lupus

 

All lupus cases may be linked to a common virus, study finds.

Researchers say they finally understand the connection between the autoimmune disease and Epstein-Barr virus.

Epstein-Barr virus particles colorized red-orange. BSIP / BSIP/Universal Images Group via
An electron micrograph showing three Epstein-Barr virus particles colorized red-orange.

One of the most common viruses in the world could be the cause of lupus, an autoimmune disease with wide-ranging symptoms, according to a study published Wednesday.

Until now, lupus was somewhat mysterious: No single root cause of the disease had been found, and while there is no cure, there are medications that can treat it.

The research, published in the journal Science Translational Medicine, suggests that Epstein-Barr virus — which 95% of people acquire at some point in life — could cause lupus by driving the body to attack its own healthy cells. It adds to mounting evidence that Epstein-Barr is associated with multiple long-term health issues, including other autoimmune conditions. As this evidence stacks up, scientists have accelerated calls for a vaccine that targets the virus.

“If we now better understand how this fastidious virus is responsible for autoimmune diseases, I think it’s time to figure out how to prevent it,” said Dr. Anca Askanase, clinical director of the Lupus Center at Columbia University, who wasn’t involved in the new research

In lupus patients, an autoimmune attack can result in extreme fatigue, joint pain and skin rashes. In rare cases, the disease may lead to fatal or life-threatening issues such as kidney damage, or weaken the immune system so the body can’t fight off infections.

Scientists have long suspected a link between Epstein-Barr and lupus, but the exact connection had remained elusive. Dr. William Robinson, a co-author of the new study and chief of the division of immunology and rheumatology at Stanford University, said his new findings solve a major piece of that puzzle.

“From our perspective, it’s the key, missing mechanistic link,” Robinson said. “We think it applies to all lupus cases,” he added. Hundreds of thousands of people in the U.S. are living with the disease.

But Hoang Nguyen, assistant vice president of research at the Lupus Research Alliance, said it’s too soon to know if the mechanism is behind every case.

An infection with Epstein-Barr virus does not necessarily cause symptoms, especially among children, though the virus is also the most common cause of mononucleosis (often referred to as mono).

It's primarily transmitted by saliva from kissing or sharing drinks, food, utensils or toothbrushes. After someone is infected, the virus lingers permanently in the body, where it usually remains inactive — though not always.

The new study is not the first to tie Epstein-Barr to autoimmune issues. Past research has linked it to multiple sclerosis. Though not the sole trigger of MS, the virus may be part of a chain of events that leads to the disease.

source:NBCNEWS

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