Abstract

The underlying cause of multiple sclerosis (MS) is not fully understood. However, it is known that Epstein Barr virus (EBV) infections pre-date the development of the disease. Here I explore whether the underlying cause of Multiple Sclerosis can be explained by an inappropriate intra-cellular transcriptional response to the integration of the EBV in the genome of neural cells. Such a re-programming is proposed to lead to the transcriptional activation of other dormant viruses, human endogenous retroviruses (HERVs), followed by the “auto-immune” response and inflammation observed in the brain of MS patients?

Highlights

  • The underlying cause of multiple sclerosis (MS) is not fully understood

  • People that have not been exposed to the virus have a very low risk of developing MS; if they are exposed to Epstein Barr virus (EBV) during childhood they will have a significant risk of developing the disease later in life

  • I propose that: A) due to the maintenance of this latent/ dormant EBV stage is defective in MS patients, or B) due to the lowlevel expression of the latent virus; the EBV causes changes in the transcription programme of the neural host cell, leading to an activation of other dormant viruses (HERVs; see below)

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Summary

Introduction

The underlying cause of multiple sclerosis (MS) is not fully understood. it is known that Epstein Barr virus (EBV) infections pre-date the development of the disease. This risk increases further 2-3 fold if the EBV infection leads to mononucleosis [13].

Results
Conclusion

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