Department of Biochemistry and Molecular Biology, University of Southern Denmark, 5230 Odense, Denmark.
Department of Autoimmunity, Statens Serum Institut, 2300 Copenhagen, Denmark.
Viruses. 2023 Apr 17;15(4):986. doi: 10.3390/v15040986.
Systemic lupus erythematosus (SLE) is an autoimmune disease, which has been associated with Epstein-Barr virus (EBV) and Cytomegalovirus (CMV) infection. Drug-induced lupus (DIL) is a lupus-like disease caused by the intake of therapeutic drugs, which has been estimated to cause approximately 10-15% of lupus-like cases. Although SLE and DIL share common clinical symptoms, there are some fundamental differences between DIL and SLE onset. Moreover, it remains to be examined whether environmental factors, such as EBV and CMV infections, may contribute to the development of DIL. This study focused on examining the possible association between DIL and EBV and CMV infections, by examining IgG titers to EBV and CMV antigens in serum samples by enzyme-linked immunosorbent assays. Antibody titers to EBV early antigen-diffuse and CMV pp52 were found to be significantly elevated in both SLE and DIL patients compared to healthy controls, although no correlation was found for antibodies to the two virus antigens in the respective disease groups. Moreover, total IgG titers were reduced in SLE and DIL serum samples, which may reflect a general lymphocytopenia, which commonly is associated with SLE. The current findings support that EBV and CMV infections may contribute to the development of DIL and that onset of both diseases are related.
系统性红斑狼疮 (SLE) 是一种自身免疫性疾病,与 Epstein-Barr 病毒 (EBV) 和巨细胞病毒 (CMV) 感染有关。药物诱导性狼疮 (DIL) 是一种由治疗性药物摄入引起的狼疮样疾病,据估计约占狼疮样病例的 10-15%。虽然 SLE 和 DIL 具有共同的临床症状,但 DIL 和 SLE 的发病机制存在一些根本差异。此外,环境因素(如 EBV 和 CMV 感染)是否可能导致 DIL 的发生仍有待研究。本研究通过酶联免疫吸附试验检测血清样本中 EBV 和 CMV 抗原的 IgG 滴度,重点研究 DIL 与 EBV 和 CMV 感染之间的可能关联。与健康对照组相比,SLE 和 DIL 患者的 EBV 早期抗原弥散和 CMV pp52 抗体滴度均显著升高,尽管在各自的疾病组中,两种病毒抗原的抗体之间未发现相关性。此外,SLE 和 DIL 血清样本中的总 IgG 滴度降低,这可能反映了与 SLE 相关的普遍淋巴细胞减少症。目前的研究结果支持 EBV 和 CMV 感染可能导致 DIL 的发生,并且这两种疾病的发病机制有关。
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