Evidence map›Paper›PMID 40898264›Full record

SynthesisAlzheimer's research & therapy2025

Herpesviruses, antiviral treatment, and the risk of dementia - systematic review and meta-analysis.

Nadia Jasmin Drinkall, Volkert Siersma, Richard Lathe, Gunhild Waldemar, Janet Janbek

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Challenge-based ex vivo immune profiling reveals stimulus-dependent peripheral immune reprogramming in Alzheimer's disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  5. Cytomegalovirus and Aging-How Can the Field Move Forward?The Journal of infectious diseases · 2026
    Article
  6. Review
  7. Article
  8. Review
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

5 authors.

Nadia Jasmin DrinkallDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital- Rigshospitalet, Blegdamsvej 9, entrance 8, Copenhagen, 2100, Denmark.
Volkert SiersmaThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Richard LatheDivision of Infection Medicine, University of Edinburgh, Edinburgh, UK.
Gunhild WaldemarDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital- Rigshospitalet, Blegdamsvej 9, entrance 8, Copenhagen, 2100, Denmark.
Janet JanbekDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital- Rigshospitalet, Blegdamsvej 9, entrance 8, Copenhagen, 2100, Denmark. Janet.Janbek@regionh.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this systematic review and meta-analysis was to synthesize the evidence on the association between herpesviruses, antiviral treatment, and the risk of dementia. We also aimed to explore the impact of time between herpesviruses and dementia on the reported associations.

methodsPubMed and Web of Science were searched along with reference lists of the included studies. We included studies that looked at clinical episodes or serology (IgG/IgM) of herpes simplex virus type 1/2 (HSV1/2) and/or varicella zoster virus (VZV), antiviral treatment and incident dementia (all-cause dementia, Alzheimer's disease, and vascular dementia). Study results were pooled with random effect meta-analyses.

resultsWe included 32 studies. The pooled hazard ratio for all-cause dementia was 1.36 [95% CI: 1.01, 1.83] following a clinical episode of HSV1/2, and 1.12 [95% CI: 1.00, 1.25] following a clinical episode of VZV. The pooled estimate for all-cause dementia following antiviral treatment and VZV was 0.88 [95% CI: 0.81, 0.96].

conclusionsThe present review of the scientific literature generally shows little evidence of an association between herpesviruses and risk of dementia. However, the review shows evidence of an association between antiviral treatment and a decreased risk of dementia. Because of considerable heterogeneity, future investigations could advantageously target certain subgroups.

Indexed as

Antiviral AgentsDementiaHerpesviridaeHerpesviridae InfectionsHumansRisk FactorsAntiviral AgentsAntiviral treatmentDementiaHerpesvirusMeta-analysisSystematic review

Identifiers

PMID40898264
PMCPMC12403512

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.