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. 2023 Mar 18;15(3):782. doi: 10.3390/v15030782

Table 1.

Summary of autoimmune diseases for which a viral cause is proposed. Listed are the respective targeted tissues or host cells, the pathology-mediating autoreactive immune cells and the proposed pathomechanisms.

Autoimmune Disease Virus Target Cells or
Self-Peptides
Immune Cells or Cytokines Pathomechanism Ref.
Rheumatoid
Arthritis
HTLV Synovial cells IL1, IL6, TNF-α Autonomous proliferation of synovial cells and inflammation [163,164,165]
EBV Collagen and keratin Autoreactive
T cells
Molecular mimicry [166,167,168]
Multiple
Sclerosis
Herpes
simplex virus (HSV1, HSV2)
Peripheral sensory nerves, sensory
ganglia in CNS
Cytotoxic T lymphocyte,
IL-6
Molecular mimicry of HSV-1 glycoprotein gB epitope and a brain-specific factor [169,170]
Epstein–Barr
Virus (EBV)
CNS,
myelin basic protein (MBP), anoctamin 2, glial cell adhesion molecule (GlialCAM)
CD4+ and CD8+
T cells
Antibodies against EBV antigens viral capsid antigen (VCA), Epstein–Barr nuclear antigen 1 (EBNA1), and early antigen (EA), Epstein–Barr latent membrane protein 1 (LMP1), molecular mimicry [127,171,172,173,174,175,176]
Human Herpesvirus 6 (HHV-6) Oligodendrocyte, MBP T cells Molecular mimicry of
virus peptide U24 with MBP
[177,178,179]
Varicella-Zoster Virus (VZV) Ganglia in CNS,
peripheral blood mononuclear cells (PBMCs)
CD4+ and CD8+
T cells
- [180]
Human Endogenous Retroviruses (HERVs) CNS in white
matter lesion, (PBMCs)
TNF-α Induction of free radicals,
ER stress
[169,170,181,182]
Systemic
Lupus
Erythematosus
EBV B- and epithelial cells; autoantibodies: SmB and Ro60 EBV-specific
T cells
Molecular mimicry [183,184,185]
Diabetes
Mellitus Type 1
Coxsackie B4 GAD65 in the beta-cells of pancreas IFN-γ/type-1-IFN, IL-4 Molecular mimicry [186]
Rubella GAD65/67 of the pancreatic islets CD4+ and CD8+
T cells
Molecular mimicry [187,188]
Rotavirus Tyrosine
phosphatase IA-2
Type I IFN Molecular mimicry and
Bystander activation
[189,190]
Cytomegalovirus GAD65 GAD65 specific
T-cells
Molecular mimicry [191]