Antibody reactivity against EBNA1 and GlialCAM differentiates multiple sclerosis patients from healthy controls.

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Tác giả: Lars Alfredsson, Alison K Barrett, Alexandros I Comanescu, Peggy P Ho, Ingrid Kockum, Tobias V Lanz, Yicong Liu, Tomas Olsson, William H Robinson, Neda Sattarnezhad, Lawrence Steinman, Olivia G Thomas, Paul J Utz, Tilini U Wijeratne

Ngôn ngữ: eng

Ký hiệu phân loại: 296.38 Judaism and social sciences

Thông tin xuất bản: United States : Proceedings of the National Academy of Sciences of the United States of America , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 685166

Multiple sclerosis (MS) is an autoimmune demyelinating disorder of the central nervous system (CNS), which is linked to Epstein-Barr virus (EBV) infection, preceding the disease. The molecular mechanisms underlying this connection are only partially understood. We previously described molecular mimicry between the EBV transcription factor EBV nuclear antigen 1 (EBNA1) and three human CNS proteins: anoctamin-2 (ANO2), alpha-B crystallin (CRYAB), and glial cellular adhesion molecule (GlialCAM). Here, we investigated antibody responses against EBNA1 and GlialCAM in a large cohort of 650 MS patients and 661 matched population controls and compared them to responses against CRYAB and ANO2. We confirmed that elevated IgG responses against EBNA1 and all three CNS-mimic antigens associate with increased MS risk. Blocking experiments confirmed the presence of cross-reactive antibodies and molecular mimicry between EBNA1 and GlialCAM, and accompanying antibody responses against adjacent peptide regions of GlialCAM suggest epitope spreading. Antibody responses against EBNA1, GlialCAM, CRYAB, and ANO2 are elevated in MS patients carrying the main risk allele
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