Evidence map›Paper›PMID 41073371›Full record

SynthesisTranslational psychiatry2025

Viral infections and the risk of neurodegenerative diseases: a comprehensive meta-analysis and systematic review.

Ru-Yin Liu, Kang-Fu Yin, Sheng-Yi He, Wei-Ming Su, Qing-Qing Duan, Xiang-Jin Wen, Ting Chen, Cong Shen, Ju-Rong Li, Bei Cao and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Interpreting Viral Associations in Neurodegenerative Diseases.International journal of molecular sciences · 2026
    Review
  2. Review
  3. Review
  4. Review
  5. Cytomegalovirus and Aging-How Can the Field Move Forward?The Journal of infectious diseases · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
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

11 authors.

Ru-Yin LiuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Kang-Fu YinDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Sheng-Yi HeDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Wei-Ming SuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Qing-Qing DuanDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiang-Jin WenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Ting ChenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Cong ShenDepartment of Geriatrics, Dazhou Central Hospital, Dazhou, 635000, Sichuan, China.
Ju-Rong LiDepartment of Geriatrics, Dazhou Central Hospital, Dazhou, 635000, Sichuan, China.
Bei CaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. caobei@scu.edu.cn.ORCID http://orcid.org/0009-0003-3857-7235
Yong-Ping ChenDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. yongping.chen@wchscu.edu.cn.ORCID http://orcid.org/0000-0002-5603-4192

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundViral infections have been implicated in the pathogenesis of neurodegenerative diseases (NDs); however, evidence linking specific viruses to Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS) remains inconclusive. This study conducted a meta-analysis and systematic review to investigate these associations.

methodsThorough searches were conducted across Embase, PubMed, Cochrane Library, Web of Science and Scopus until May 18, 2025, to identify observational studies investigating the relationship between viral infections and the risk of NDs, including AD, PD, and ALS. Meta-analyses were executed using a random-effects model with Stata MP18.0.

resultsA total of 34,417 articles were identified, of which 73 met the eligibility criteria for inclusion in the meta-analysis, and 48 were included in the systematic review. The analysis demonstrated that infections with cytomegalovirus (CMV) (odds ratio [OR] = 1.41; 95% confidence interval [CI]: 1.03, 1.93), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (OR = 1.88; 95% CI: 1.53, 2.32), hepatitis C virus (HCV) (OR = 1.39; 95% CI: 1.14, 1.69), and human herpesvirus (HHV) (OR = 1.24; 95% CI: 1.02, 1.51) were associated with an increased risk of AD. Regarding PD, infections with hepatitis B virus (HBV) (OR = 1.18; 95% CI: 1.04, 1.35) and HCV (OR = 1.29; 95% CI: 1.18, 1.41) were identified as risk factors. Conversely, no significant correlation was found between any viral infection and the risk of ALS.

conclusionThis meta-analysis supports the role of select viral infections in AD and PD pathogenesis. However, no association was found between viral infections and ALS, warranting further large, multicenter, and longitudinal studies to elucidate mechanisms and confirm causality.

Indexed as

Alzheimer DiseaseAmyotrophic Lateral SclerosisNeurodegenerative DiseasesParkinson DiseaseVirus DiseasesHumansRisk Factors

Identifiers

PMID41073371
PMCPMC12514224

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.