH - Herpesvirus 4, Human/*isolation & purification MH - Herpesvirus 6, Human/*isolation & purification MH - Humans MH - Male MH - Multiple Sclerosis/*blood/*virology MH - Viral Load MH - Vitamin D/*analogs & derivatives/blood MH - Young Adult OTO - NOTNLM OT - Epstein-Barr virus OT - human herpesvirus 6 OT - multiple sclerosis OT - vitamin D EDAT- 2018/07/12 06:00 MHDA- 2019/05/14 06:00 CRDT- 2018/07/12 06:00 PHST- 2018/03/28 00:00 [received] PHST- 2018/07/10 00:00 [accepted] PHST- 2018/07/12 06:00 [pubmed] PHST- 2019/05/14 06:00 [medline] PHST- 2018/07/12 06:00 [entrez] AID - 10.1111/ene.13749 [doi] PST - ppublish SO - Eur J Neurol. 2018 Dec;25(12):1446-1453. doi: 10.1111/ene.13749. Epub 2018 Aug 3.