4th Department of Internal Medicine, Hippokration General Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Immunol Res. 2022 Aug;70(4):546-549. doi: 10.1007/s12026-022-09291-y. Epub 2022 May 16.
EBV infection has long been suspected to play a role in the development of autoimmune diseases. Interestingly, a recently published study has provided the strongest evidence to date that EBV is truly a trigger for multiple sclerosis, a well known inflammatory and neurodegenerative autoimmune disorder. Taking into account the data derived from mice models of autoimmune diseases that were also infected with a murine analog of EBV, in this commentary, we highlight the involvement of age-associated B cells, a B cell population defined as CD19CD11cCD21T-bet, in the process of EBV-triggered autoimmunity. Of note, the aforementioned B cell subset expands continuously with age in healthy individuals, whereas displays a premature strong accumulation in cases of autoimmune diseases. These cells contribute to autoimmune disease pathogenesis via a variety of functions, such as the production of autoantibodies and/or the formation of spontaneous germinal centers. Latent form of EBV seems to modify these B cells, so as to function pathogenically in cases of autoimmunity. Targeting of ABCs, as well as the elimination of EBV, may both be potential treatments for autoimmunity. HIGHLIGHTS: Latent form of EBV potentially triggers autoimmune diseases ABCs expand in autoimmunity and contribute to disease pathogenesis EBV modifies ABCs, so as to function pathogenically in autoimmune diseases Apart from EBV elimination, targeting of ABCs may also bring therapeutic benefits to autoimmune patients.
EBV 感染长期以来一直被怀疑在自身免疫性疾病的发展中发挥作用。有趣的是,最近发表的一项研究为 EBV 确实是多发性硬化症(一种众所周知的炎症性和神经退行性自身免疫性疾病)的触发因素提供了迄今为止最强有力的证据。考虑到从感染 EBV 类似物的自身免疫疾病小鼠模型中获得的数据,在这篇评论中,我们强调了与年龄相关的 B 细胞(定义为 CD19CD11cCD21T-bet 的 B 细胞群体)在 EBV 触发自身免疫中的参与。值得注意的是,上述 B 细胞亚群在健康个体中随着年龄的增长不断扩张,而在自身免疫疾病的情况下则过早地强烈积累。这些细胞通过多种功能导致自身免疫病发病机制,例如产生自身抗体和/或形成自发生发中心。潜伏形式的 EBV 似乎修饰了这些 B 细胞,以便在自身免疫情况下发挥病理性作用。靶向 ABCs 以及 EBV 的消除都可能是自身免疫的潜在治疗方法。要点:潜伏形式的 EBV 可能引发自身免疫疾病 ABCs 在自身免疫中扩张并有助于疾病发病机制 EBV 修饰 ABCs,以便在自身免疫疾病中发挥病理性作用除了 EBV 的消除,靶向 ABCs 也可能为自身免疫患者带来治疗益处。