Evidence map›Paper›PMID 20220124›Full record

ArticleNeurology2010

Absence of Epstein-Barr virus in the brain and CSF of patients with multiple sclerosis.

S A Sargsyan, A J Shearer, A M Ritchie, M P Burgoon, S Anderson, B Hemmer, C Stadelmann, S Gattenlöhner, G P Owens, D Gilden and 1 more

Abstract read
In one paragraph

Article in Neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 192 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Article
  7. Article
  8. Review
  9. Multiple sclerosis and infection: history, EBV, and the search for mechanism.Microbiology and molecular biology reviews : MMBR · 2025
    Review
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  12. Article
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

S A SargsyanDepartment of Neurology,University of Colorado Denver School of Medicine, Aurora, CO 80045, USA.
A J Shearer
A M Ritchie
M P Burgoon
S Anderson
B Hemmer
C Stadelmann
S Gattenlöhner
G P Owens
D Gilden
J L Bennett
Universitätsmedizin Göttingen · DE

Funding

VARICELLA ZOSTER VIRUS VASCULOPATHY: CHANGING CLINICAL PRACTICEP01AG032958 · NIA · UNIVERSITY OF COLORADO DENVER · PI COHRS, RANDALL J. · 2009 to 2023
$30.3M
Varicella Zoster Virus Latency in Human GangliaP01NS032623 · NINDS · UNIVERSITY OF COLORADO DENVER · PI MAHLAINGAM, RAVI · 1993 to 2008
$12.3M
NEUROBIOLOGY OF VARICELLA-ZOSTER VIRUSR01AG006127 · NIA · UNIVERSITY OF COLORADO DENVER · PI GILDEN, DONALD · 1987 to 2014
$4.2M
Antigen Identification in Inflammatory CNS DiseaseR01NS041549 · NINDS · UNIVERSITY OF COLORADO DENVER · PI BURGOON, MARK P · 2002 to 2014
$3.1M
NEUROVIROLOGY-MOLECULAR BIOLOGYT32NS007321 · NINDS · UNIVERSITY OF COLORADO DENVER · PI GILDEN, DONALD · 1988 to 2014
$2.3M
Antigen Identification in Occult ChorioretinopathiesR03EY014573 · NEI · UNIVERSITY OF COLORADO DENVER · PI BENNETT, JEFFREY L · 2004 to 2006
$458k
NEI NIH HHS R03EY014573NIA NIH HHS P01 AG032958NIA NIH HHS R01 AG006127NINDS NIH HHS 2 P01 NS32623-19NINDS NIH HHS NS032623NINDS NIH HHS NS041549NINDS NIH HHS P01 NS32623NINDS NIH HHS R01 NS041549NINDS NIH HHS T32 NS007321
6 · The paper itself

Abstract

objectiveEpstein-Barr virus (EBV) is a ubiquitous human herpesvirus that becomes latent in B-lymphocytes and has been implicated in the pathogenesis of multiple sclerosis (MS). We searched for latent and active EBV infection in MS brain and CSF.

methodsNested and non-nested real-time PCR were used to detect cell-specific and EBV-specific transcripts in 15 fresh-frozen and 5 formalin-fixed paraffin-embedded MS plaques and in single MS CSF B-lymphocytes and plasma cells. Intrathecal anti-EBV antibody synthesis was measured by ELISA. Immunocytochemistry was used to detect binding of MS CSF and recombinant antibodies (rAbs) generated from clonally expanded plasma cells in MS CSF to EBV-infected cells.

resultsNo EBV RNA was found in MS CSF B-lymphocytes or plasma cells. In active MS plaques, EBV-encoded RNA (EBER)-1 was the only and rarely detected transcript. The frequency of detected intrathecal anti-EBV antibody synthesis in patients with MS did not differ from that in non-MS inflammatory CNS disease control patients. Anti-EBV antibodies were detected in the CSF of patients with MS, but MS rAbs did not react with EBV.

conclusionsApplication of real-time PCR to multiple sclerosis brain and single B-lymphocytes in CSF did not reveal any evidence of active Epstein-Barr virus infection.

Indexed as

BiomarkersB-LymphocytesBrainCerebrospinal FluidEpstein-Barr Virus InfectionsHerpesvirus 4, HumanHumansMultiple SclerosisPredictive Value of TestsReverse Transcriptase Polymerase Chain ReactionRNA, ViralViral ProteinsBiomarkersEpstein-Barr virus encoded RNA 1RNA, ViralViral Proteins

Identifiers

PMID20220124
PMCPMC2865779
OpenAlexW2090297349

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.