2014
DOI: 10.1007/s10571-014-0100-7
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The Retrovirus/Superantigen Hypothesis of Multiple Sclerosis

Abstract: The pathogenesis of multiple sclerosis (MS) is as yet unknown. Commonly, MS is assumed to be due to an autoimmune inflammation of the central nervous system (CNS). Neurodegeneration is regarded to be a secondary reaction. This concept is increasingly being challenged. Human endogenous retroviruses (HERV) that could be locally activated in the CNS have been proposed as an alternative concept. HERV-encoded envelope proteins (env) can act as strong immune stimulators (superantigens). Thus, slow disease progressio… Show more

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Cited by 31 publications
(20 citation statements)
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“…Thus, slow disease progression following neurodegeneration might be induced by re-activation of HERV expression directly, while relapses in parallel to inflammation might be secondary to the expression of HERV-encoded superantigens [169]. In Northern and Southern European cohorts, an association with susceptibility to bout-onset MS was established and confirmed for the HERV-Fc1 (ERVFC1) sequence in chromosome X and the enclosing polymorphism rs391745 [170].…”
Section: Neurological Diseasesmentioning
confidence: 97%
“…Thus, slow disease progression following neurodegeneration might be induced by re-activation of HERV expression directly, while relapses in parallel to inflammation might be secondary to the expression of HERV-encoded superantigens [169]. In Northern and Southern European cohorts, an association with susceptibility to bout-onset MS was established and confirmed for the HERV-Fc1 (ERVFC1) sequence in chromosome X and the enclosing polymorphism rs391745 [170].…”
Section: Neurological Diseasesmentioning
confidence: 97%
“…Such a HERV-W Env mediated pro-inflammatory effect was responsible for reduced oligodendrocytes differentiation and affected myelin expression and renewal ( 101 ), as also demonstrated by the fact that treatment with a specific antibody for HERV-W Env (GNbAC1) was able to rescue myelin expression ( 115 ). In addition, HERV-W Env hold a significant superantigen activity ( 116 ), that has also been proposed to play a role in demyelination, by evoking a polyclonal non-specific T-cell activation and the massive release of multiple cytokines ( 98 , 109 ). A similar interaction between HERV-W Env and the TLR4 of pancreatic β cells has been proposed to promote autoimmune reactions and to affect insulin secretion in type I diabetes patients ( 117 ).…”
Section: Hervs As Activators Of Antiviral Innate Immunitymentioning
confidence: 99%
“…Retroviral genes are heavily methylated in normal tissues, whereas tumors show increased levels of HERV transcripts due to hypomethylation (Cegolon et al, 2013 ). In addition to epigenetic regulation, other factors including hormones, microorganisms, and the environment were shown to modulate HERV expression (Balada et al, 2009 ; Emmer et al, 2014 ).…”
Section: Regulation Of Herv Expressionmentioning
confidence: 99%