Our dear friends and stalwart researcher/clinicians, David Wheldon and Charles Stratton, have published a superb editorial review of the evidence arguing against the autoimmune response as the causal factor in Multiple Sclerosis, and examining the evidence for Cpn involvement in said disease. This was evidently at the request of the journal's editor, who see's their thinking in this as worthy of wider review. Congratulations Dr. Wheldon and Dr. Stratton! A real coup to have this published in a peer reviewed medical journal.You can see Marie Rhodes commentary on this publication at http://www.thisisms.com/ftopicp-19094.htmlTrends Microbiol. 2006 Sep 21; [Epub ahead of print]Multiple sclerosis: an infectious syndrome involving Chlamydophila pneumoniae.Stratton CW, Wheldon DB.Department of Pathology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.The concept of autoimmune myelinopathy as the primary pathology in multiple sclerosis (MS) is problematic. Vasculitis is seen in the MS brain, both within lesions and in adjacent normal-appearing white matter. The first observation in acute relapse is the sudden, orderly death of oligodendrocytes; inflammatory removal of unsupported myelin seems to be a secondary process. An alternative explanation for these findings is that oligodendrocyte infection might trigger an inflammatory response. Many pathogens, including Chlamydophila (Chlamydia) pneumoniae, have been associated with MS. MS might be an infectious syndrome in which C. pneumoniae has a role in a subset of patients. Mechanisms by which such a cryptic infection could engender relapsing-remitting and, ultimately, progressive disease patterns are discussed.PMID: 16996738 [PubMed - as supplied by publisher]