Open AccessArticle
The Correlation between the Virus- and Brain Antigen-Specific B Cell Response in the Blood of Patients with Multiple Sclerosis
by
Marie Wunsch 1,*, Christopher Hohmann 2, Bianca Milles 2, Christina Rostermund 1, Paul V. Lehmann 3, Michael Schroeter 4, Antonios Bayas 5, Jochen Ulzheimer 6, Mathias Mäurer 6, Süleyman Ergün 1 and Stefanie Kuerten 1
1
Department of Anatomy and Cell Biology, University of Wuerzburg, Koellikerstr. 6, 97070 Wuerzburg, Germany
2
Department of Anatomy I, University of Cologne, Joseph-Stelzmann-Str. 9, 50931 Cologne, Germany
3
Cellular Technology Limited, 20521 Chagrin Blvd, Shaker Heights, OH 44122, USA
4
Department of Neurology, University Hospitals of Cologne, Kerpener Straße 62, 50937 Cologne, Germany
5
Department of Neurology, Klinikum Augsburg, Stenglinstraße 2, 86156 Augsburg, Germany
6
Department of Neurology, Caritas-Krankenhaus Bad Mergentheim, Uhlandstraße 7, 97980 Bad Mergentheim, Germany
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Abstract
There is a largely divergent body of literature regarding the relationship between Epstein-Barr virus (EBV) infection and brain inflammation in multiple sclerosis (MS). Here, we tested MS patients during relapse (
n = 11) and in remission (
n = 19) in addition
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There is a largely divergent body of literature regarding the relationship between Epstein-Barr virus (EBV) infection and brain inflammation in multiple sclerosis (MS). Here, we tested MS patients during relapse (
n = 11) and in remission (
n = 19) in addition to
n = 22 healthy controls to study the correlation between the EBV- and brain-specific B cell response in the blood by enzyme-linked immunospot (ELISPOT) and enzyme-linked immunosorbent assay (ELISA). Cytomegalovirus (CMV) was used as a control antigen tested in
n = 16 MS patients during relapse and in
n = 35 patients in remission. Over the course of the study,
n = 16 patients were untreated, while
n = 33 patients received immunomodulatory therapy. The data show that there was a moderate correlation between the frequencies of EBV- and brain-reactive B cells in MS patients in remission. In addition we could detect a correlation between the B cell response to EBV and disease activity. There was no evidence of an EBV reactivation. Interestingly, there was also a correlation between the frequencies of CMV- and brain-specific B cells in MS patients experiencing an acute relapse and an elevated B cell response to CMV was associated with higher disease activity. The trend remained when excluding seronegative subjects but was non-significant. These data underline that viral infections might impact the immunopathology of MS, but the exact link between the two entities remains subject of controversy.
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