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复发缓解型多发性硬化症患者脑脊液中未检测到人类疱疹病毒6型和7型

Absence of HHV-6 and HHV-7 in cerebrospinal fluid in relapsing-remitting multiple sclerosis.

作者信息

Taus C, Pucci E, Cartechini E, Fié A, Giuliani G, Clementi M, Menzo S

机构信息

Istituto Malattie del Sistema Nervoso, Università di Ancona, Italy.

出版信息

Acta Neurol Scand. 2000 Apr;101(4):224-8. doi: 10.1034/j.1600-0404.2000.101004224.x.

Abstract

OBJECTIVE

To contribute to clarifying the controversy on the association between Human Herpesviruses 6 and 7 (HHV-6, HHV-7) and multiple sclerosis (MS) studying patients with relapsing-remitting MS (RRMS) with or without evidence of disease activity (clinically or radiologically evaluated).

MATERIAL AND METHODS

In 25 RRMS patients, 7 suspected MS patients and 9 patients with other neurological diseases, the following parameters were analysed: i) antibody titers (IgM and IgG) against HHV-6 by indirect immunofluorescence both in serum and cerebrospinal fluid (CSF) samples; ii) PCR-detection of HHV-6 DNA and HHV-7 DNA in CSF and HHV-6 DNA in peripheral blood mononuclear cells (PBMCs). MS patients in remission underwent a gadolinium-enhanced magnetic resonance imaging in proximity of sample collections.

RESULTS

No viral DNA was found in any CSF sample, HHV-6 DNA frequency in PBMCs of MS patients and controls was not statistically different. Antibody titers against HHV-6 were comparable to those of the general population. Some 30.4% of MS patients were seronegative to HHV6.

CONCLUSION

Our data suggest that there is no relationship between HHV-6 or HHV-7 and MS.

摘要

目的

通过研究复发缓解型多发性硬化症(RRMS)患者有无疾病活动证据(临床或影像学评估),以助于澄清人类疱疹病毒6型和7型(HHV-6、HHV-7)与多发性硬化症(MS)之间关联的争议。

材料与方法

对25例RRMS患者、7例疑似MS患者和9例患有其他神经系统疾病的患者,分析以下参数:i)血清和脑脊液(CSF)样本中通过间接免疫荧光法检测抗HHV-6的抗体滴度(IgM和IgG);ii)CSF中HHV-6 DNA和HHV-7 DNA的PCR检测以及外周血单个核细胞(PBMCs)中HHV-6 DNA的检测。缓解期的MS患者在样本采集前后进行了钆增强磁共振成像检查。

结果

在任何CSF样本中均未发现病毒DNA,MS患者和对照组PBMCs中HHV-6 DNA的频率无统计学差异。抗HHV-6的抗体滴度与普通人群相当。约30.4%的MS患者对HHV6血清学阴性。

结论

我们的数据表明HHV-6或HHV-7与MS之间无关联。

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