Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?

The expression of human endogenous retroviruses (HERVs) has been associated with Multiple Sclerosis (MS). The MS-related retrovirus (MSRV/HERV-W) has the potential to activate inflammatory immunity, which could promote both susceptibility and progression toward MS. A connection between HERVs and MS...

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Main Authors: Elena Morandi, Radu Tanasescu, Rachael E. Tarlinton, Dumitru Constantin-Teodosiu, Bruno Gran
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.03092/full
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author Elena Morandi
Elena Morandi
Radu Tanasescu
Radu Tanasescu
Radu Tanasescu
Rachael E. Tarlinton
Dumitru Constantin-Teodosiu
Bruno Gran
Bruno Gran
author_facet Elena Morandi
Elena Morandi
Radu Tanasescu
Radu Tanasescu
Radu Tanasescu
Rachael E. Tarlinton
Dumitru Constantin-Teodosiu
Bruno Gran
Bruno Gran
author_sort Elena Morandi
collection DOAJ
description The expression of human endogenous retroviruses (HERVs) has been associated with Multiple Sclerosis (MS). The MS-related retrovirus (MSRV/HERV-W) has the potential to activate inflammatory immunity, which could promote both susceptibility and progression toward MS. A connection between HERVs and MS is also supported by the observation that people infected with the human immunodeficiency virus (HIV) may have a lower risk of developing MS than the HIV non-infected, healthy population. This may be due to suppression of HERV expression by antiretroviral therapies (ART) used to treat HIV infection. In this pilot study, we compared RNA expression of the envelope gene of MSRV/HERV-W, as well as Toll-like receptors (TLR) 2 and 4, in a small cohort of HIV+ patients with MS patients and healthy controls (HC). An increased expression of MSRV/HERV-Wenv and TLR2 RNA was detected in blood of MS patients compared with HIV patients and HC, while TLR4 was increased in both MS and HIV patients. There was, however, no difference in MSRV/HERV-Wenv, TLR2 and TLR4 expression between ART-treated and -untreated HIV patients. The viral protein Env was expressed mainly by B cells and monocytes, but not by T cells and EBV infection could induce the expression of MSRV/HERV-Wenv in Lymphoblastoid cell lines (LCLs). LCLs were therefore used as an in vitro system to test the efficacy of ART in inhibiting the expression of MSRV/HERV-Wenv. Efavirenz (a non-nucleoside reverse transcriptase inhibitor) alone or different combined drugs could reduce MSRV/HERV-Wenv expression in vitro. Further, experiments are needed to clarify the potential role of ART in protection from MS.
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spelling doaj.art-1927f5b525384c3685e442d05dd195ab2022-12-22T03:15:09ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-01-01910.3389/fimmu.2018.03092413066Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?Elena Morandi0Elena Morandi1Radu Tanasescu2Radu Tanasescu3Radu Tanasescu4Rachael E. Tarlinton5Dumitru Constantin-Teodosiu6Bruno Gran7Bruno Gran8Clinical Neurology Research Group, Division of Clinical Neuroscience, University of Nottingham School of Medicine, Nottingham, United KingdomCentre de Physiopathologie de Toulouse Purpan, UPS, INSERM, CNRS Université de Toulouse, Toulouse, FranceClinical Neurology Research Group, Division of Clinical Neuroscience, University of Nottingham School of Medicine, Nottingham, United KingdomDepartment of Neurology, Nottingham University Hospitals NHS Trust, Nottingham, United KingdomDivision of Clinical Neurosciences, Department of Neurology, Colentina Hospital, University of Medicine and Pharmacy Carol Davila, Bucharest, RomaniaSchool of Veterinary Medicine and Science, University of Nottingham, Nottingham, United KingdomSchool of Life Sciences, School of Medicine, University of Nottingham, Nottingham, United KingdomClinical Neurology Research Group, Division of Clinical Neuroscience, University of Nottingham School of Medicine, Nottingham, United KingdomDepartment of Neurology, Nottingham University Hospitals NHS Trust, Nottingham, United KingdomThe expression of human endogenous retroviruses (HERVs) has been associated with Multiple Sclerosis (MS). The MS-related retrovirus (MSRV/HERV-W) has the potential to activate inflammatory immunity, which could promote both susceptibility and progression toward MS. A connection between HERVs and MS is also supported by the observation that people infected with the human immunodeficiency virus (HIV) may have a lower risk of developing MS than the HIV non-infected, healthy population. This may be due to suppression of HERV expression by antiretroviral therapies (ART) used to treat HIV infection. In this pilot study, we compared RNA expression of the envelope gene of MSRV/HERV-W, as well as Toll-like receptors (TLR) 2 and 4, in a small cohort of HIV+ patients with MS patients and healthy controls (HC). An increased expression of MSRV/HERV-Wenv and TLR2 RNA was detected in blood of MS patients compared with HIV patients and HC, while TLR4 was increased in both MS and HIV patients. There was, however, no difference in MSRV/HERV-Wenv, TLR2 and TLR4 expression between ART-treated and -untreated HIV patients. The viral protein Env was expressed mainly by B cells and monocytes, but not by T cells and EBV infection could induce the expression of MSRV/HERV-Wenv in Lymphoblastoid cell lines (LCLs). LCLs were therefore used as an in vitro system to test the efficacy of ART in inhibiting the expression of MSRV/HERV-Wenv. Efavirenz (a non-nucleoside reverse transcriptase inhibitor) alone or different combined drugs could reduce MSRV/HERV-Wenv expression in vitro. Further, experiments are needed to clarify the potential role of ART in protection from MS.https://www.frontiersin.org/article/10.3389/fimmu.2018.03092/fullmultiple sclerosishuman endogenous retrovirusesMSRVHIVantiretroviral treatments
spellingShingle Elena Morandi
Elena Morandi
Radu Tanasescu
Radu Tanasescu
Radu Tanasescu
Rachael E. Tarlinton
Dumitru Constantin-Teodosiu
Bruno Gran
Bruno Gran
Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?
Frontiers in Immunology
multiple sclerosis
human endogenous retroviruses
MSRV
HIV
antiretroviral treatments
title Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?
title_full Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?
title_fullStr Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?
title_full_unstemmed Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?
title_short Do Antiretroviral Drugs Protect From Multiple Sclerosis by Inhibiting Expression of MS-Associated Retrovirus?
title_sort do antiretroviral drugs protect from multiple sclerosis by inhibiting expression of ms associated retrovirus
topic multiple sclerosis
human endogenous retroviruses
MSRV
HIV
antiretroviral treatments
url https://www.frontiersin.org/article/10.3389/fimmu.2018.03092/full
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