Evidence map›Paper›PMID 40184175›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

A disease-specific convergence of host and Epstein-Barr virus genetics in multiple sclerosis.

Rosella Mechelli, Renato Umeton, Gianmarco Bellucci, Rachele Bigi, Virginia Rinaldi, Daniela F Angelini, Gisella Guerrera, Francesca C Pignalosa, Sara Ilari, Marco Patrone and 31 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  6. CD4Science translational medicine · 2026
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  10. EBV Triggers a Distinct Antiviral Response in HMC3 Cells.bioRxiv : the preprint server for biology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors.

Rosella MechelliDepartment for the Promotion of Human Sciences and Quality of Life, San Raffaele Roma University, Rome, Italy.ORCID 0000-0001-5842-3100
Renato UmetonWeill Cornell Medicine, New York, NY 10021.
Gianmarco BellucciCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.ORCID 0000-0002-2635-1699
Rachele BigiCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.
Virginia RinaldiCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.
Daniela F AngeliniNeuroimmunology Unit, Istituto Ricovero e Cura a Carattere Scientifico Fondazione Santa Lucia, Rome 00179, Italy.ORCID 0000-0003-4552-9226
Gisella GuerreraNeuroimmunology Unit, Istituto Ricovero e Cura a Carattere Scientifico Fondazione Santa Lucia, Rome 00179, Italy.
Francesca C PignalosaDepartment for the Promotion of Human Sciences and Quality of Life, San Raffaele Roma University, Rome, Italy.ORCID 0009-0004-7171-7786
Sara IlariIstituto Ricovero e Cura a Carattere Scientifico San Raffaele, Rome 00166, Italy.
Marco PatroneBiocrystallography Unit, Division of Immunology, Transplantation, and Infectious Diseases, Istituto Ricovero e Cura a Carattere Scientifico San Raffaele Scientific Institute, Milan 20132, Italy.ORCID 0000-0002-5164-2877
Sundararajan SrinivasanInstitute of Experimental Neurology & Division of Neuroscience, Istituto Ricovero e Cura a Carattere Scientifico San Raffaele Scientific Institute, Milan 20132, Italy.ORCID 0000-0002-3387-9889
Gabriel CeronoDepartment of Neurology, University of California San Francisco Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA 94158.
Silvia RomanoCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.ORCID 0000-0003-0499-8843
Maria C BuscarinuCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.
Serena MartireClinical Neurobiology Unit, Neuroscience Institute Cavalieri Ottolenghi, Orbassano 10043, Italy.ORCID 0000-0001-6889-888X
Simona MalucchiDepartment of Neurology and Centri di Riferimento Regionale Sclerosi Multipla, University Hospital San Luigi Gonzaga, Orbassano 10043, Italy.
Doriana LandiMultiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Rome 00133, Italy.ORCID 0000-0002-3309-8417
Lorena LoreficeMultiple Sclerosis Center, Binaghi Hospital, Azienda Sanitaria Locale Cagliari, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari 09126, Italy.
Raffaella Pizzolato UmetonDepartment of Neurology, University of Massachusetts Medical School, Worcester, MA 01655.
Eleni AnastasiadouDepartment of Clinical and Molecular Medicine, Sapienza University, Rome 00189, Italy.ORCID 0000-0003-0212-6734
Pankaj TrivediDepartment of Experimental Medicine, Sapienza University, Rome 00161, Italy.ORCID 0000-0001-9574-6304
Arianna FornasieroCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.
Michela FerraldeschiCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.
IMSGC WTCCC2The International Multiple Sclerosis Genetics Consortium and the Wellcome Trust Case Control Consortium 2, Oxford OX1 2JD, United Kingdom.
Alessia Di SapioClinical Neurobiology Unit, Neuroscience Institute Cavalieri Ottolenghi, Orbassano 10043, Italy.ORCID 0000-0002-5575-7567
Gerolama MarfiaMultiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Rome 00133, Italy.
Eleonora CoccoMultiple Sclerosis Center, Binaghi Hospital, Azienda Sanitaria Locale Cagliari, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari 09126, Italy.
Diego CentonzeDepartment of Systems Medicine, Tor Vergata University, Rome 00133, Italy.ORCID 0000-0002-8390-8545
Antonio UccelliDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health and Centre of Excellence for Biomedical Research, University of Genova, Genoa 16132, Italy.ORCID 0000-0002-2008-6038
Dario Di SilvestreElixir Proteomics Laboratory, Istituto di Tecnologie Biomediche, Consiglio Nazionale delle Ricerche, Segrate, Milan 20054, Italy.
Pierluigi MauriElixir Proteomics Laboratory, Istituto di Tecnologie Biomediche, Consiglio Nazionale delle Ricerche, Segrate, Milan 20054, Italy.ORCID 0000-0003-4364-0393
Paola de CandiaTreg Cell Lab, Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università di Napoli "Federico II", Napoli 80131, Italy.ORCID 0000-0003-4767-446X
Sandra D'AlfonsoDepartment of Health Sciences, University of Eastern Piedmont, Interdisciplinary Research Center of Autoimmune Diseases, Novara 28100, Italy.
Luca BattistiniNeuroimmunology Unit, Istituto Ricovero e Cura a Carattere Scientifico Fondazione Santa Lucia, Rome 00179, Italy.
Cinthia FarinaInstitute of Experimental Neurology & Division of Neuroscience, Istituto Ricovero e Cura a Carattere Scientifico San Raffaele Scientific Institute, Milan 20132, Italy.ORCID 0000-0002-4466-9676
Roberta MagliozziNeurology B, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona 37134, Italy.
Richard ReynoldsDepartment of Brain Sciences, Faculty of Medicine, Imperial College London, London W12 ONN, United Kingdom.
Sergio E BaranziniDepartment of Neurology, University of California San Francisco Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA 94158.ORCID 0000-0003-0067-194X
Giuseppe MatareseTreg Cell Lab, Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università di Napoli "Federico II", Napoli 80131, Italy.ORCID 0000-0001-9429-0616
Marco SalvettiCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.ORCID 0000-0002-0501-8803
Giovanni RistoriCentre for Experimental Neurological Therapies, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, Rome 00189, Italy.ORCID 0000-0002-6598-6777

