Evidence map›Paper›PMID 35812097›Full record

ArticleFrontiers in neurology2022

The Potential for EBV Vaccines to Prevent Multiple Sclerosis.

Peter A Maple, Alberto Ascherio, Jeffrey I Cohen, Gary Cutter, Gavin Giovannoni, Claire Shannon-Lowe, Radu Tanasescu, Bruno Gran

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 41 citations in OpenAlex.

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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

8 authors at 7 institutions in 2 countries.

Peter A MapleDivision of Clinical Neuroscience, Section of Clinical Neurology, University of Nottingham, Nottingham, United Kingdom.
Alberto AscherioDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
Jeffrey I CohenLaboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States.
Gary CutterSchool of Public Health, University of Alabama at Birmingham, Birmingham, AL, United States.
Gavin GiovannoniBlizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Claire Shannon-LoweInstitute of Immunology and Immunotherapy, The University of Birmingham, Birmingham, United Kingdom.
Radu TanasescuDepartment of Neurology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Bruno GranDepartment of Neurology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Nottingham University Hospitals NHS Trust · GBBrigham and Women's Hospital · USNational Institute of Allergy and Infectious Diseases · USQueen Mary University of London · GBUniversity of Alabama at Birmingham · USUniversity of Birmingham · GBUniversity of Nottingham · GB

Funding

Epstein-Barr Virus Associated DisordersZIAAI000913 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI COHEN, JEFFREY · 2009 to 2025
$14.3M
Herpesvirus Pathogenesis and Vaccine DevelopmentZIAAI000978 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI COHEN, JEFFREY · 2009 to 2025
$13.7M
Medical Research Council MR/T024402/1
6 · The paper itself

Abstract

There is increasing evidence suggesting that Epstein-Barr virus infection is a causative factor of multiple sclerosis (MS). Epstein-Barr virus (EBV) is a human herpesvirus, Human Gammaherpesvirus 4. EBV infection shows two peaks: firstly, during early childhood and, secondly during the teenage years. Approximately, 90-95% of adults have been infected with EBV and for many this will have been a subclinical event. EBV infection can be associated with significant morbidity and mortality; for example, primary infection in older children or adults is the leading cause of infectious mononucleosis (IM). A disrupted immune response either iatrogenically induced or through genetic defects can result in lymphoproliferative disease. Finally, EBV is oncogenic and is associated with several malignancies. For these reasons, vaccination to prevent the damaging aspects of EBV infection is an attractive intervention. No EBV vaccines have been licensed and the prophylactic vaccine furthest along in clinical trials contains the major virus glycoprotein gp350. In a phase 2 study, the vaccine reduced the rate of IM by 78% but did not prevent EBV infection. An EBV vaccine to prevent IM in adolescence or young adulthood is the most likely population-based vaccine strategy to be tested and adopted. National registry studies will need to be done to track the incidence of MS in EBV-vaccinated and unvaccinated people to see an effect of the vaccine on MS. Assessment of vaccine efficacy with MS being a delayed consequence of EBV infection with the average age of onset being approximately 30 years of age represents multiple challenges.

Indexed as

epidemiological evidenceEpstein-Barr virus (EBV)multiple sclerosisprophylactic vaccinationvaccine evaluation

Identifiers

PMID35812097
PMCPMC9263514
OpenAlexW4283362270

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.