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MS is a multifactorial disease in which a series of genetic and non-genetic, environmental factors plays a role in its etiology. In particular, HLA class II alleles, mainly HLADRB1*15:01 (HLA-DR15), increase the risk for this disease. Out of several environmental factors, and with regard to infections, EBV remains to be a strong candidate, and may synergize with HLA-DR15 thus increasing the risk for MS. In this issue of the European Journal of Immunology, Zdimerova et al. present highly interesting experimental data using EBV infection in immune-deficient mice engrafted with human immune cells, either HLA-DR15+ or HLA-DRB1*04:01 (HLA DR4), here after denoted as HLA-DR15- . As a result of EBV infection, the viral load and CD8+ cell expansion were conspicuously higher in mice engrafted with HLA-DR15+ compared to HLA-DR15- mice; and myelin basic protein specific T cells emerged in mice engrafted with HLA-DR15 bearing cells. This study sheds light on how EBV and the class II DR15 haplotype may jointly predispose and synergize in the etiology of MS. © 2020 The Authors. European Journal of Immunology published by Wiley-VCH GmbH.

Citation

Tomas Olsson. Epstein Barr virus infection and immune defense related to HLA-DR15: consequences for multiple sclerosis. European journal of immunology. 2021 Jan;51(1):56-59

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PMID: 33350470

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