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Measles makes body 'forget' how to fight infection

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The virus can cause "immune amnesia" - meaning the body forgets how to fight bugs it once knew how to beat.

Measles also resets the immune system to a "baby-like" state, compromisi­ng its ability to devise ways of tackling new infections.

Experts said the findings showed the importance of vaccinatio­n.

Remind me, what is measles?

Measles is a virus that initially causes a runny nose, sneezing and fever.

A few days later it leads to a blotchy rash that starts off on the face and spreads across the body.

Most people will recover, but measles can cause life-long disability. It can be deadly, especially if it causes pneumonia in the lungs or encephalit­is (swelling in the brain).

It is estimated that 110,000 people die from measles each year around the world.

Where do these findings come from?

The findings were based on detailed analysis of unvaccinat­ed children in an Orthodox Protestant community in the Netherland­s.

Blood samples were taken from the children, and then again two months after a measles outbreak in 2013.

Research groups in the United States, UK and Netherland­s were analysing the samples to assess the impact of measles on the immune system.

The focus was on antibodies - the tiny proteins that stick to foreign invaders - and the white blood cells that make them.

How does measles wipe out immune memory?

The immune system has a memory of the hostile invaders it has fought off before.

Part of this memory is kept in memory B-cells, which are a type of immune cell that has specialise­d in producing just one type of antibody.

But the measles virus can infect and destroy these cells, causing "immune amnesia".

Researcher­s at Harvard Medical School looked at blood samples from 77 children.

They used a tool, called Virscan, that is like a fancy fishing rod that can catch thousands of different types of antibodies.

Results, published in the journal Science, showed the children lost 20% of their repertoire of antibodies on average.

One child, who had a severe measles infections, lost 73% of the types of antibody they could produce.

How big a problem is this?

Not every antibody matters.

An antibody might be one (of the huge number) that do very little, but another might completely neutralise a microscopi­c intruder.

"If you delete that one then you've got a problem," Prof Stephen Elledge told the BBC.

Essentiall­y, it is a game of chance but the more antibodies that get wiped out, the greater the chance of hitting a crucial one.

And without it, your body may be vulnerable to infection once again.

How does measles make it harder to fight new infections?

As well as memory Bcells there are naive Bcells and it is the latter we rely on to fight off something new.

"They are the armour underneath," said Dr Velislava Petrova, from the Sanger Institute said.

Her study, published in Science Immunology, looked at 26 children and also showed that measles can wipe out the memory of previous infections.

But the research also showed the virus had an effect on the naive Bcells

too.

Are there other forms of immune memory?

Yes.

The study looked only at antibodies and the B-cells that produce them, but there are also equally important memory T-cells.

Measles can infected these T-cells too, but the studies have not yet been done on what happens to them.

"We do have really interestin­g anecdotal evidence suggesting the Tcell response would be affected in a very similar way," said Dr Mina. Measles has a devastatin­g impact on the body's immune system that could make it harder to fight infections for years, a pair of studies show.

 ??  ?? The virus initially causes nasal discharge, sneezing and fever, but it can be lethal.
The virus initially causes nasal discharge, sneezing and fever, but it can be lethal.

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