Title Sequence analysis of human rhinovirus aspirated from the nasopharynx of patients with relapsing-remitting MS.
Author Kneider, M; Bergstrom, T; Gustafsson, C; Nenonen, N; Ahlgren, C; Nilsson, S; Andersen, O
Journal Mult Scler Publication Year/Month 2009-Apr
PMID 19251837 PMCID -N/A-
Affiliation 1.Institute of Clinical Neuroscience and Physiology, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.

BACKGROUND: Upper respiratory infections were reported to trigger multiple sclerosis relapses. A relationship between picornavirus infections and MS relapses was recently reported. OBJECTIVE: To evaluate whether human rhinovirus is associated with multiple sclerosis relapses and whether any particular strain is predominant. METHOD: Nasopharyngeal fluid was aspirated from 36 multiple sclerosis patients at pre-defined critical time points. Reverse-transcriptase-PCR was performed to detect human rhinovirus-RNA. Positive amplicons were sequenced. RESULTS: We found that rhinovirus RNA was present in 17/40 (43%) of specimens obtained at the onset of a URTI in 19 patients, in 1/21 specimens during convalescence after URTI in 14 patients, in 0/6 specimens obtained in 5 patients on average a week after the onset of an "at risk" relapse, occurring within a window in time from one week before to three weeks after an infection, and in 0/17 specimens obtained after the onset of a "not at risk" relapse not associated with any infection in 12 patients. Fifteen specimens from healthy control persons not associated with URTI were negative. The frequency of HRV presence in URTI was similar to that reported for community infections. Eight amplicons from patients represented 5 different HRV strains. CONCLUSION: We were unable to reproduce previous findings of association between HRV infections and multiple sclerosis relapses. HRV was not present in nasopharyngeal aspirates obtained during "at risk" or "not at risk" relapses. Sequencing of HRV obtained from patients during URTI did not reveal any strain with predominance in multiple sclerosis.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
ANM08345 A 85 81 Sweden P35
ANZ08346 A 2 81 Sweden K8
BNC01644 B 14 81 Sweden P34
BNM01645 B 6 81 Sweden P23
BNP01647 B 14 81 Sweden P2
BNS01643 B 93 81 Sweden K6
BNZ01646 B 14 81 Sweden P6
UNS00737 Unclassified None 81 Sweden P9
UNS00738 Unclassified None 81 Sweden P22
UNS00739 Unclassified None 81 Sweden P14
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