HICAGO,
Dec. 25 A common virus may increase the risk of developing multiple
sclerosis, new research suggests. The study bolsters evidence that links
multiple sclerosis with the Epstein-Barr virus.
Researchers at Harvard University found that women whose blood had
significant levels of antibodies to Epstein-Barr were four times more likely
to develop multiple sclerosis than women without high levels.
The virus, from the herpes family, is best known as a cause of
mononucleosis, the "kissing disease." It also has been linked to
other ailments, including other nerve disorders and cancers. The virus is so
common that some experts estimate that it has infected 95 percent of
Americans by age 40.
Most exposure probably occurs in childhood, when there may be no symptoms,
but antibodies would remain into adulthood, said Dr. Alberto Ascherio of the
Harvard School of Public Health.
Coupled with previous research that showed that people without
Epstein-Barr antibodies rarely developed multiple sclerosis, the findings are
"strong evidence in favor of a link," said Dr. Ascherio, lead
author of the new study, which The Journal of the American Medical
Association is publishing on Wednesday.
But Dr. Donald Gilden, a neurologist at the University of Colorado who
wrote an editorial in the journal, said that although multiple sclerosis was
probably caused by a virus, Epstein-Barr was probably not the culprit. Dr.
Gilden said blood tests like those in the study were not useful in
determining cause and effect.
Nicholas LaRocca of the National Multiple Sclerosis Society said the study
showed "a statistical association, but not anything that you could
really pin down as being causal or anything that really identifies a
mechanism."
About 350,000 Americans have multiple sclerosis, a nerve disease that
causes symptoms like numbness, muscle weakness and paralysis. It is generally
thought to be an autoimmune disorder, meaning that the body's immune system
mistakes normal tissue as foreign. In multiple sclerosis, a protective
coating for nerve fibers, myelin, is attacked. Previous research has
suggested that viruses may set off the autoimmune response in diseases like
multiple sclerosis.
One problem with such studies is that it is unclear which came first,
exposure to the virus or multiple sclerosis. Determining when multiple
sclerosis begins is difficult, because symptoms may appear after the disease
has begun.
Dr. Ascherio said he sought to avoid that problem by studying women who
had blood tests up to six and a half years before developing multiple
sclerosis. The authors examined samples from 62,439 women in a study of
nurses that began in 1989. The women gave samples in 1989 and 1990 and from
1996 to 1999 and were followed up through 1999.
Among them, 144 had multiple sclerosis, although most were thought to have
developed the disease before their tests.
For each woman with the disease, two women without the disease were
randomly selected, matched by birth year.
Of 16 women whose blood was taken before they developed multiple
sclerosis, 15 had significantly elevated levels of Epstein-Barr antibodies,
Dr. Ascherio said.
The study of more than 200,000 nurses, in two groups starting in 1989 and
1976, has led to new findings in fields like exercise, stroke and cancer.