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References needed needed (May 2019)
Herpesviruses are a family of DNA viruses with extremely high prevalence rates. Once a human host is infected, the infection is life-long. While generally, immunocompetent hosts are able to keep the virus in a latent state and remain asymptomatic, several of these viruses can cause symptoms if they reactivate. They can also increase the risk of autoimmune disease and cancer.
Types[edit | edit source]
Viruses in this family include HSV-1 and HSV-2, Epstein-Barr virus (HHV4), which causes mononucleosis, Varicella zoster virus, which causes chickenpox and shingles. More than 90% of adults have been infected with at least one of these viruses.
Latency[edit | edit source]
They share in common that after the initial infection, these viruses usually remain latent for life.
Reactivation[edit | edit source]
Several of these viruses have transactivating potential, that is, they can cause the increased rate of gene expression of other viruses.
Chronic fatigue syndrome[edit | edit source]
It is unclear whether herpesviruses associated with Chronic fatigue syndrome play an etiological role or are "bystanders" – opportunistic reactivations under a state of immune dysregulation. In the 1984 Incline village outbreak, Gary Holmes found that patients with what his team hypothesized was chronic Epstein-Barr had elevated antibody titers to Epstein-Barr virus, cytomegalovirus, herpes simplex and measles viruses than age-matched controls. However, the study cohort was defined as patients who had experienced excessive fatigue between January 1 and September 15.
A prospective study of 250 primary care patients revealed a higher prevalence of chronic fatigue syndrome after infectious mononucleosis (glandular fever) when compared to an ordinary upper respiratory tract infection. Anti-early antigen titers to Epstein-Barr virus were elevated in CFS patients and associated with worse symptoms.
[edit | edit source]
- 2016, Herpesviruses dUTPases: A New Family of Pathogen-Associated Molecular Pattern (PAMP) Proteins with Implications for Human Disease
"In this review, we provide evidence from animal and human studies of the Epstein-Barr virus as a prototype, supporting the notion that herpesviruses dUTPases are a family of proteins with unique immunoregulatory functions that can alter the inflammatory microenvironment and thus exacerbate the immune pathology of herpesvirus-related diseases including myalgic encephalomyelitis/chronic fatigue syndrome, autoimmune diseases, and cancer...[we] approached the possibility that two or more herpesviruses may act synergistically and that virus-encoded proteins, rather than the viruses themselves, may act as drivers of or contribute to the pathophysiological alterations observed in a subset of patients with ME/CFS."
See also[edit | edit source]
Learn more[edit | edit source]
- 2018, A Common Virus May Play Role in Alzheimer’s Disease, Study Finds by Pam Belluck via NY Times
- 2018, Could Crippled Herpesviruses Be Contributing to Chronic Fatigue Syndrome (ME/CFS) and Other Diseases? by Cort Johnson for Simmaron Research
References[edit | edit source]
- De Bolle, Leen; Naesens, Lieve (Jan 2005), "Update on Human Herpesvirus 6 Biology, Clinical Features, and Therapy", Clin Microbiol Rev, 8 (1): 217–245, doi:10.1128/CMR.18.1.217-245.200
- Experts Say There’s a Herpes-Alzheimer’s Link, Time, March 10, 2016
- Homes, Gary P (May 1, 1987). "A Cluster of Patients With a Chronic Mononucleosis-like Syndrome Is Epstein-Barr Virus the Cause?". Journal of the American Medical Association. 257: 2297–2302.
- White, P. D.; Thomas, J. M.; Amess, J.; Crawford, D. H.; Grover, S. A.; Kangro, H. O.; Clare, A. W. (Dec 1998). "Incidence, risk and prognosis of acute and chronic fatigue syndromes and psychiatric disorders after glandular fever". The British Journal of Psychiatry: The Journal of Mental Science. 173: 475–481. ISSN 0007-1250. PMID 9926075.
- Schmaling, K. B.; Jones, J. F. (Jan 1996). "MMPI profiles of patients with chronic fatigue syndrome". Journal of Psychosomatic Research. 40 (1): 67–74. ISSN 0022-3999. PMID 8730646.
- Williams, Marshall V.; Cox, Brandon; Ariza, Maria Eugenia (2017), "Herpesviruses dUTPases: A New Family of Pathogen-Associated Molecular Pattern (PAMP) Proteins with Implications for Human Disease", Pathogens, 6 (1): 2, doi:10.3390/pathogens6010002
chronic fatigue syndrome (CFS) - A controversial term, invented by the U.S. Centers for Disease Control, that generally refers to a collection of symptoms as “fatigue”. There have been multiple attempts to come up with a set of diagnostic criteria to define this term, but few of those diagnostic criteria are currently in use. Previous attempts to define this term include the Fukuda criteria and the Oxford criteria. Some view the term as a useful diagnostic category for people with long-term fatigue of unexplained origin. Others view the term as a derogatory term borne out of animus towards patients. Some view the term as a synonym of myalgic encephalomyelitis, while others view myalgic encephalomyelitis as a distinct disease.
antibody - Antibodies or immunoglobulin refers to any of a large number of specific proteins produced by B cells that act against an antigen in an immune response.
somatic symptom disorder - A psychiatric term to describe an alleged condition whereby a person's thoughts somehow cause physical symptoms. The actual existence of such a condition is highly controversial, due to a lack of scientific evidence. It is related to other psychiatric terms, such as "psychosomatic", "neurasthenia", and "hysteria". Older terms include "somatization", "somatoform disorder", and "conversion disorder". Such terms refer to a scientifically-unsupported theory that claims that a wide range of physical symptoms can be created by the human mind, a theory which has been criticized as "mind over matter" parapsychology, a pseudoscience. Although "Somatic Symptom Disorder" is the term used by DSM-5, the term "Bodily Distress Disorder" has been proposed for ICD-11. (Learn more: www.psychologytoday.com)