Evidence map›Paper›PMID 39021292›Full record

ArticleBrain : a journal of neurology2025

Broader anti-EBV TCR repertoire in multiple sclerosis: disease specificity and treatment modulation.

Tilman Schneider-Hohendorf, Christian Wünsch, Simon Falk, Catarina Raposo, Florian Rubelt, Hamid Mirebrahim, Hosseinali Asgharian, Ulrich Schlecht, Daniel Mattox, Wenyu Zhou and 27 more

Abstract read
In one paragraph

Article in Brain : a journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Article
  3. CD4Science translational medicine · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Present and Future of Monoclonal Antibody Therapies for Multiple Sclerosis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  15. Article
  16. Review
  17. Challenges and future directions of AIRR-seq-based diagnostics.Immunoinformatics (Amsterdam, Netherlands) · 2025
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

Tilman Schneider-HohendorfDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.ORCID 0000-0002-3717-5176
Christian WünschDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Simon FalkDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Catarina RaposoF. Hoffmann-La Roche Ltd, 4070 Basel, Switzerland.
Florian RubeltRoche Sequencing Solutions, 4300 Pleasanton, CA, USA.
Hamid MirebrahimRoche Sequencing Solutions, 4300 Pleasanton, CA, USA.
Hosseinali AsgharianRoche Sequencing Solutions, 4300 Pleasanton, CA, USA.
Ulrich SchlechtRoche Sequencing Solutions, 4300 Pleasanton, CA, USA.
Daniel MattoxAdaptive Biotechnologies, 98109 Seattle, WA, USA.
Wenyu ZhouAdaptive Biotechnologies, 98109 Seattle, WA, USA.
Eva DawinDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Marc PawlitzkiDepartment of Neurology, Otto von Guericke University, 39106 Magdeburg, Germany.
Sarah LauksDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Sven JariusMolecular Neuroimmunology Group, Department of Neurology, University of Heidelberg, 69120 Heidelberg, Germany.
Brigitte WildemannMolecular Neuroimmunology Group, Department of Neurology, University of Heidelberg, 69120 Heidelberg, Germany.
Joachim HavlaInstitute of Clinical Neuroimmunology, LMU Klinikum, Ludwig-Maximilians-Universiät München, 80539 München, Germany.
Tania KümpfelInstitute of Clinical Neuroimmunology, LMU Klinikum, Ludwig-Maximilians-Universiät München, 80539 München, Germany.ORCID 0000-0001-7509-5268
Miriam-Carolina SchrotDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Marius RingelsteinDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Markus KraemerDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Carolin SchwakeDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, 44791 Bochum, Germany.
Thomas SchmitterDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, 44791 Bochum, Germany.
Ilya AyzenbergDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, 44791 Bochum, Germany.
Katinka FischerDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Sven G MeuthDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Orhan AktasDepartment of Neurology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Martin W HümmertDepartment of Neurology, Hannover Medical School, 30625 Hannover, Germany.
Julian R KretschmerDepartment of Neurology, Hannover Medical School, 30625 Hannover, Germany.
Corinna TrebstDepartment of Neurology, Hannover Medical School, 30625 Hannover, Germany.
Ilka KleffnerDepartment of Neurology, Knappschaftskrankenhaus, Ruhr University Bochum, 44892 Bochum, Germany.
Jennifer MasseyDepartment of Neurology, St Vincent's Hospital, 2010 Sydney, Australia.
Paolo A MuraroDepartment of Brain Sciences, Imperial College London, W12 0NN London, UK.
Haiyin Chen-HarrisAdaptive Biotechnologies, 98109 Seattle, WA, USA.
Catharina C GrossDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Luisa KlotzDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.
Nicholas SchwabDepartment of Neurology with Institute of Translational Neurology, University of Muenster, 48149 Muenster, Germany.ORCID 0000-0001-5494-9885

Funding

C.C.G. and H.W. GR3946-3/1Deutsche Forschungsgemeinschaft 445569437H.W. CRC128
6 · The paper itself

Abstract

Epstein-Barr virus (EBV) infection has long been associated with the development of multiple sclerosis (MS). Patients with MS have elevated titres of EBV-specific antibodies in serum and show signs of CNS damage only after EBV infection. Regarding CD8+ T cells, an elevated but ineffective response to EBV was suggested in MS patients, who present with a broader MHC-I-restricted EBV-specific T-cell receptor beta chain (TRB) repertoire compared to controls. It is not known whether this altered EBV response could be subject to dynamic changes, e.g. by approved MS therapies, and whether it is specific for MS. Peripheral blood TRB repertoire samples (n = 1317) of healthy donors (n = 409), patients with MS (n = 710) before and after treatment, patients with neuromyelitis optica spectrum disorder (n = 87), MOG antibody-associated disease (MOGAD) (n = 64) and Susac's syndrome (n = 47) were analysed. Apart from MS, none of the evaluated diseases presented with a broader anti-EBV TRB repertoire. In MS patients undergoing autologous haematopoietic stem-cell transplantation, EBV reactivation coincided with elevated MHC-I-restricted EBV-specific TRB sequence matches. Therapy with ocrelizumab, teriflunomide or dimethyl fumarate reduced EBV-specific, but not CMV-specific MHC-I-restricted TRB sequence matches. Together, these data suggest that the aberrant MHC-I-restricted T-cell response directed against EBV is specific to MS with regard to neuromyelitis optica, MOGAD and Susac's syndrome and that it is specifically modified by MS treatments interfering with EBV host cells or activated lymphocytes.

Indexed as

Epstein-Barr Virus InfectionsHerpesvirus 4, HumanMultiple SclerosisReceptors, Antigen, T-Cell, alpha-betaAdultAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedNeuromyelitis OpticaYoung AdultAntibodies, Monoclonal, HumanizedReceptors, Antigen, T-Cell, alpha-betaEpstein-Barr virusmultiple sclerosismyelin-oligodendrocyte-glycoprotein antibody-associated diseaseneuromyelitis optica spectrum disorderSusac’s syndromeT-cell receptor

Identifiers

PMID39021292
PMCPMC11884754

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.