Lemaire V
Nouv Presse Med. 1982 May 29;11(25):1945-7.
Antibodies directed against a nuclear antigen of lymphocytes infected by Epstein-Barr virus (RANA antigen) have been detected in the sera of patients with rheumatoid arthritis, where they were present at higher levels than in the sera of controls. In vitro, the T lymphocytes of patients with rheumatoid arthritis seem to be incapable of controlling the multiplication of B lymphocytes induced by Epstein-Barr virus. The stimulated T lymphocytes produce more rheumatoid factors than normal lymphocytes. All this suggests that the Epstein-Barr virus might play a part in the pathogenesis of rheumatoid arthritis--a multifactorial disease which also involves a genetic factor, as shown by the increased prevalence of HLA DR4 antigen.
在类风湿性关节炎患者的血清中已检测到针对被爱泼斯坦-巴尔病毒感染的淋巴细胞的核抗原(类风湿关节炎核抗原)的抗体,其在患者血清中的水平高于对照组。在体外,类风湿性关节炎患者的T淋巴细胞似乎无法控制爱泼斯坦-巴尔病毒诱导的B淋巴细胞增殖。受刺激的T淋巴细胞比正常淋巴细胞产生更多的类风湿因子。所有这些表明,爱泼斯坦-巴尔病毒可能在类风湿性关节炎的发病机制中起作用——类风湿性关节炎是一种多因素疾病,其中也涉及遗传因素,如HLA DR4抗原患病率增加所示。