Department of Morphology, Surgery and Experimental Medicine, Section of Pathology, Oncology and Experimental Biology, School of Medicine, University of Ferrara, Ferrara, Italy.
Department of Biomedical Sciences and Specialized Surgeries, Section of Neurology, School of Medicine, University of Ferrara, Ferrara, Italy.
J Cell Physiol. 2020 Jul;235(7-8):5847-5855. doi: 10.1002/jcp.29533. Epub 2020 Feb 3.
Published data support the hypothesis that viruses could be trigger agents of multiple sclerosis onset. This link is based on evidence of early exposure to viral agents in patients affected by this neurologic disease. JC (JC polyomavirus [JCPyV]), BK (BKPyV), and simian virus 40 (SV40) neurotropic polyomavirus footprints have been detected in brain tissue specimens and samples from patients affected by different neurological diseases. In this investigation, serum samples from patients affected by multiple sclerosis and other inflammatory and noninflammatory neurologic diseases, as well as healthy subjects representing the control, were investigated for immunoglobulin G (IgG) antibodies against JCPyV. To this end, an immunologic approach was employed, which consists of employing indirect enzyme-linked immunosorbent assay testing with synthetic peptides mimicking viral capsid protein 1 antigens. A significantly lower prevalence of IgG antibodies against JCPyV VP1 epitopes, with a low titer, was detected in serum samples from patients with multiple sclerosis (MS) and other neurologic diseases than in healthy subjects. Our study indicates that the prevalence of JCPyV antibodies from patients with multiple sclerosis is 50% lower than in healthy subjects, suggesting specific immune impairments. These results indicate that patients affected by neurological diseases, including MS, respond poorly to JCPyV VP1 antigens, suggesting specific immunologic dysfunctions.
已有数据支持病毒可能是多发性硬化症发病的触发因素这一假说。这种关联基于在患有这种神经系统疾病的患者中早期接触病毒因子的证据。JC(JC 多瘤病毒[JCPyV])、BK(BK 多瘤病毒[BKPyV])和猿猴病毒 40(SV40)亲神经性多瘤病毒足迹已在脑组织标本和患有不同神经系统疾病的患者样本中被检测到。在这项研究中,对患有多发性硬化症和其他炎症性和非炎症性神经系统疾病的患者的血清样本以及作为对照的健康受试者的血清样本进行了针对 JCPyV 的 IgG 抗体检测。为此,采用了一种免疫方法,该方法包括使用模拟病毒衣壳蛋白 1 抗原的合成肽进行间接酶联免疫吸附试验检测。与健康受试者相比,多发性硬化症(MS)和其他神经系统疾病患者的血清样本中针对 JCPyV VP1 表位的 IgG 抗体的流行率显著降低,且滴度较低。我们的研究表明,多发性硬化症患者的 JCPyV 抗体流行率比健康受试者低 50%,表明存在特异性免疫损伤。这些结果表明,包括 MS 在内的患有神经系统疾病的患者对 JCPyV VP1 抗原的反应不佳,表明存在特异性免疫功能障碍。