New insights in the pathogenic mechanism of multiple sclerosis: Is Epstein-Barr virus associated with optic nerve involvement?

Introduction There are no reports in the literature studying the possible relationship between Epstein-Barr virus (EBV) and optic nerve involvement in multiple sclerosis (MS). The aim of our study was to analyze the association between EBV antibodies titres and optical coherence tomography (OCT) and...

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Veröffentlicht in:European journal of ophthalmology 2024-11, Vol.34 (6), p.2045-2052
Hauptverfasser: Remolí-Sargues, Lidia, Monferrer-Adsuara, Clara, López-Salvador, Belén, García-Villanueva, Carolina, Gracia-García, Alicia, Castro-Navarro, Verónica, Cervera-Taulet, Enrique
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container_title European journal of ophthalmology
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creator Remolí-Sargues, Lidia
Monferrer-Adsuara, Clara
López-Salvador, Belén
García-Villanueva, Carolina
Gracia-García, Alicia
Castro-Navarro, Verónica
Cervera-Taulet, Enrique
description Introduction There are no reports in the literature studying the possible relationship between Epstein-Barr virus (EBV) and optic nerve involvement in multiple sclerosis (MS). The aim of our study was to analyze the association between EBV antibodies titres and optical coherence tomography (OCT) and OCT angiography (OCTA) quantitative parameters Methods We conducted a retrospective study. The study included 98 eyes of 49 patients with MS. Years of MS duration, relapse count, history of optic neuritis (ON), and immunoglobulin (Ig) G antibodies to the EBV viral capsid antigen (VCA) were recorded from each patient. Also, OCT analysis (including retinal nerve fibre layer (RNFL) thickness and ganglion cell-inner plexiform layer (GCIPL) thickness) and OCTA analysis (including perfusion density (PD) and flux index (FI) of the radial peripapillary capillary plexus) were performed in each participant. Results No significant associations were observed between anti-EBV antibody levels and OCT or OCTA parameters (p > 0,05). Correlation analysis between OCT and OCTA measurements showed a significant positive correlation between RNFL thickness and GCIPL thickness with peripapillary PD and FI (p 
doi_str_mv 10.1177/11206721241230567
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The aim of our study was to analyze the association between EBV antibodies titres and optical coherence tomography (OCT) and OCT angiography (OCTA) quantitative parameters Methods We conducted a retrospective study. The study included 98 eyes of 49 patients with MS. Years of MS duration, relapse count, history of optic neuritis (ON), and immunoglobulin (Ig) G antibodies to the EBV viral capsid antigen (VCA) were recorded from each patient. Also, OCT analysis (including retinal nerve fibre layer (RNFL) thickness and ganglion cell-inner plexiform layer (GCIPL) thickness) and OCTA analysis (including perfusion density (PD) and flux index (FI) of the radial peripapillary capillary plexus) were performed in each participant. Results No significant associations were observed between anti-EBV antibody levels and OCT or OCTA parameters (p &gt; 0,05). Correlation analysis between OCT and OCTA measurements showed a significant positive correlation between RNFL thickness and GCIPL thickness with peripapillary PD and FI (p &lt; 0,035). Subgroup analysis revealed a significant diminution of RNFL thickness, GCIPL thickness and peripapillary PD and FI (p &lt; 0,05) in the ON group. Conclusion We were unable to demonstrate a significant association between anti-EBV VCA IgG antibody titres and OCT or OCTA parameters. Nonetheless, further longitudinal studies are needed to explore the possible association of EBV with optic nerve involvement in MS.