Evidence map›Paper›PMID 42687104›Full record

ArticleInternational journal of hematology2026

Baseline plasma EBV-DNA load as an adjunctive biomarker for refractory or recurrent disease in pediatric EBV-HLH.

Yu Furui, Rintaro Ono, Shohei Shigeto, Ryu Yanagisawa, Yozo Nakazawa, Kenichi Sakamoto

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Article in International journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yu FuruiDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Rintaro OnoDepartment of Pediatrics, St. Luke's International Hospital, Tokyo, Japan.
Shohei ShigetoDepartment of Laboratory Medicine, Shinshu University Hospital, Matsumoto, Japan.
Ryu YanagisawaDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Yozo NakazawaDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Kenichi SakamotoDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. sakamoto-k@shinshu-u.ac.jp.ORCID http://orcid.org/0000-0003-1499-538X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuantitative Epstein-Barr virus (EBV)-DNA measurement is used in EBV-associated hemophagocytic lymphohistiocytosis (EBV-HLH), but the optimal sample type for risk assessment and monitoring remains unclear.

methodsWe retrospectively analyzed 71 pediatric patients with newly diagnosed EBV-HLH from a Japanese multicenter cohort between April 2019 and May 2025. EBV-DNA loads in plasma, white blood cells, and T- and B-cell fractions were centrally quantified by real-time polymerase chain reaction. Patients were classified into remission and refractory/recurrent (R/R) groups.

resultsBaseline plasma EBV-DNA was higher in the R/R group than in the remission group (median, 5.762 vs. 5.366 log

conclusionsBaseline plasma EBV-DNA may serve as an adjunctive marker for disease assessment and monitoring in pediatric EBV-HLH, but not as a stand-alone predictor.

Indexed as

EB virus-associated hemophagocytic lymphohistiocytosisEpstein–Barr virusHemophagocytic lymphohistiocytosisPediatricPlasma EBV-DNA

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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.