virologic and immunologic evidence supporting an association between hhv-6 and hashimotos thyroiditis病毒学和免疫证据支持hhv - 6之间的关联和桥本氏甲状腺炎.pdfVIP

virologic and immunologic evidence supporting an association between hhv-6 and hashimotos thyroiditis病毒学和免疫证据支持hhv - 6之间的关联和桥本氏甲状腺炎.pdf

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virologic and immunologic evidence supporting an association between hhv-6 and hashimotos thyroiditis病毒学和免疫证据支持hhv - 6之间的关联和桥本氏甲状腺炎

Virologic and Immunologic Evidence Supporting an Association between HHV-6 and Hashimoto’s Thyroiditis 1 2 1 1 3 Elisabetta Caselli *, Maria Chiara Zatelli , Roberta Rizzo , Sabrina Benedetti , Debora Martorelli , 2 1 2 1 3 Giorgio Trasforini , Enzo Cassai , Ettore C. degli Uberti , Dario Di Luca , Riccardo Dolcetti 1 Section of Microbiology, Department of Experimental and Diagnostic Medicine, University of Ferrara, Ferrara, Italy, 2 Section of Endocrinology, Department of Biomedical Sciences and Advanced Therapies and LTTA, University of Ferrara, Ferrara, Italy, 3 Cancer Bio-Immunotherapy Unit, CRO – IRCCS, National Cancer Institute, Aviano, Italy Abstract Hashimoto’s thyroiditis (HT) is the most common of all thyroid diseases and is characterized by abundant lymphocyte infiltrate and thyroid impairment, caused by various cell- and antibody-mediated immune processes. Viral infections have been suggested as possible environmental triggers, but conclusive data are not available. We analyzed the presence and transcriptional state of human herpesvirus 6 (HHV-6) in thyroid fine needle aspirates (FNA) and peripheral blood mononuclear cells (PBMCs) from 34 HT patients and 28 controls, showing that HHV-6 DNA prevalence (82% vs. 10%, p#0.001) and viral load were significantly increased in FNA from HT patients, and thyrocytes from HT FNA displayed a 100- fold higher HHV-6 DNA load compared to infiltrating lymphocytes. In addition, while HHV-6 was strictly latent in positive samples from controls, a low grade acute infection was detected in HT samples

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