Funding

Fondazione Italiana Sclerosi Multipla (FISM) 2014/R/12Fondazione Italiana Sclerosi Multipla (FISM) 2017/R/18Fondazione Italiana Sclerosi Multipla (FISM) 2018/B/5Italian Ministry University and Research PNRR-MAD-2022-12375634National Multiple Sclerosis Society (NMSS) RG-1807-32021Wellcome Trust
6 · The paper itself

Abstract

Recent sero-epidemiological studies have strengthened the hypothesis that Epstein-Barr virus (EBV) may be a causal factor in multiple sclerosis (MS). Given the complexity of the EBV-host interaction, various mechanisms may be responsible for the disease pathogenesis. Furthermore, it remains unclear whether this is a disease-specific process. Here, we showed that genes encoding EBV interactors are enriched in loci associated with MS but not with other diseases and in prioritized therapeutic targets. Analyses of MS blood and brain transcriptomes confirmed a dysregulation of MS-associated EBV interactors affecting the CD40 pathway. Such interactors were strongly enriched in binding sites for the EBV nuclear antigen 2 (EBNA2) viral transcriptional regulator, often in colocalization with CCCTC binding factor (CTCF) and RNA Polymerase II Subunit A (POLR2A). EBNA2 was expressed in the MS brain. The 1.2 EBNA2 allele downregulated the expression of the CD40 MS-associated gene analogously to the CD40 MS-risk variant. Finally, we showed that the 1.2 EBNA2 allele associates with the risk of MS. This study delineates how host and viral genetic variability converge in MS-specific pathogenetic mechanisms.

Indexed as

Epstein-Barr Virus InfectionsEpstein-Barr Virus Nuclear AntigensHerpesvirus 4, HumanHost-Pathogen InteractionsMultiple SclerosisBrainCD40 AntigensGenetic Predisposition to DiseaseHumansRNA Polymerase IIViral ProteinsCD40 AntigensEBNA-2 protein, Human herpesvirus 4Epstein-Barr Virus Nuclear AntigensRNA Polymerase IIViral ProteinsautoimmunityEpstein–Barr virusmultiple sclerosis

Identifiers

PMID40184175
PMCPMC12002260

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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.