Virological and immunological characteristics of human cytomegalovirus infection associated with Alzheimer disease
Open accessAbstract
Serum, cerebrospinal fluid (CSF), and cryopreserved lymphocytes from subjects in the Rush Alzheimer's Disease Center Religious Orders Study were analyzed for associations between cytomegalovirus (CMV) infection and clinical and pathological markers of Alzheimer disease. CMV antibody levels were associated with neurofibrillary tangles (NFTs). CSF interferon γ was only detected in seropositive subjects and was significantly associated with NFTs. The percentage of senescent T cells (CD4+ or CD8+CD28-CD57+) was significantly higher for CMV-seropositive as compared to CMV-seronegative subjects and was marginally associated with the pathologic diagnosis of Alzheimer disease (CD4+) or amyloid-β (CD8+). Immunocytochemical analysis showed induction of amyloid-β in human foreskin fibroblasts (HFFs) infected with each of 3 clinical CMV strains. In the same subjects, there was no association of herpes simplex virus type 1 (HSV-1) antibody levels with CMV antibody levels or clinical or pathological markers of Alzheimer disease. HSV-1 infection of HFFs did not induce amyloid-β. These data support an association between CMV and the development of Alzheimer disease.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the Religious Orders Study, CMV antibody levels were related to higher immunologic biomarkers and post-mortem AD markers.
“In the Religious Orders Study among clergy in the United States [56], for example, CMV antibody levels were related to higher immunologic biomarkers and post-mortem AD markers.”
From What would it take to prove that a chronic infection is a causal agent in Alzheimer’s disease? (2025) · cites this paper as [56]
The Serum IgG section (page not supplied) reports that CMV antibody levels were significantly associated with neurofibrillary-tangle density, a post-mortem Alzheimer disease marker. The Discussion reports an association between CMV seropositivity and CSF interferon-γ, but does not establish that higher antibody levels were related to higher immunologic biomarkers. The study used Religious Orders Study specimens. (LLM, conf=0.87)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Blasko, I., Stampfer‐Kountchev, M., Robatscher, P., Veerhuis, R., Eikelenboom, P., & Grubeck‐Loebenstein, B. (2004) · Aging Cell · doi:10.1111/j.1474-9728.2004.00101.x · Cited by 374 · see citing works
Biomarkers of human immunosenescence: impact of cytomegalovirus infection
Derhovanessian, E., Larbi, A., & Pawelec, G. (2009) · Current Opinion in Immunology · doi:10.1016/j.coi.2009.05.012 · Cited by 220 · see citing works
Pourgheysari, B., Khan, N., Best, D., Bruton, R., Nayak, L., & Moss, P. A. H. (2007) · Journal of Virology · doi:10.1128/jvi.01262-06 · Cited by 214 · see citing works
The Influence of Latent Viral Infection on Rate of Cognitive Decline over 4 Years
Aiello, A. E., Haan, M. N., Blythe, L., Moore, K., Gonzalez, J. M., & Jagust, W. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2006.00796.x · Cited by 210 · see citing works
Flagged first, then by citations
Research works printed but not linked: 44
- Varga M, Gorog D, Kari D, et al. Cytomegalovirus seroprevalence among solid organ donors in hungary: correlations with age, gender, and blood group. Transplant Proc 2011; 43:1233-5.
- Wang GC, Kao WH, Murakami P, et al. Cytomegalovirus infection and the risk of mortality and frailty in older women: a prospective observa- tional cohort study. Am J Epidemiol 2010; 171:1144-52.
- Fowler KB, Boppana SB. Congenital cytomegalovirus (CMV) infection and hearing deficit. J Clin Virol 2006; 35:226-31.
- Pirskanen-Matell R, Grutzmeier S, Nennesmo I, Sandstrom E, Ehrnst A. Impairment of short-term memory and Korsakoff syndrome are common in AIDS patients with cytomegalovirus encephalitis. Eur J Neurol 2009; 16:48-53.
- Reddy SM, Winston DJ, Territo MC, Schiller GJ. CMV central nervous system disease in stem-cell transplant recipients: an increasing complication of drug-resistant CMV infection and protracted immuno- deficiency. Bone Marrow Transplant 2010; 45:979-84.
- Moss P. The emerging role of cytomegalovirus in driving immune sen- escence: a novel therapeutic opportunity for improving health in the elderly. Curr Opin Immunol 2010; 22:529-34.
