Apoptotic effects of Human Herpesvirus-6A on glia and neurons as potential triggers for central nervous system autoimmunity

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Abstract

Background

Human Herpesvirus type 6 (HHV-6A and/or HHV-6B) has been tentatively associated with multiple sclerosis (MS). However, there is currently no direct proof of pathogenicity.

Objectives

To determine whether exposure to HHV-6 variants is capable of inducing programmed cell death (apoptosis) in representative cell types of the central nervous system (CNS).

Study design

HHV-6A and HHV-6B variants were grown on human T cell lines HSB2 and MOLT-3, respectively. Human neuronal (SK-N-SH), astrocytes (CRT), and oligodendrocytes (TC620) cell lines were exposed in vitro to infected T cells in a trans-well system for up to 4 days (5×104 cells target cells and 2×106 T cells). Apoptosis was measured by a FACS-based method.

Results

Exposure to HHV-6A induced apoptosis in a time-dependent manner, while exposure to HHV-6B did not. Three days after exposure, apoptosis was increased compared to normalized controls, by 239% in neurons, 321% in astrocytes, and 326% in oligodendrocytes, respectively.

Conclusions

This study provides the demonstration that exposure to immune cells carrying replicating HHV-6A may injure glial cells and neurons by inducing apoptosis, and direct evidence for a causal association between HHV-6A with MS and related disorders.

References (35)

  • L De Bolle et al.

    Update on human herpesvirus 6 biology, clinical features, and therapy

    Clin Microbiol Rev

    (2005)
  • DH Dockrell

    Human herpesvirus 6: molecular biology and clinical features

    J Med Microbiol

    (2003)
  • D Donati et al.

    Variant-specific tropism of human herpesvirus 6 in human astrocytes

    J Virol

    (2005)
  • R Fujinami et al.

    Amino acid homology between the encephalitogenic site of myelin basic protein and virus: mechanisms for autoimmunity

    Science

    (1985)
  • DH Gilden et al.

    The search for virus in multiple sclerosis brain

    Multiple Sclerosis

    (1996)
  • CB Hall et al.

    Persistence of human herpesvirus 6 according to site and variant: possible greater neurotropism of variant A

    Clin Infect Dis

    (1998)
  • W Hamel et al.

    Adaptation of a simple flow cytometric assay to identify different stages during apoptosis

    Cytometry

    (1996)
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