Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.

Multiple sclerosis (MS) is a chronic, immune-mediated demyelinating disease of the central nervous system of unclear etiology, but there is some evidence that viral infections could be responsible for triggering autoimmune mechanisms against myelin. We searched for viral RNA and DNA in cerebrospinal...

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Main Authors: Karol Perlejewski, Iwona Bukowska-Ośko, Małgorzata Rydzanicz, Tomasz Dzieciątkowski, Beata Zakrzewska-Pniewska, Aleksandra Podlecka-Piętowska, Agata Filipiak, Krzysztof Barć, Kamila Caraballo Cortés, Agnieszka Pawełczyk, Marek Radkowski, Tomasz Laskus
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0240601
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author Karol Perlejewski
Iwona Bukowska-Ośko
Małgorzata Rydzanicz
Tomasz Dzieciątkowski
Beata Zakrzewska-Pniewska
Aleksandra Podlecka-Piętowska
Agata Filipiak
Krzysztof Barć
Kamila Caraballo Cortés
Agnieszka Pawełczyk
Marek Radkowski
Tomasz Laskus
author_facet Karol Perlejewski
Iwona Bukowska-Ośko
Małgorzata Rydzanicz
Tomasz Dzieciątkowski
Beata Zakrzewska-Pniewska
Aleksandra Podlecka-Piętowska
Agata Filipiak
Krzysztof Barć
Kamila Caraballo Cortés
Agnieszka Pawełczyk
Marek Radkowski
Tomasz Laskus
author_sort Karol Perlejewski
collection DOAJ
description Multiple sclerosis (MS) is a chronic, immune-mediated demyelinating disease of the central nervous system of unclear etiology, but there is some evidence that viral infections could be responsible for triggering autoimmune mechanisms against myelin. We searched for viral RNA and DNA in cerebrospinal fluid (CSF) of 34 MS patients and 13 controls using RT-PCR/PCR against common neurotropic viruses. In addition, shotgun DNA- and RNA-based metagenomics were done in 13 MS patients and 4 controls. Specific quantitative real-time RT-PCR/PCR testing revealed the presence of viral nucleic acid in seven (20.59%) MS patients and in one (7.69%) control patient. In MS patients the most frequently detected was human herpesvirus type 6 (HHV-6; 3 cases; 8.82%); followed by Epstein-Barr virus (EBV; 2 cases; 5.88%), varicella zoster virus (VZV; 1 case; 2.94%) and Enterovirus (EV; 1 case; 2.94%). The single identified virus among controls was EBV (7.69%). DNA and RNA metagenomic assays did not identify any known eukaryotic viruses even though three of the analyzed samples were low-level positive by specific quantitative real-time PCR. In conclusion, we detected the presence of Herpesviridae and occasionally Enteroviridae in CSF from patients with MS but their prevalence was not significantly higher than among controls. Metagenomic analysis seems to be less sensitive than real-time RT-PCR/PCR and it did not detect any potential viral pathogens.
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spelling doaj.art-b44ad77421ac47b39f303a809edcc8fe2022-12-21T21:30:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011510e024060110.1371/journal.pone.0240601Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.Karol PerlejewskiIwona Bukowska-OśkoMałgorzata RydzaniczTomasz DzieciątkowskiBeata Zakrzewska-PniewskaAleksandra Podlecka-PiętowskaAgata FilipiakKrzysztof BarćKamila Caraballo CortésAgnieszka PawełczykMarek RadkowskiTomasz LaskusMultiple sclerosis (MS) is a chronic, immune-mediated demyelinating disease of the central nervous system of unclear etiology, but there is some evidence that viral infections could be responsible for triggering autoimmune mechanisms against myelin. We searched for viral RNA and DNA in cerebrospinal fluid (CSF) of 34 MS patients and 13 controls using RT-PCR/PCR against common neurotropic viruses. In addition, shotgun DNA- and RNA-based metagenomics were done in 13 MS patients and 4 controls. Specific quantitative real-time RT-PCR/PCR testing revealed the presence of viral nucleic acid in seven (20.59%) MS patients and in one (7.69%) control patient. In MS patients the most frequently detected was human herpesvirus type 6 (HHV-6; 3 cases; 8.82%); followed by Epstein-Barr virus (EBV; 2 cases; 5.88%), varicella zoster virus (VZV; 1 case; 2.94%) and Enterovirus (EV; 1 case; 2.94%). The single identified virus among controls was EBV (7.69%). DNA and RNA metagenomic assays did not identify any known eukaryotic viruses even though three of the analyzed samples were low-level positive by specific quantitative real-time PCR. In conclusion, we detected the presence of Herpesviridae and occasionally Enteroviridae in CSF from patients with MS but their prevalence was not significantly higher than among controls. Metagenomic analysis seems to be less sensitive than real-time RT-PCR/PCR and it did not detect any potential viral pathogens.https://doi.org/10.1371/journal.pone.0240601
spellingShingle Karol Perlejewski
Iwona Bukowska-Ośko
Małgorzata Rydzanicz
Tomasz Dzieciątkowski
Beata Zakrzewska-Pniewska
Aleksandra Podlecka-Piętowska
Agata Filipiak
Krzysztof Barć
Kamila Caraballo Cortés
Agnieszka Pawełczyk
Marek Radkowski
Tomasz Laskus
Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.
PLoS ONE
title Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.
title_full Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.
title_fullStr Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.
title_full_unstemmed Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.
title_short Search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real-time PCR and metagenomics.
title_sort search for viral agents in cerebrospinal fluid in patients with multiple sclerosis using real time pcr and metagenomics
url https://doi.org/10.1371/journal.pone.0240601
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