- Murata H, Nii R, Ito M, Ihara T, Komada Y. Quantitative detection of HCMV-DNA in saliva from infants and breast milk on real-time poly- merase chain reaction. Pediatr Int 2009; 51:530-4.
- Dejucq N, Jegou B. Viruses in the mammalian male genital tract and their effects on the reproductive system. Microbiol Mol Biol Rev 2001; 65:208-31; first and second pages, table of contents.
- Shen CY, Chang SF, Chao MF, et al. Cytomegalovirus recurrence in se- ropositive pregnant women attending obstetric clinics. J Med Virol 1993; 41:24-9.
- Hunt PW, Martin JN, Sinclair E, et al. Valganciclovir reduces T cell ac- tivation in HIV-infected individuals with incomplete CD4+ T cell re- covery on antiretroviral therapy. J Infect Dis 2011; 203:1474-83.
- Almanzar G, Schwaiger S, Jenewein B, et al. Long-term cytomegalovirus infection leads to significant changes in the composition of the CD8+ T-cell repertoire, which may be the basis for an imbalance in the cyto- kine production profile in elderly persons. J Virol 2005; 79:3675-83.
- Hadrup SR, Strindhall J, Kollgaard T, et al. Longitudinal studies of clonally expanded CD8 T cells reveal a repertoire shrinkage predicting mortality and an increased number of dysfunctional cytomegalovirus- specific T cells in the very elderly. J Immunol 2006; 176:2645-53.
- Khan N, Hislop A, Gudgeon N, et al. Herpesvirus-specific CD8 T cell immunity in old age: cytomegalovirus impairs the response to a coresi- dent EBV infection. J Immunol 2004; 173:7481-9.
- Herndler-Brandstetter D, Almanzar G, Grubeck-Loebenstein B. Cyto- megalovirus and the immune system in old age. Clin Applied Immunol Rev 2006; 6:131-47.
- Focosi D, Bestagno M, Burrone O, Petrini M. CD57+ T lymphocytes and functional immune deficiency. J Leukoc Biol 2010; 87:107-16.
- Derhovanessian E, Maier AB, Hahnel K, et al. Infection with cytomega- lovirus but not herpes simplex virus induces the accumulation of late differentiated CD4+ and CD8+ T-cells in humans. J Gen Virol 2011; 92:2746-56.
- van de Berg PJ, Yong SL, Remmerswaal EB, van Lier RA, ten Berge IJ. Cytomegalovirus-induced effector T cells cause endothelial cell damage. Clin Vaccine Immunol 2012; 19:772-9.
- Blasko I, Marx F, Steiner E, Hartmann T, Grubeck-Loebenstein B. TNFalpha plus IFNgamma induce the production of Alzheimer beta- amyloid peptides and decrease the secretion of APPs. Faseb J 1999; 13:63-8.
- Akiyama H, Barger S, Barnum S, et al. Inflammation and Alzheimer's disease. Neurobiol Aging 2000; 21:383-421.
- Sastre M, Dewachter I, Landreth GE, et al. Nonsteroidal anti-inflamma- tory drugs and peroxisome proliferator-activated receptor-gamma agonists modulate immunostimulated processing of amyloid precursor protein through regulation of beta-secretase. J Neurosci 2003; 23: 9796-804.
- Blasko I, Knaus G, Weiss E, et al. Cognitive deterioration in Alzheimer's disease is accompanied by increase of plasma neopterin. J Psychiatr Res 2007; 41:694-701.
- Alvarez G, Aldudo J, Alonso M, Santana S, Valdivieso F. Herpes simplex virus type 1 induces nuclear accumulation of hyperphosphory- lated tau in neuronal cells. J Neurosci Res 2012; 90:1020-9.
- Letenneur L, Peres K, Fleury H, et al. Seropositivity to herpes simplex virus antibodies and risk of Alzheimer's disease: a population-based cohort study. PLoS One 2008; 3:e3637.
- Lin WR, Wozniak MA, Cooper RJ, Wilcock GK, Itzhaki RF. Herpesvi- ruses in brain and Alzheimer's disease. J Pathol 2002; 197:395-402. CMV Infection and Alzheimer Disease • JID 2013:208 (15 August) • 571
- Santana S, Recuero M, Bullido MJ, Valdivieso F, Aldudo J. Herpes simplex virus type I induces the accumulation of intracellular beta- amyloid in autophagic compartments and the inhibition of the non- amyloidogenic pathway in human neuroblastoma cells. Neurobiol Aging 2012; 33:430 e19-33.