</description><identifier>ISSN: 1120-6721</identifier><identifier>EISSN: 1724-6016</identifier><identifier>DOI: 10.1177/11206721241230567</identifier><identifier>PMID: 38311887</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Antibodies, Viral - blood ; Antigens, Viral ; Capsid Proteins - immunology ; Epstein-Barr Virus Infections - complications ; Epstein-Barr Virus Infections - diagnosis ; Epstein-Barr Virus Infections - virology ; Eye Infections, Viral - diagnosis ; Eye Infections, Viral - virology ; Female ; Fluorescein Angiography - methods ; Herpesvirus 4, Human - immunology ; Herpesvirus 4, Human - isolation &amp; purification ; Humans ; Immunoglobulin G - blood ; Male ; Middle Aged ; Multiple Sclerosis - diagnosis ; Multiple Sclerosis - virology ; Nerve Fibers - pathology ; Optic Nerve - diagnostic imaging ; Optic Nerve - pathology ; Optic Nerve - virology ; Optic Neuritis - diagnosis ; Optic Neuritis - immunology ; Optic Neuritis - virology ; Retinal Ganglion Cells - pathology ; Retinal Ganglion Cells - virology ; Retrospective Studies ; Tomography, Optical Coherence ; Young Adult</subject><ispartof>European journal of ophthalmology, 2024-11, Vol.34 (6), p.2045-2052</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-4ee649b90fb88419108666ea806735a1f9702152b21d96c7df384f46a829f8463</cites><orcidid>0000-0003-0399-0903 ; 0000-0002-7919-0462</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/11206721241230567$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/11206721241230567$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38311887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Remolí-Sargues, Lidia</creatorcontrib><creatorcontrib>Monferrer-Adsuara, Clara</creatorcontrib><creatorcontrib>López-Salvador, Belén</creatorcontrib><creatorcontrib>García-Villanueva, Carolina</creatorcontrib><creatorcontrib>Gracia-García, Alicia</creatorcontrib><creatorcontrib>Castro-Navarro, Verónica</creatorcontrib><creatorcontrib>Cervera-Taulet, Enrique</creatorcontrib><title>New insights in the pathogenic mechanism of multiple sclerosis: Is Epstein-Barr virus associated with optic nerve involvement?</title><title>European journal of ophthalmology</title><addtitle>Eur J Ophthalmol</addtitle><description>Introduction There are no reports in the literature studying the possible relationship between Epstein-Barr virus (EBV) and optic nerve involvement in multiple sclerosis (MS). The aim of our study was to analyze the association between EBV antibodies titres and optical coherence tomography (OCT) and OCT angiography (OCTA) quantitative parameters Methods We conducted a retrospective study. The study included 98 eyes of 49 patients with MS. Years of MS duration, relapse count, history of optic neuritis (ON), and immunoglobulin (Ig) G antibodies to the EBV viral capsid antigen (VCA) were recorded from each patient. Also, OCT analysis (including retinal nerve fibre layer (RNFL) thickness and ganglion cell-inner plexiform layer (GCIPL) thickness) and OCTA analysis (including perfusion density (PD) and flux index (FI) of the radial peripapillary capillary plexus) were performed in each participant. Results No significant associations were observed between anti-EBV antibody levels and OCT or OCTA parameters (p &gt; 0,05). Correlation analysis between OCT and OCTA measurements showed a significant positive correlation between RNFL thickness and GCIPL thickness with peripapillary PD and FI (p &lt; 0,035). Subgroup analysis revealed a significant diminution of RNFL thickness, GCIPL thickness and peripapillary PD and FI (p &lt; 0,05) in the ON group. Conclusion We were unable to demonstrate a significant association between anti-EBV VCA IgG antibody titres and OCT or OCTA parameters. Nonetheless, further longitudinal studies are needed to explore the possible association of EBV with optic nerve involvement in MS.