2: Mol Psychiatry. 2001 Jul;6(4):481-91.
Borna disease virus-specific circulating immune complexes, antigenemia, and free
antibodies--the key marker triplet determining infection and prevailing in
severe mood disorders.
Bode L, Reckwald P, Severus WE, Stoyloff R, Ferszt R, Dietrich DE, Ludwig H.
Project Bornavirus Infections, Robert Koch-Institut, Nordufer 20, 13353 Berlin,
Germany.
bodel@rki.de
Borna disease virus (BDV), a unique genetically highly conserved RNA virus
(Bornaviridae; Mononegavirales), preferentially targets neurons of limbic
structures causing behavioral abnormalities in animals. Markers and virus in
patients with affective disorders and schizophrenia have raised worldwide
interest. A persistent infection was suggestive from follow-up studies, but
inconstant detectability weakened a possible linkage.This study for the first
time discloses that detection gaps are caused by BDV-specific circulating immune
complexes (CIC), and their interplay with free antibodies and plasma antigens
(p40/p24). Screening 3000 sera each from human and equine patients over the past
4 years by new enzyme immunoassays (EIAs) revealed that BDV-CICs indicate 10
times higher infection rates (up to 30% in controls, up to 100% in patients)
than did previous serology. Persistence of high amounts of CICs and plasma
antigens correlates with severity of depression. Even BDV RNA could be detected
in plasma samples with strong antigenemia. Our discovery not only explains the
course of persistent infection, but offers novel easy-to-use diagnostic tools by
which new insights into BDV-related etiopathogenesis of disease and epidemiology
are possible.
Publication Types:
Multicenter Study
PMID: 11443538 [PubMed - indexed for MEDLINE]