Sjögren's disease & overlap diseases

Evidence that autoantibody production may be driven by acute Epstein-Barr virus infection in Sjögren's disease

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Primary EBV infection can promote anti-Ro60/anti-Ro52 and anti-U1RNP responses, though by different mechanisms. Some healthy individuals produce anti-SmB' peptide autoantibodies independently of a response to EBNA1.

Study context

Population
Previously healthy patient with primary Epstein-Barr virus (EBV) infection who developed SjD with anti-Ro/La and anti-Sm/U1RNP autoantibodies; healthy and disease controls
Outcome
Autoantibody responses (anti-Ro60/anti-Ro52, anti-EBNA1, anti-U1RNP) after primary EBV infection in patient 1
Methodological detailscase study with healthy and disease controls
  • Case study with healthy and disease controls

Main finding

As reported in the abstract

  • Anti-Ro52 and anti-Ro60 autoantibodies present 7 days after primary infection, with IgM to IgG switching
  • More than 7 months after primary infection, new and increasing antibodies against EBNA1 and U1RNP appeared concomitantly
  • These antibodies bound homologous peptide sequences shared by EBNA1, SmB' and U1-C (U1RNP), consistent with molecular mimicry
  • Anti-Ro60/anti-Ro52 production stimulated by acute EBV infection long before onset of anti-EBNA1

Original publication

Evidence that autoantibody production may be driven by acute Epstein-Barr virus infection in Sjögren's disease. Ann Rheum Dis. Published 29 October 2024. doi:10.1136/ard-2024-226226

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