Evidence map›Paper›PMID 41518079›Full record

ArticleScandinavian journal of immunology2026

Patients Suffering From Post-COVID-19 Syndrome Feature Enhanced Antibody Reactivity Towards Specific Linear Epitopes Within EBV EBNA1.

Peter Lorenz, Felix Steinbeck, Florian Fricke, Franz Mai, Wendy Bergmann-Ewert, Christine Wossidlo, Emil C Reisinger, Brigitte Müller-Hilke

Abstract read
In one paragraph

Article in Scandinavian journal of immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Peter LorenzInstitute of Immunology, Rostock University Medical Center, Rostock, Germany.ORCID https://orcid.org/0000-0001-7925-1002
Felix SteinbeckInstitute of Immunology, Rostock University Medical Center, Rostock, Germany.
Florian FrickeCore Facility for Cell Sorting and Cell Analysis, Rostock University Medical Center, Rostock, Germany.
Franz MaiCore Facility for Cell Sorting and Cell Analysis, Rostock University Medical Center, Rostock, Germany.
Wendy Bergmann-EwertCore Facility for Cell Sorting and Cell Analysis, Rostock University Medical Center, Rostock, Germany.
Christine WossidloDivision of Tropical Medicine and Infectious Diseases, Center of Internal Medicine II, Rostock University Medical Center, Rostock, Germany.
Emil C ReisingerDivision of Tropical Medicine and Infectious Diseases, Center of Internal Medicine II, Rostock University Medical Center, Rostock, Germany.
Brigitte Müller-HilkeCore Facility for Cell Sorting and Cell Analysis, Rostock University Medical Center, Rostock, Germany.

Funding

German Bundestag by the German government COVICare-M-V: ZMII2-2524FSB031Ministry of Science, Culture, Federal and European Affairs Säule Gesundhei GW-20-0004Ministry of Science, Culture, Federal and European Affairs Sondervermögen MV Schutzfonds
6 · The paper itself

Abstract

Post-COVID-19 syndrome (PCS; also known as post-acute sequelae of COVID-19, PASC and Long COVID) manifests with various clinical symptoms of unclear aetiology that persist or develop months after acute infection with SARS-CoV-2. Potential triggers for PCS include reactivation of latent viruses and autoimmune reactions. In our retrospective cross-sectional and explorative study we compared 48 PCS patients with 48 individuals that recovered fully from COVID-19 (convalescents, CC). We focused on characterising humoral immunity by recording IgG antibody reactivity patterns against Epstein-Barr virus (EBV) EBNA1 antigen using peptide microarray and ELISA methodology as well as determining the presence of autoantibodies. The overall binding landscape of IgG antibodies for the EBV EBNA1 protein was similar for the patients with sequelae versus the convalescents. However, the PCS patients displayed stronger reactivity for epitopes contained within the glycine-alanine repeat region of EBNA1, in particular residues 90-325, and within the central part, amino acids 393-420. Intriguingly, in the latter case, the EBNA1 peptide (residues 405-419) that discriminated the PCS and CC cohorts was localised in a different segment C-terminal from the sequence proposed to be mechanistically associated with multiple sclerosis. The screening for autoantibodies against nuclear/cytoplasmic antigens in HEp-2 cells and against CRYAB, cardiolipin, beta-2-glycoprotein I, IFN-alpha2, IFN-omega, and IL-15 antigens did neither reveal higher prevalence nor increased reactivity in the PCS patients compared to the convalescents. In conclusion, elevated antibody levels against linear peptides derived from residues 90-325 and 405-419 of EBV EBNA1 were the most distinctive characteristics in our cohort of post-COVID-19 syndrome patients.

Indexed as

Antibodies, ViralCOVID-19EpitopesEpstein-Barr Virus Nuclear AntigensHerpesvirus 4, HumanSARS-CoV-2AdultAgedAutoantibodiesCross-Sectional StudiesFemaleHumansImmunity, HumoralImmunoglobulin GMaleMiddle AgedAntibodies, ViralAutoantibodiesEBV-encoded nuclear antigen 1EpitopesEpstein-Barr Virus Nuclear AntigensImmunoglobulin Ghumoral immunitylinear antibody epitopePASC post‐acute sequelae of COVID‐19Post‐COVID‐19 syndrome

Identifiers

PMID41518079
PMCPMC12789987

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.