Human herpesvirus 6 and multiple sclerosis: Systemic active infections in patients with early disease

被引:70
作者
Knox, KK
Brewer, JH
Henry, JM
Harrington, DJ
Carrigan, DR
机构
[1] Inst Viral Pathogenesis, Milwaukee, WI 53226 USA
[2] St Lukes Med Ctr, Div Infect Dis, Kansas City, MO USA
[3] Armed Forces Inst Pathol, Amer Registry Pathol, Washington, DC 20306 USA
关键词
D O I
10.1086/318141
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
By means of immunohistochemical staining, cells actively infected with human herpesvirus 6 (HHV-6) were found in central nervous system tissues from 8 (73%) of 11 patients with definite multiple sclerosis (MS). Interestingly, 17 (90%) of 19 tissue sections showing active demyelination were positive for HHV-6-infected cells compared with only 3 (13%) of 23 tissue sections free of active disease (P<.0001). Central nervous system tissues from 2 of 28 normal persons and patients with other inflammatory demyelinative diseases were positive for HHV-6-infected cells (P<.0001), and the 2 positive cases were diagnosed as having HHV-6 leukoencephalitis. By use of a rapid culture assay, blood samples from 22 (54%) of 41 patients with definite MS were found to contain active HHV-6 infections, compared with 0 of 61 normal controls (P<.0001). No significant difference was found between HHV-6 viremia-positive and HHV-6 viremia-negative MS patients with respect to type of disease (relapsing/remitting or progressive). In contrast, patients with active HHV-6 viremia were significantly younger and had shorter durations of disease than did HHV-6 viremia-negative patients.
引用
收藏
页码:894 / 903
页数:10
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