The promise of a prophylactic Epstein-Barr virus vaccine.

Abstract:

:The worldwide burden of disease due to Epstein-Barr virus (EBV) infection is enormous. Diseases include endemic Burkitt lymphoma, infectious mononucleosis, cancers after transplantation, Hodgkin lymphoma, and nasopharyngeal carcinoma. A prophylactic EBV vaccine has the potential to significantly reduce the incidence and/or the severity of all these diseases. Infectious mononucleosis can be nasty and prolonged with a median duration of 17 days. Patients, especially children, undergoing bone marrow or solid organ transplantation may develop post-transplant lymphoproliferative disorder (PTLD). Preventing or modifying primary EBV infection could reduce the incidence PTLD, and also certain lymphomas and nasopharyngeal carcinoma. EBV is a major environmental risk factor for multiple sclerosis (MS). Contracting EBV is essential to getting MS, and having a childhood case of infectious mononucleosis increases that risk. Vaccinating against EBV could be vaccinating against MS.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Balfour HH Jr,Schmeling DO,Grimm-Geris JM

doi

10.1038/s41390-019-0591-5

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

345-352

issue

2

eissn

0031-3998

issn

1530-0447

pii

10.1038/s41390-019-0591-5

journal_volume

87

pub_type

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