The association of the human herpesvirus-6 and MS

Mult Scler. 1999 Oct;5(5):355-62. doi: 10.1177/135245859900500509.

Abstract

Given the clinical and pathological nature of Multiple Sclerosis (MS), a viral infection has long been hypothesized as part of the etiology. In this study we investigated the possibility that the human herpesvirus-6 (HHV-6) is present in a dormant or active phase in the tissue of MS patients, specifically oligodendrocytes. Using PCR assays of MS and non-MS brain sections with primers prepared against the HHV-6 structural protein 101, the results demonstrated that 36% of MS brains were positive for the virus, while 13.5% of non-MS brains were positive. Antibody to the HHV-6 structural protein was also used in immunohistochemical experiments in brain tissue. 47% (7/15) of MS brains were positive for HHV-6, whereas 0/16 controls were positive. In addition, MS patients demonstrated high immune reactivity to this virus, even when compared to auto-immune diseases, which might cause polyclonal activation. Sera obtained from MS and control patients revealed that the IgM response to the HHV-6 virus was significantly elevated in 80% patients compared to 16% non-MS controls, P<.001. The above experiments strongly suggest that a significant number of MS brain samples contain HHV-6 antigens and genomic fragments in a dormant or active phase compared to control specimens and that MS patients mount a brisk, early IgM response.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibody Formation
  • Antigens, Viral / analysis
  • Blotting, Western
  • Brain / immunology
  • Brain / metabolism
  • Brain / virology
  • Cadaver
  • DNA, Viral / metabolism
  • Diseases in Twins
  • Herpesviridae Infections / complications*
  • Herpesvirus 6, Human* / genetics
  • Herpesvirus 6, Human* / immunology
  • Humans
  • Immunoglobulin M / analysis
  • Immunoglobulin M / immunology
  • Immunohistochemistry
  • Multiple Sclerosis / genetics
  • Multiple Sclerosis / immunology
  • Multiple Sclerosis / virology*
  • Polymerase Chain Reaction
  • Reference Values
  • Viral Proteins / genetics

Substances

  • 101K protein, Human herpesvirus 6
  • Antigens, Viral
  • DNA, Viral
  • Immunoglobulin M
  • Viral Proteins