A measles virus-specific T lymphocyte clone derived from a measles-responder twin with multiple sclerosis has been produced. The cloned cells proliferate in response to measles virus but not mumps, vaccinia, or canine distemper viruses. The clone recognizes an antigen that is distributed in both the membrane and cytoplasmic fractions of cells infected with measles virus. Antigen is presented to the clone equally well by irradiated mononuclear cells obtained from the autologous subject and from her healthy, measles-nonresponder, HLA-identical twin. Studies with a panel of HLA-typed irradiated mononuclear cells indicate that antigen is presented to the clone in the context ofa gene product linked to, but not identical with, HLA-DRw2. The clone produces interleukin 2 and has surface determinants recognized by OKT-3, OKT-4, and anti-HLA-DR monoclonal antibodies, but not by . It thus appears to belong to the helper/inducer subpopulation of T lymphocytes.Epidemiologic data strongly implicate an environmental agent, presumably a virus, in the pathogenesis of multiple sclerosis (MS) (1). Since the 1962 report of Adams and Imagawa demonstrating increased anti-measles antibody titers in MS patients (2), numerous efforts have been made to detect an aberrant immune response to this virus in these patients (reviewed in ref.3). Recently measles virus nucleotide sequences have been detected in one of four MS brains by hybridization in situ (4).Our laboratory has examined a series oftwin pairs in an effort to detect environmental, genetic, and immunologic determinants that influence susceptibility to the disease (5). Three of these twin pairs are discordant for both MS and cellular immunoreactivity to measles virus, as measured by the proliferative response ofperipheral blood mononuclear cells (PBM) to target cells infected with the virus. In each instance the twin with MS is the high responder (6).
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