Evidence map›Paper›PMID 41451845›Full record

ArticleJournal of medical virology2026

Chronic Reactivation of Persistent Human Herpesviruses EBV, HHV-6 and VZV and Heightened Anti-dUTPase IgG Antibodies Are a Recurrent Hallmark in Post-Infectious ME/CFS and is Associated With Fatigue.

Irene Mena Palomo, Brandon Cox, Marshall V Williams, Maria Eugenia Ariza

Abstract read
In one paragraph

Article in Journal of medical virology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Irene Mena PalomoBiomedical Sciences Graduate Program, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Brandon CoxBiomedical Sciences Graduate Program, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Marshall V WilliamsInstitute for Behavioral Medicine Research (IBMR), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Maria Eugenia ArizaInstitute for Behavioral Medicine Research (IBMR), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.ORCID https://orcid.org/0000-0003-2560-5367

Funding

Stress Effects on Virus Protein induced Inflammation and Sickness BehaviorR01AI084898 · NIAID · OHIO STATE UNIVERSITY · PI ARIZA, MARIA-EUGENIA, WILLIAMS, MARSHALL VANCE · 2010 to 2024
$8.8M
National Institute of Allergy and Infectious DiseasesNIAID NIH HHS R01 AI084898
6 · The paper itself

Abstract

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating disease with unknown etiology and heterogeneous symptomology for which there are no validated tests for definitive diagnosis. We examined 873 longitudinal serum samples from ME/CFS patients (n = 40) and 378 from healthy control individuals (n = 16) for differences in human herpesvirus and endogenous retrovirus-K (HERV-K) dUTPase IgG antibodies by ELISA. The results of this study demonstrate a significant increase in dUTPase IgG antibodies to the herpesviruses Epstein-Barr virus (EBV), human herpesvirus-6 (HHV-6) and varicella zoster virus (VZV) in ME/CFS compared to healthy-controls (p < 0.001). Notably, 72.5% (n = 29) of ME/CFS patients simultaneously co-expressed antibodies to multiple herpesvirus and HERV-K dUTPases compared to 31% (n = 5) of the healthy controls. Chi-square test analysis showed strong associations for EBV, HHV-6 and VZV dUTPase antibodies seropositivity (p < 0.001) and Spearman correlation analysis revealed significant positive associations of EBV and HHV-6 dUTPase IgG antibodies with fatigue. Further examination of the distribution of dUTPase antibodies across fatigue severity groups show that heightened dUTPase IgG levels cluster with ME/CFS patients exhibiting moderate and severe fatigue. These findings highlight the importance of examining herpesvirus dUTPase IgG across severity groups in aiding with current challenges for stratifying ME/CFS patients due to the heterogeneity in symptomology.

Indexed as

Antibodies, ViralFatigueFatigue Syndrome, ChronicHerpesviridae InfectionsHerpesvirus 4, HumanHerpesvirus 6, HumanImmunoglobulin GPyrophosphatasesVirus ActivationAdultAgedEnzyme-Linked Immunosorbent AssayFemaleHerpesvirus 3, HumanHumansLongitudinal StudiesAntibodies, ViraldUTP pyrophosphataseImmunoglobulin GPyrophosphatasesantibodiesdeoxyuridine triphosphate nucleotidohydrolase (dUTPase)Epstein‐Barr virus (EBV)fatigueHuman endogenous retrovirus K (HERV‐K)human herpesvirus 6 (HHV‐6)interferon gammaMyalgic encephalomyelitis chronic fatigue syndrome (ME/CFS)varicella‐zoster virus (VZV)

Identifiers

PMID41451845
PMCPMC13051489

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.