</description><subject>Adult</subject><subject>Antibodies, Viral - blood</subject><subject>Antigens, Viral</subject><subject>Capsid Proteins - immunology</subject><subject>Epstein-Barr Virus Infections - complications</subject><subject>Epstein-Barr Virus Infections - diagnosis</subject><subject>Epstein-Barr Virus Infections - virology</subject><subject>Eye Infections, Viral - diagnosis</subject><subject>Eye Infections, Viral - virology</subject><subject>Female</subject><subject>Fluorescein Angiography - methods</subject><subject>Herpesvirus 4, Human - immunology</subject><subject>Herpesvirus 4, Human - isolation &amp; purification</subject><subject>Humans</subject><subject>Immunoglobulin G - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis - diagnosis</subject><subject>Multiple Sclerosis - virology</subject><subject>Nerve Fibers - pathology</subject><subject>Optic Nerve - diagnostic imaging</subject><subject>Optic Nerve - pathology</subject><subject>Optic Nerve - virology</subject><subject>Optic Neuritis - diagnosis</subject><subject>Optic Neuritis - immunology</subject><subject>Optic Neuritis - virology</subject><subject>Retinal Ganglion Cells - pathology</subject><subject>Retinal Ganglion Cells - virology</subject><subject>Retrospective Studies</subject><subject>Tomography, Optical Coherence</subject><subject>Young Adult</subject><issn>1120-6721</issn><issn>1724-6016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMtOwzAQtBCIQuEDuCD_QIrXcR2HC4KqQKUKLnCO3HTTuMpLtpOKC9-OqwIXJE470s7M7gwhV8AmAElyA8CZTDhwATxmU5kckTNIuIgkA3kccNhHe8KInDu3ZYyzVPBTMopVDKBUckY-X3BHTePMpvQuAOpLpJ32ZbvBxuS0xrzUjXE1bQta95U3XYXU5RXa1hl3SxeOzjvn0TTRg7aWDsb2jmrn2txoj2u6M76kbeeDWYN2wHBkaKsBa2z83QU5KXTl8PJ7jsn74_xt9hwtX58Ws_tllPOU-0ggSpGuUlaslBKQAlNSStQqxI-nGoo0YRymfMVhnco8WRexEoWQWvG0UELGYwIH3zy87SwWWWdNre1HBizbd5n96TJorg-arl_VuP5V_JQXCJMDwekNZtu2t03I8I_jF7wBfQ8</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Remolí-Sargues, Lidia</creator><creator>Monferrer-Adsuara, Clara</creator><creator>López-Salvador, Belén</creator><creator>García-Villanueva, Carolina</creator><creator>Gracia-García, Alicia</creator><creator>Castro-Navarro, Verónica</creator><creator>Cervera-Taulet, Enrique</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-0399-0903</orcidid><orcidid>https://orcid.org/0000-0002-7919-0462</orcidid></search><sort><creationdate>20241101</creationdate><title>New insights in the pathogenic mechanism of multiple sclerosis: Is Epstein-Barr virus associated with optic nerve involvement?</title><author>Remolí-Sargues, Lidia ; Monferrer-Adsuara, Clara ; López-Salvador, Belén ; García-Villanueva, Carolina ; Gracia-García, Alicia ; Castro-Navarro, Verónica ; Cervera-Taulet, Enrique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-4ee649b90fb88419108666ea806735a1f9702152b21d96c7df384f46a829f8463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Antibodies, Viral - blood</topic><topic>Antigens, Viral</topic><topic>Capsid Proteins - immunology</topic><topic>Epstein-Barr Virus Infections - complications</topic><topic>Epstein-Barr Virus Infections - diagnosis</topic><topic>Epstein-Barr Virus Infections - virology</topic><topic>Eye Infections, Viral - diagnosis</topic><topic>Eye Infections, Viral - virology</topic><topic>Female</topic><topic>Fluorescein Angiography - methods</topic><topic>Herpesvirus 4, Human - immunology</topic><topic>Herpesvirus 4, Human - isolation &amp; purification</topic><topic>Humans</topic><topic>Immunoglobulin G - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple Sclerosis - diagnosis</topic><topic>Multiple Sclerosis - virology</topic><topic>Nerve Fibers - pathology</topic><topic>Optic Nerve - diagnostic imaging</topic><topic>Optic Nerve - pathology</topic><topic>Optic Nerve - virology</topic><topic>Optic Neuritis - diagnosis</topic><topic>Optic Neuritis - immunology</topic><topic>Optic Neuritis - virology</topic><topic>Retinal Ganglion Cells - pathology</topic><topic>Retinal Ganglion Cells - virology</topic><topic>Retrospective Studies</topic><topic>Tomography, Optical