Mass General study links Epstein-Barr virus reactivation to MS attacks
Researchers find EBV activity in immune cells precedes multiple sclerosis relapse by up to three months.
What to know
- Mass General researchers found EBV reactivation in immune cells up to 90 days before MS relapse, with MS-risk genes expressed only in pre-relapse periods.
- B cells housing dormant EBV showed the strongest immune changes before relapse, with elevated antiviral and inflammatory responses.
- Results suggest opportunity for targeted therapeutics against EBV or specific immune cells, moving beyond broad immune suppression.
- Blood biomarkers of EBV activity could identify relapse-prone patients earlier than current MRI and biomarker detection methods if validated in larger studies.
Tanuja Chitnis, MD Senior author, Mass General Brigham researcherMass General Brigham Research institution
How it unfolded 2 developments, newest first · click a bar or a number to jump articlespostscomments
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Findings suggest path to targeted MS treatments
The research identifies B cells and ABC-like B cells as key immune cells showing the strongest changes before relapse, with EBV proteins triggering MS risk genes. Senior author Chitnis notes the results point toward more precise therapeutic approaches targeting EBV or specific immune cells, rather than broad immune suppression.
“Currently, most MS treatments work by broadly suppressing the immune system. Our results suggest there's an opportunity to be more precise and develop approaches that target EBV or the immune cells involved in relapse.”
— Tanuja Chitnis, MD -
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Mass General study identifies EBV activity before MS relapse
Researchers analyzing blood samples from 114 MS patients and 21 healthy controls detected increased EBV lytic activity in immune cells up to 90 days before MS relapse, with elevated expression of MS-risk genes appearing only in pre-relapse periods. The study tracked immune changes across the CLIMB cohort at Brigham and Women's Hospital.
“We believe this work provides foundational insights into the cause of multiple sclerosis. This study puts all the pieces together, showing a timeline of how the reactivated virus interacts with risk genes to unleash inflammation before relapse occurs.”
— Tanuja Chitnis, MD
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