Institute of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Viruses. 2012 Dec;4(12):3701-30. doi: 10.3390/v4123701.
Epidemiological data suggest that the Epstein-Barr virus (EBV) is associated with several autoimmune diseases, such as systemic lupus erythematosus, rheumatoid arthritis and multiple sclerosis. However, it is not clear whether EBV plays a role in the pathogenesis of these diseases, and if so, by which mechanisms the virus may contribute. In this review, we discuss possible viral and immunological mechanisms that might explain associations between EBV and autoimmune diseases and whether these associations represent causes or effects of inflammation and autoimmunity.
流行病学数据表明,爱泼斯坦-巴尔病毒(EBV)与几种自身免疫性疾病有关,如系统性红斑狼疮、类风湿关节炎和多发性硬化症。然而,目前尚不清楚 EBV 是否在这些疾病的发病机制中起作用,如果是,病毒可能通过哪些机制发挥作用。在这篇综述中,我们讨论了可能的病毒和免疫学机制,可以解释 EBV 与自身免疫性疾病之间的关联,以及这些关联是代表炎症和自身免疫的原因还是结果。