KNOWLEDGE BASE

EPSTEIN–BARR VIRUS (EBV)

Epstein–Barr virus (EBV), a widespread herpesvirus transmitted mainly through saliva, infects over 90% of adults worldwide and is associated with infectious mononucleosis, certain cancers, multiple sclerosis and post-transplant lymphoproliferative disorder.

NEWS: A recent analysis by the International Agency for Research on Cancer (IARC), under the WHO, highlighted the widespread prevalence of EBV worldwide.

ABOUT

  • EBV is a double-stranded DNA virus belonging to the herpesvirus family, also known as Human Herpesvirus 4 (HHV-4).
  • Discovered in 1964 by Anthony Epstein, Yvonne Barr and Bert Achong in cells associated with Burkitt lymphoma.
  • It was the first human virus linked to cancer.
  • Transmission: Primarily through saliva; also possible through blood transfusions and organ transplantation.
  • Prevalence: Infects over 90% of adults worldwide, often during childhood with mild or no symptoms.

DISEASES ASSOCIATED

  • Infectious mononucleosis: Often called the “kissing disease”; symptoms may include fever, sore throat and swollen lymph nodes.
  • Cancers: Associated with Burkitt lymphoma, Hodgkin lymphoma, nasopharyngeal carcinoma and some stomach cancers.
  • Multiple sclerosis (MS): EBV infection is strongly associated with increased MS risk, though infection alone does not mean a person will develop MS.
  • Post-transplant lymphoproliferative disorder (PTLD): Can occur when immunosuppression after transplantation allows infected B cells to proliferate.

SIGNIFICANCE

  • EBV can remain latent in the body for life after the initial infection.
  • Its widespread prevalence and links to certain cancers make it important for public health and cancer research.
  • There is currently no routinely available approved vaccine to prevent EBV infection.
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