Rohowsky-Kochan C, Dowling P C, Cook S D
Department of Neurosciences, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark 07103, USA.
Neurology. 1995 Aug;45(8):1554-60. doi: 10.1212/wnl.45.8.1554.
Current postulates support the idea that MS is triggered by an infectious agent or agents through an autoimmune reaction directed against brain antigens in genetically susceptible individuals. Evidence for an infectious etiology of MS is indirect. We have proposed that MS may, in some instances, be due to a zoonotic infection and that canine distemper virus, a measles-like virus in dogs, is a likely candidate in the causation of this disorder. The high homology between canine distemper and measles virus proteins has made it extremely difficult to distinguish distemper from measles antibodies serologically. We now provide evidence that humans can be infected with this neurotropic dog virus. Furthermore, a high titer of canine distemper virus antibodies is significantly associated with MS. Identification of the etiologic agent in MS may lead to the elucidation of disease pathogenesis and to disease prevention through appropriate public health and vaccination programs.
目前的假设支持这样一种观点,即多发性硬化症(MS)是由一种或多种感染因子通过针对基因易感性个体脑抗原的自身免疫反应引发的。MS感染病因的证据是间接的。我们提出,在某些情况下,MS可能是由于人畜共患感染引起的,犬瘟热病毒,一种狗身上的麻疹样病毒,很可能是这种疾病的致病因素。犬瘟热病毒和麻疹病毒蛋白之间的高度同源性使得从血清学上区分犬瘟热抗体和麻疹抗体极其困难。我们现在提供证据表明人类可以感染这种嗜神经性犬病毒。此外,高滴度的犬瘟热病毒抗体与MS显著相关。确定MS的病原体可能会阐明疾病的发病机制,并通过适当的公共卫生和疫苗接种计划预防疾病。