Virological Markers in Epstein–Barr Virus-Associated Diseases

Epstein–Barr virus (EBV) is an oncogenic virus infecting more than 95% of the world’s population. After primary infection—responsible for infectious mononucleosis in young adults—the virus persists lifelong in the infected host, especially in memory B cells. Viral persistence is usually without clin...

Full description

Bibliographic Details
Main Authors: Julien Lupo, Aurélie Truffot, Julien Andreani, Mohammed Habib, Olivier Epaulard, Patrice Morand, Raphaële Germi
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/15/3/656
_version_ 1797608639884689408
author Julien Lupo
Aurélie Truffot
Julien Andreani
Mohammed Habib
Olivier Epaulard
Patrice Morand
Raphaële Germi
author_facet Julien Lupo
Aurélie Truffot
Julien Andreani
Mohammed Habib
Olivier Epaulard
Patrice Morand
Raphaële Germi
author_sort Julien Lupo
collection DOAJ
description Epstein–Barr virus (EBV) is an oncogenic virus infecting more than 95% of the world’s population. After primary infection—responsible for infectious mononucleosis in young adults—the virus persists lifelong in the infected host, especially in memory B cells. Viral persistence is usually without clinical consequences, although it can lead to EBV-associated cancers such as lymphoma or carcinoma. Recent reports also suggest a link between EBV infection and multiple sclerosis. In the absence of vaccines, research efforts have focused on virological markers applicable in clinical practice for the management of patients with EBV-associated diseases. Nasopharyngeal carcinoma is an EBV-associated malignancy for which serological and molecular markers are widely used in clinical practice. Measuring blood EBV DNA load is additionally, useful for preventing lymphoproliferative disorders in transplant patients, with this marker also being explored in various other EBV-associated lymphomas. New technologies based on next-generation sequencing offer the opportunity to explore other biomarkers such as the EBV DNA methylome, strain diversity, or viral miRNA. Here, we review the clinical utility of different virological markers in EBV-associated diseases. Indeed, evaluating existing or new markers in EBV-associated malignancies or immune-mediated inflammatory diseases triggered by EBV infection continues to be a challenge.
first_indexed 2024-03-11T05:47:24Z
format Article
id doaj.art-a8b538d8894f4e5f9287c053bd5a08e0
institution Directory Open Access Journal
issn 1999-4915
language English
last_indexed 2024-03-11T05:47:24Z
publishDate 2023-02-01
publisher MDPI AG
record_format Article
series Viruses
spelling doaj.art-a8b538d8894f4e5f9287c053bd5a08e02023-11-17T14:22:29ZengMDPI AGViruses1999-49152023-02-0115365610.3390/v15030656Virological Markers in Epstein–Barr Virus-Associated DiseasesJulien Lupo0Aurélie Truffot1Julien Andreani2Mohammed Habib3Olivier Epaulard4Patrice Morand5Raphaële Germi6Institut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceInstitut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceInstitut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceInstitut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceInstitut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceInstitut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceInstitut de Biologie Structurale, Université Grenoble Alpes, UMR 5075 CEA/CNRS/UGA, 71 Avenue des Martyrs, 38000 Grenoble, FranceEpstein–Barr virus (EBV) is an oncogenic virus infecting more than 95% of the world’s population. After primary infection—responsible for infectious mononucleosis in young adults—the virus persists lifelong in the infected host, especially in memory B cells. Viral persistence is usually without clinical consequences, although it can lead to EBV-associated cancers such as lymphoma or carcinoma. Recent reports also suggest a link between EBV infection and multiple sclerosis. In the absence of vaccines, research efforts have focused on virological markers applicable in clinical practice for the management of patients with EBV-associated diseases. Nasopharyngeal carcinoma is an EBV-associated malignancy for which serological and molecular markers are widely used in clinical practice. Measuring blood EBV DNA load is additionally, useful for preventing lymphoproliferative disorders in transplant patients, with this marker also being explored in various other EBV-associated lymphomas. New technologies based on next-generation sequencing offer the opportunity to explore other biomarkers such as the EBV DNA methylome, strain diversity, or viral miRNA. Here, we review the clinical utility of different virological markers in EBV-associated diseases. Indeed, evaluating existing or new markers in EBV-associated malignancies or immune-mediated inflammatory diseases triggered by EBV infection continues to be a challenge.https://www.mdpi.com/1999-4915/15/3/656Epstein–Barr virusserologyEBV DNAbiomarkersinfectious mononucleosislymphoma
spellingShingle Julien Lupo
Aurélie Truffot
Julien Andreani
Mohammed Habib
Olivier Epaulard
Patrice Morand
Raphaële Germi
Virological Markers in Epstein–Barr Virus-Associated Diseases
Viruses
Epstein–Barr virus
serology
EBV DNA
biomarkers
infectious mononucleosis
lymphoma
title Virological Markers in Epstein–Barr Virus-Associated Diseases
title_full Virological Markers in Epstein–Barr Virus-Associated Diseases
title_fullStr Virological Markers in Epstein–Barr Virus-Associated Diseases
title_full_unstemmed Virological Markers in Epstein–Barr Virus-Associated Diseases
title_short Virological Markers in Epstein–Barr Virus-Associated Diseases
title_sort virological markers in epstein barr virus associated diseases
topic Epstein–Barr virus
serology
EBV DNA
biomarkers
infectious mononucleosis
lymphoma
url https://www.mdpi.com/1999-4915/15/3/656
work_keys_str_mv AT julienlupo virologicalmarkersinepsteinbarrvirusassociateddiseases
AT aurelietruffot virologicalmarkersinepsteinbarrvirusassociateddiseases
AT julienandreani virologicalmarkersinepsteinbarrvirusassociateddiseases
AT mohammedhabib virologicalmarkersinepsteinbarrvirusassociateddiseases
AT olivierepaulard virologicalmarkersinepsteinbarrvirusassociateddiseases
AT patricemorand virologicalmarkersinepsteinbarrvirusassociateddiseases
AT raphaelegermi virologicalmarkersinepsteinbarrvirusassociateddiseases