Coherence</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Remolí-Sargues, Lidia</creatorcontrib><creatorcontrib>Monferrer-Adsuara, Clara</creatorcontrib><creatorcontrib>López-Salvador, Belén</creatorcontrib><creatorcontrib>García-Villanueva, Carolina</creatorcontrib><creatorcontrib>Gracia-García, Alicia</creatorcontrib><creatorcontrib>Castro-Navarro, Verónica</creatorcontrib><creatorcontrib>Cervera-Taulet, Enrique</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>European journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Remolí-Sargues, Lidia</au><au>Monferrer-Adsuara, Clara</au><au>López-Salvador, Belén</au><au>García-Villanueva, Carolina</au><au>Gracia-García, Alicia</au><au>Castro-Navarro, Verónica</au><au>Cervera-Taulet, Enrique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New insights in the pathogenic mechanism of multiple sclerosis: Is Epstein-Barr virus associated with optic nerve involvement?</atitle><jtitle>European journal of ophthalmology</jtitle><addtitle>Eur J Ophthalmol</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>34</volume><issue>6</issue><spage>2045</spage><epage>2052</epage><pages>2045-2052</pages><issn>1120-6721</issn><eissn>1724-6016</eissn><abstract>Introduction There are no reports in the literature studying the possible relationship between Epstein-Barr virus (EBV) and optic nerve involvement in multiple sclerosis (MS). The aim of our study was to analyze the association between EBV antibodies titres and optical coherence tomography (OCT) and OCT angiography (OCTA) quantitative parameters Methods We conducted a retrospective study. The study included 98 eyes of 49 patients with MS. Years of MS duration, relapse count, history of optic neuritis (ON), and immunoglobulin (Ig) G antibodies to the EBV viral capsid antigen (VCA) were recorded from each patient. Also, OCT analysis (including retinal nerve fibre layer (RNFL) thickness and ganglion cell-inner plexiform layer (GCIPL) thickness) and OCTA analysis (including perfusion density (PD) and flux index (FI) of the radial peripapillary capillary plexus) were performed in each participant. Results No significant associations were observed between anti-EBV antibody levels and OCT or OCTA parameters (p &gt; 0,05). Correlation analysis between OCT and OCTA measurements showed a significant positive correlation between RNFL thickness and GCIPL thickness with peripapillary PD and FI (p &lt; 0,035). Subgroup analysis revealed a significant diminution of RNFL thickness, GCIPL thickness and peripapillary PD and FI (p &lt; 0,05) in the ON group. Conclusion We were unable to demonstrate a significant association between anti-EBV VCA IgG antibody titres and OCT or OCTA parameters. Nonetheless, further longitudinal studies are needed to explore the possible association of EBV with optic nerve involvement in MS.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38311887</pmid><doi>10.1177/11206721241230567</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0399-0903</orcidid><orcidid>https://orcid.org/0000-0002-7919-0462</orcidid></addata></record>
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subjects Adult
Antibodies, Viral - blood
Antigens, Viral
Capsid Proteins - immunology
Epstein-Barr Virus Infections - complications
Epstein-Barr Virus Infections - diagnosis
Epstein-Barr Virus Infections - virology
Eye Infections, Viral - diagnosis
Eye Infections, Viral - virology
Female
Fluorescein Angiography - methods
Herpesvirus 4, Human - immunology
Herpesvirus 4, Human - isolation & purification
Humans
Immunoglobulin G - blood
Male
Middle Aged
Multiple Sclerosis - diagnosis
Multiple Sclerosis - virology
Nerve Fibers - pathology
Optic Nerve - diagnostic imaging
Optic Nerve - pathology
Optic Nerve - virology
Optic Neuritis - diagnosis
Optic Neuritis - immunology
Optic Neuritis - virology
Retinal Ganglion Cells - pathology
Retinal Ganglion Cells - virology
Retrospective Studies
Tomography, Optical Coherence
Young Adult
title New insights in the pathogenic mechanism of multiple sclerosis: Is Epstein-Barr virus associated with optic nerve involvement?
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