Interactions between High Seroreactivity to Human Herpes Virus 6A and Epstein–Barr Virus in MS Development: A Presymptomatic Case–Control Study

Author:

Grut Viktor1ORCID,Biström Martin1ORCID,Salzer Jonatan1,Stridh Pernilla23ORCID,Jons Daniel4ORCID,Gustafsson Rasmus23,Huang Jesse23,Bergström Tomas5,Kockum Ingrid23ORCID,Waterboer Tim6,Olsson Tomas23,Sundström Peter1

Affiliation:

1. Department of Clinical Science, Neurosciences Umeå University Umeå Sweden

2. Department of Clinical Neuroscience Karolinska Institute Stockholm Sweden

3. Center for Molecular Medicine Karolinska University Hospital Stockholm Sweden

4. Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

5. Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

6. Infections and Cancer Epidemiology Division German Cancer Research Center Heidelberg Germany

Abstract

Synergistic interactions between human herpesvirus 6A (HHV‐6A) and Epstein–Barr virus (EBV) are hypothesized in the etiopathogenesis of multiple sclerosis (MS). This study investigated if HHV‐6A and EBV seroreactivities interact regarding the risk of developing MS. Antibodies against viral antigens were analyzed in biobank samples from 670 individuals who later developed MS and matched controls. Additive interactions were analyzed. A significant interaction between HHV‐6A and EBNA‐1 seroreactivities was observed in study participants above the median age of 24.9 years (attributable proportion due to interaction = 0.45). This finding supports the hypothesis that HHV‐6A and EBV infections interact in MS development. ANN NEUROL 2024;96:302–305

Funder

Vetenskapsrådet

Publisher

Wiley

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