Evidence map›Paper›PMID 35025605›Full record

ArticleScience (New York, N.Y.)2022

Longitudinal analysis reveals high prevalence of Epstein-Barr virus associated with multiple sclerosis.

Kjetil Bjornevik, Marianna Cortese, Brian C Healy, Jens Kuhle, Michael J Mina, Yumei Leng, Stephen J Elledge, David W Niebuhr, Ann I Scher, Kassandra L Munger and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Science (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1,141 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,141citing papers in PubMed, 2 pooled it
265.5field-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

1,141 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,886 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  6. Sex- and age-specific associations ofAnnals of medicine · 2026
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  14. 1,3-Dioxolane derived nucleos(t)ides: synthetic strategies, current position, and future promise in antiviral and anticancer drug discovery.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Review
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1,081 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 5 institutions in 2 countries.

Kjetil Bjornevik *Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0002-2892-6986
Marianna Cortese *Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0002-3665-2006
Brian C HealyPartners Multiple Sclerosis Center, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0001-5272-2425
Jens KuhleNeurologic Clinic and Policlinic, MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital Basel, University of Basel, Basel, Switzerland.
Michael J MinaDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Department of Genetics, and Program in Virology, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-0674-5762
Yumei LengDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Department of Genetics, and Program in Virology, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-2512-9284
Stephen J ElledgeDivision of Genetics, Brigham and Women's Hospital, Howard Hughes Medical Institute, Department of Genetics, and Program in Virology, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7923-6283
David W NiebuhrDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Ann I ScherDepartment of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Kassandra L Munger *Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0001-7486-9858
Alberto Ascherio *Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0002-0585-3294
Brigham and Women's Hospital · USHarvard University · USHoward Hughes Medical Institute · USUniformed Services University of the Health Sciences · USUniversity of Basel · CH

Funding

Prospective Study of Vitamin D and Multiple SclerosisR01NS046635 · NINDS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ASCHERIO, ALBERTO · 2004 to 2012
$3.0M
Pre-diagnostic markers of infection and risk of MSR01NS042194 · NINDS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ASCHERIO, ALBERTO · 2001 to 2009
$2.7M
Prospective Study of Vitamin D and MS Risk in African AmericansR01NS103891 · NINDS · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ASCHERIO, ALBERTO · 2018 to 2024
$2.5M
Howard Hughes Medical InstituteNINDS NIH HHS R01 NS042194NINDS NIH HHS R01 NS046635NINDS NIH HHS R01 NS103891
6 · The paper itself

Abstract

Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system of unknown etiology. We tested the hypothesis that MS is caused by Epstein-Barr virus (EBV) in a cohort comprising more than 10 million young adults on active duty in the US military, 955 of whom were diagnosed with MS during their period of service. Risk of MS increased 32-fold after infection with EBV but was not increased after infection with other viruses, including the similarly transmitted cytomegalovirus. Serum levels of neurofilament light chain, a biomarker of neuroaxonal degeneration, increased only after EBV seroconversion. These findings cannot be explained by any known risk factor for MS and suggest EBV as the leading cause of MS.

Indexed as

Age of OnsetAntibodies, ViralBiomarkersCohort StudiesCytomegalovirusEpstein-Barr Virus InfectionsFemaleHerpesvirus 4, HumanHumansLongitudinal StudiesMaleMilitary PersonnelMultiple SclerosisNeurofilament ProteinsPrevalenceRisk FactorsAntibodies, ViralBiomarkersneurofilament protein LNeurofilament Proteins

Identifiers

PMID35025605
OpenAlexW4205972999

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.