Evidence map›Paper›PMID 32202208›Full record

SynthesisMultiple sclerosis (Houndmills, Basingstoke, England)2020

Systematic review and meta-analysis of the association between Epstein-Barr virus, multiple sclerosis and other risk factors.

Benjamin M Jacobs, Gavin Giovannoni, Jack Cuzick, Ruth Dobson

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Multiple sclerosis (Houndmills, Basingstoke, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
8.3field-weighted citation impact, top 2% 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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  8. Towards primary prevention of multiple sclerosis.Nature reviews. Neurology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Benjamin M JacobsPreventive Neurology Unit, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.ORCID 0000-0002-6023-6010
Gavin GiovannoniPreventive Neurology Unit, Wolfson Institute of Preventive Medicine, Queen Mary University, London, UK/Blizard Institute, Queen Mary University of London, London, UK/Royal London Hospital, London, UK.
Jack CuzickPreventive Neurology Unit, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.
Ruth DobsonPreventive Neurology Unit, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK/Royal London Hospital, London, UK.ORCID 0000-0002-2993-585X
Queen Mary University of London · GBUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpstein-Barr virus (EBV) infection is thought to play a central role in the development of multiple sclerosis (MS). If causal, it represents a target for interventions to reduce MS risk.

objectiveTo examine the evidence for interaction between EBV and other risk factors, and explore mechanisms via which EBV infection may influence MS risk.

methodsPubmed was searched using the terms 'multiple sclerosis' AND 'Epstein Barr virus', 'multiple sclerosis' AND EBV, 'clinically isolated syndrome' AND 'Epstein Barr virus' and 'clinically isolated syndrome' AND EBV. All abstracts were reviewed for possible inclusion.

resultsA total of 262 full-text papers were reviewed. There was evidence of interaction on the additive scale between anti-EBV antibody titre and HLA genotype (attributable proportion due to interaction (AP) = 0.48,

conclusionEBV appears to interact with at least some established MS risk factors. The mechanism via which EBV influences MS risk remains unknown.

Indexed as

Epstein-Barr Virus InfectionsInfectious MononucleosisMultiple SclerosisHerpesvirus 4, HumanHumansRisk Factorsclinically isolated syndromeEpstein–Barr virusinfectious mononucleosismeta-analysisMultiple sclerosissystematic review

Identifiers

PMID32202208
PMCPMC7543008
OpenAlexW3012791892

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.