Westman Gabriel, Blomberg Jonas, Yun Zhibing, Lannfelt Lars, Ingelsson Martin, Eriksson Britt-Marie
Department of Medical Sciences, Uppsala University , Uppsala , Sweden.
Department of Laboratory Medicine, Karolinska Institutet , Stockholm , Sweden.
Front Neurol. 2017 Feb 20;8:40. doi: 10.3389/fneur.2017.00040. eCollection 2017.
Human herpesviruses have previously been implicated in the pathogenesis of Alzheimer's disease (AD) but whether they are causal, facilitating, or confounding factors is yet to be established. A total of 50 AD subjects and 52 non-demented (ND) controls were analyzed in a multiplex assay for IgG reactivity toward herpes simplex virus (HSV), varicella zoster virus (VZV), cytomegalovirus (CMV), and human herpesvirus 6 (HHV-6). The HHV-6 IgG reactivity was significantly lower in AD subjects compared to ND controls, whereas there were no differences in HSV, VZV, or CMV antibody levels between the groups. Analysis of peripheral blood mononuclear cells with a subtype-specific HHV-6 PCR revealed no signs of reactivation, as AD and ND subjects presented with comparable HHV-6 DNA levels in PBMCs, and all positive samples were of subtype B. Whether HHV-6 is a factor in AD remains to be elucidated in future studies.
人类疱疹病毒先前被认为与阿尔茨海默病(AD)的发病机制有关,但它们是致病因素、促进因素还是混杂因素尚待确定。采用多重检测法分析了50名AD患者和52名非痴呆(ND)对照者对单纯疱疹病毒(HSV)、水痘带状疱疹病毒(VZV)、巨细胞病毒(CMV)和人类疱疹病毒6型(HHV-6)的IgG反应性。与ND对照者相比,AD患者的HHV-6 IgG反应性显著降低,而两组之间HSV、VZV或CMV抗体水平没有差异。用亚型特异性HHV-6 PCR分析外周血单个核细胞未发现再激活迹象,因为AD患者和ND对照者外周血单个核细胞中的HHV-6 DNA水平相当,且所有阳性样本均为B亚型。HHV-6是否为AD的一个因素仍有待未来研究阐明。