How genes and Epstein-Barr virus interact in multiple sclerosis

Dr Carla Proietti

Institute for Molecular Bioscience, The University of Queensland, QLD

July 2026

Specialisation: Genetics, Epidemiology

focus area: Causes and Prevention

funding type: Incubator

project type: Investigator Led Research

Summary

Multiple sclerosis (MS) is the most common acquired neurological disease in young Australians, affecting over 37,700 people. There is as yet no cure, and diagnosis often occurs years after symptoms begin.

Two key factors are strongly linked to the development of MS: infection with Epstein-Barr virus (EBV), a very common virus that infects over 90% of adults globally, and certain inherited immune genes known as HLA class II genes. However, it is still unclear how these factors interact to contribute to MS.

Dr Carla Proietti and her team have identified a specific pattern of EBV-related antibodies that is much higher in people living with MS than in people without MS or those with other autoimmune diseases. This pattern is also found in cerebrospinal fluid – the fluid surrounding the brain and spinal cord – suggesting that the immune response to EBV may be active in the brain in MS.

This project will investigate whether inherited HLA risk genes influence which EBV proteins the immune system targets, and whether this leads to harmful immune responses in the brain and spinal cord in MS. The team will analyse existing blood and cerebrospinal fluid samples from people with MS using advanced protein profiling technologies.

This research will help determine how genetic risk factors and EBV interact in MS. It may also identify specific viral targets linked to genetic risk, providing a clearer understanding of disease mechanisms. In the longer term, these findings could support the development of improved tools for MS diagnosis and disease monitoring.

lead investigator

co-investigators

total funding

$25,000

start year

2026

duration

1 year

STATUS

Current project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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How genes and Epstein-Barr virus interact in multiple sclerosis