期刊
PATHOGENS
卷 11, 期 10, 页码 -出版社
MDPI
DOI: 10.3390/pathogens11101080
关键词
Epstein-Barr virus (EBV); central nervous system (CNS); human immunodeficiency virus (HIV); polymerase chain reaction (PCR); cerebrospinal fluid (CSF)
类别
This article systematically reviews the literature on the detection of Epstein-Barr virus deoxyribonucleic acid (EBV-DNA) in cerebrospinal fluid (CSF) of HIV-positive non-lymphoma patients. A meta-analysis was conducted to estimate the pooled prevalence of EBV-DNA in CSF when PCR methods are used. The results show a pooled prevalence of 20%, with the highest prevalence observed in African populations at 39%. However, the pathogenicity of EBV in non-lymphoma HIV patients remains uncertain.
Simply detecting Epstein-Barr virus deoxyribonucleic acid (EBV-DNA) is insufficient to diagnose EBV-associated diseases. The current literature around EBV-DNA detection from cerebrospinal fluid (CSF) in human immunodeficiency virus (HIV)-positive non-lymphoma patients was systematically reviewed and a meta-analysis reporting the estimated pooled prevalence in this population when PCR methods are employed, targeting different sequence segments within the EBV genome, was conducted. Using a combination of three key concepts-Epstein-Barr virus detection, central nervous system disease, and human cerebrospinal fluid-and their MeSH terms, the PubMed database was searched. A total of 273 papers reporting the detection of EBV in CNS were screened, of which 13 met the inclusion criteria. The meta-analysis revealed a pooled prevalence of EBV-DNA in CSF of 20% (CI: 12-31%). The highest pooled prevalence was from studies conducted on the African population at 39% (CI: 27-51%). The investigation of the presence of EBV-DNA in the CSF was also very varied, with several gene targets used. While most patients from the articles included in this review and meta-analysis were symptomatic of CNS disorders, the pathogenicity of EBV in non-lymphoma HIV patients when detected in CSF has still not been determined. The presence of EBV-DNA in the CNS remains a concern, and further research is warranted to understand its significance in causing CNS disorders.
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