Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2004-1-6
pubmed:abstractText
EBV infection is more common in patients with systemic lupus erythematosus (SLE) than in control subjects, suggesting that this virus plays an etiologic role in disease and/or that patients with lupus have impaired EBV-specific immune responses. In the current report we assessed immune responsiveness to EBV in patients with SLE and healthy controls, determining virus-specific T cell responses and EBV viral loads using whole blood recall assays, HLA-A2 tetramers, and real-time quantitative PCR. Patients with SLE had an approximately 40-fold increase in EBV viral loads compared with controls, a finding not explained by disease activity or immunosuppressive medications. The frequency of EBV-specific CD69+ CD4+ T cells producing IFN-gamma was higher in patients with SLE than in controls. By contrast, the frequency of EBV-specific CD69+ CD8+ T cells producing IFN-gamma in patients with SLE appeared lower than that in healthy controls, although this difference was not statistically significant. These findings suggest a role for CD4+ T cells in controlling, and a possible defect in CD8+ T cells in regulating, increased viral loads in lupus. These ideas were supported by correlations between viral loads and EBV-specific T cell responses in lupus patients. EBV viral loads were inversely correlated with the frequency of EBV-specific CD69+ CD4+ T cells producing IFN-gamma and were positively correlated with the frequencies of CD69+ CD8+ T cells producing IFN-gamma and with EBV-specific, HLA-A2 tetramer-positive CD8+ T cells. These results demonstrate that patients with SLE have defective control of latent EBV infection that probably stems from altered T cell responses against EBV.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0022-1767
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
172
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1287-94
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:14707107-Adult, pubmed-meshheading:14707107-B-Lymphocyte Subsets, pubmed-meshheading:14707107-CD4-Positive T-Lymphocytes, pubmed-meshheading:14707107-CD8-Positive T-Lymphocytes, pubmed-meshheading:14707107-Cytomegalovirus, pubmed-meshheading:14707107-Epitopes, T-Lymphocyte, pubmed-meshheading:14707107-Epstein-Barr Virus Infections, pubmed-meshheading:14707107-Female, pubmed-meshheading:14707107-Herpesvirus 4, Human, pubmed-meshheading:14707107-Humans, pubmed-meshheading:14707107-Leukocytes, Mononuclear, pubmed-meshheading:14707107-Lupus Erythematosus, Systemic, pubmed-meshheading:14707107-Lymphocyte Count, pubmed-meshheading:14707107-Male, pubmed-meshheading:14707107-Middle Aged, pubmed-meshheading:14707107-Severity of Illness Index, pubmed-meshheading:14707107-Viral Load, pubmed-meshheading:14707107-Virus Latency
pubmed:year
2004
pubmed:articleTitle
Defective control of latent Epstein-Barr virus infection in systemic lupus erythematosus.
pubmed:affiliation
Section of Rheumatology, Department of Internal Medicine, Yale University School of Medicine, 300 Cedar Street, New Haven, CT 06520, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't