PMID- 37160141 OWN - NLM STAT- MEDLINE DCOM- 20230511 LR - 20230513 IS - 1678-4227 (Electronic) IS - 0004-282X (Print) IS - 0004-282X (Linking) VI - 81 IP - 4 DP - 2023 Apr TI - Molecular mimicry between Zika virus and central nervous system inflammatory demyelinating disorders: the role of NS5 Zika virus epitope and PLP autoantigens. PG - 357-368 LID - 10.1055/s-0043-1768698 [doi] AB - BACKGROUND: Evidence indicates a strong link between Zika virus (ZikV) and neurological complications. Acute myelitis, optic neuritis, polyneuropathy, and encephalomyelitis that mimic inflammatory idiopathic demyelination disorders (IIDD) after ZikV infection have been reported in Brazil. OBJECTIVE: The present study aims to investigate the possible occurrence of molecular mimicry between ZikV antigens and Multiple Sclerosis (MS) autoantigens, the most frequent IIDD of the central nervous system (CNS). METHODS: A retrospective cohort study with 305 patients admitted due to suspected arbovirus infection in Rio de Janeiro was performed, all subjects were submitted to neurological examination, and a biological sample was collected for serologic and molecular diagnostic. Bioinformatics tools were used to analyze the peptides shared between ZikV antigens and MS autoantigens. RESULTS: Of 305 patients, twenty-six were positive for ZikV and 4 presented IDD patterns found in MS cases. Sequence homology comparisons by bioinformatics approach between NS5 ZikV and PLP MS protein revealed a homology of 5/6 consecutive amino acids (CSSVPV/CSAVPV) with 83% identity, deducing a molecular mimicry. Analysis of the 3D structures revealed a similar conformation with alpha helix presentation. CONCLUSIONS: Molecular mimicry between NS5 Zika virus antigen and PLP MS autoantigens emerge as a possible mechanism for IDD spectrum in genetically susceptible individuals. CI - Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/). FAU - Franca, Laise Carolina AU - Franca LC AUID- ORCID: 0000-0001-8851-7845 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. FAU - Fontes-Dantas, Fabricia Lima AU - Fontes-Dantas FL AUID- ORCID: 0000-0002-5201-0927 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. AD - Universidade do Estado do Rio de Janeiro, Departamento de Farmacologia e Psicobiologia, Rio de Janeiro RJ, Brazil. FAU - Garcia, Diogo Gomes AU - Garcia DG AUID- ORCID: 0000-0002-3434-1589 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. FAU - de Araujo, Amanda Dutra AU - de Araujo AD AUID- ORCID: 0000-0001-6233-1428 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. FAU - da Costa Goncalves, Joao Paulo AU - da Costa Goncalves JP AUID- ORCID: 0000-0003-2621-3138 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. FAU - Rego, Claudia Cecilia da Silva AU - Rego CCDS AUID- ORCID: 0000-0002-1837-4401 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. FAU - da Silva, Elielson Veloso AU - da Silva EV AUID- ORCID: 0000-0002-5355-0538 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. FAU - do Nascimento, Osvaldo Jose Moreira AU - do Nascimento OJM AUID- ORCID: 0000-0003-3516-485X AD - Universidade Federal Fluminense, Hospital Universitario Antonio Pedro, Departamento de Neurologia, Niteroi RJ, Brazil. FAU - Lopes, Fernanda Cristina Rueda AU - Lopes FCR AUID- ORCID: 0000-0002-3782-8624 AD - Universidade Federal Fluminense, Hospital Universitario Antonio Pedro, Departamento de Radiologia, Niteroi RJ, Brazil. FAU - Herlinger, Alice Laschuk AU - Herlinger AL AUID- ORCID: 0000-0002-7660-7058 AD - Universidade Federal Fluminense, Hospital Universitario Antonio Pedro, Departamento de Radiologia, Niteroi RJ, Brazil. FAU - de Aguiar, Renato Santana AU - de Aguiar RS AUID- ORCID: 0000-0001-5180-3717 AD - Universidade Federal Fluminense, Hospital Universitario Antonio Pedro, Departamento de Radiologia, Niteroi RJ, Brazil. FAU - da Costa Ferreira Junior, Orlando AU - da Costa Ferreira Junior O AUID- ORCID: 0000-0002-1970-8936 AD - Universidade Federal do Rio de Janeiro, Instituto de Biologia, Departamento de Genetica, Rio de Janeiro RJ, Brazil. FAU - Figueira, Fernando Faria Andrade AU - Figueira FFA AUID- ORCID: 0000-0003-3242-9007 AD - Hospital Sao Francisco na Providencia de Deus, Departamento de Neurologia, Rio de Janeiro RJ, Brazil. FAU - de Souza, Jorge Paes Barreto Marcondes AU - de Souza JPBM AUID- ORCID: 0000-0003-2412-8239 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. AD - Universidade Federal do Rio de Janeiro, Hospital Universitario Clementino Fraga Filho, Departamento de Neurocirurgia, Rio de Janeiro RJ, Brazil. FAU - De Mesquita, Joelma Freire AU - De Mesquita JF AUID- ORCID: 0000-0003-1684-3830 AD - Universidade Federal do Estado do Rio de Janeiro, Departamento de Genetica e Biologia Molecular, Grupo de Bioinformatica e Biologia Computacional, Rio de Janeiro RJ, Brazil. FAU - Alves-Leon, Soniza Vieira AU - Alves-Leon SV AUID- ORCID: 0000-0002-1538-6730 AD - Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Neurologia, Laboratorio de Neurociencias Translacional, Rio de Janeiro RJ, Brazil. AD - Universidade Federal do Rio de Janeiro, Hospital Universitario Clementino Fraga Filho, Centro de Referencia e Pesquisa em Esclerose Multipla e Outras Doencas Desmielinizantes Inflamatorias Idiopaticas do SNC, Rio de Janeiro RJ, Brazil. LA - eng PT - Journal Article TT - Mimetismo molecular entre o virus Zika e os disturbios inflamatorios desmielinizantes do sistema nervoso central: o papel do epitopo NS5 do virus Zika e dos autoantigenos PLP. DEP - 20230509 PL - Germany TA - Arq Neuropsiquiatr JT - Arquivos de neuro-psiquiatria JID - 0125444 RN - 0 (Epitopes) RN - 0 (Autoantigens) SB - IM MH - Humans MH - Epitopes MH - Molecular Mimicry MH - *Zika Virus MH - Autoantigens MH - *Zika Virus Infection MH - Retrospective Studies MH - Brazil MH - *Central Nervous System Diseases MH - *Multiple Sclerosis MH - Central Nervous System PMC - PMC10169219 COIS- There is no conflict of interest to declare. EDAT- 2023/05/10 00:41 MHDA- 2023/05/11 06:42 PMCR- 2023/05/01 CRDT- 2023/05/09 19:03 PHST- 2023/05/11 06:42 [medline] PHST- 2023/05/10 00:41 [pubmed] PHST- 2023/05/09 19:03 [entrez] PHST- 2023/05/01 00:00 [pmc-release] AID - ANP-22-0092 [pii] AID - 10.1055/s-0043-1768698 [doi] PST - ppublish SO - Arq Neuropsiquiatr. 2023 Apr;81(4):357-368. doi: 10.1055/s-0043-1768698. Epub 2023 May 9.