- Wozniak MA, Frost AL, Preston CM, Itzhaki RF. Antivirals reduce the formation of key Alzheimer's disease molecules in cell cultures acutely infected with herpes simplex virus type 1. PLoS One 2011; 6:e25152.
- Bennett DA, Schneider JA, Aggarwal NT, et al. Decision rules guiding the clinical diagnosis of Alzheimer's disease in two community-based cohort studies compared to standard practice in a clinic-based cohort study. Neuroepidemiology 2006; 27:169-76.
- Wilson RS, Beckett LA, Barnes LL, et al. Individual differences in rates of change in cognitive abilities of older persons. Psychol Aging 2002; 17:179-93.
- Bennett DA, Schneider JA, Wilson RS, Bienias JL, Arnold SE. Neurofibril- lary tangles mediate the association of amyloid load with clinical Alzheimer disease and level of cognitive function. Arch Neurol 2004; 61:378-84.
- Staras SA, Dollard SC, Radford KW, Flanders WD, Pass RF, Cannon MJ. Seroprevalence of cytomegalovirus infection in the United States, 1988-1994. Clin Infect Dis 2006; 43:1143-51.
- van de Berg PJ, Heutinck KM, Raabe R, et al. Human cytomegalovirus induces systemic immune activation characterized by a type 1 cytokine signature. J Infect Dis 2010; 202:690-9.
- Wang EC, Moss PA, Frodsham P, Lehner PJ, Bell JI, Borysiewicz LK. CD8highCD57+ T lymphocytes in normal, healthy individuals are oli- goclonal and respond to human cytomegalovirus. J Immunol 1995; 155:5046-56.
- Northfield J, Lucas M, Jones H, Young NT, Klenerman P. Does memory improve with age? CD85j (ILT-2/LIR-1) expression on CD8 T cells correlates with "memory inflation" in human cytomegalovirus infection. Immunol Cell Biol 2005; 83:182-8.
- Vescovini R, Biasini C, Telera AR, et al. Intense antiextracellular adap- tive immune response to human cytomegalovirus in very old subjects with impaired health and cognitive and functional status. J Immunol 2010; 184:3242-9.
- Libri V, Azevedo RI, Jackson SE, et al. Cytomegalovirus infection induces the accumulation of short-lived, multifunctional CD4+ CD45RA+ CD27 T cells: the potential involvement of interleukin-7 in this process. Immunology 2011; 132:326-39.
- Akbar AN, Fletcher JM. Memory T cell homeostasis and senescence during aging. Curr Opin Immunol 2005; 17:480-5.
- Wozniak MA, Frost AL, Itzhaki RF. Alzheimer's disease-specific tau phosphorylation is induced by herpes simplex virus type 1. J Alz- heimers Dis 2009; 16:341-50.
- Wozniak MA, Itzhaki RF, Shipley SJ, Dobson CB. Herpes simplex virus infection causes cellular beta-amyloid accumulation and secretase upre- gulation. Neurosci Lett 2007; 429:95-100.
- Wozniak MA, Itzhaki RF. Antiviral agents in Alzheimer's disease: hope for the future? Ther Adv Neurol Disord 2010; 3:141-52.
- Varani S, Landini MP. Cytomegalovirus-induced immunopathology and its clinical consequences. Herpesviridae 2011; 2:6.
- Derhovanessian E, Maier AB, Beck R, et al. Hallmark features of immu- nosenescence are absent in familial longevity. J Immunol 2010; 185: 4618-24.
- Wills M, Akbar A, Beswick M, et al. Report from the second cyto- megalovirus and immunosenescence workshop. Immun Ageing 2011; 8:10.
- Ranganathan P, Clark PA, Kuo JS, Salamat MS, Kalejta RF. Significant association of multiple human cytomegalovirus genomic loci with glio- blastoma multiforme samples. J Virol 2011; 86:854-64.
- Beswick M, Pachnio A, Lauder SN, Sweet C, Moss PA. Antiviral therapy can reverse the development of immune senescence in elderly mice with latent cytomegalovirus infection. J Virol 2012; 87:779-89.
Cited by
Sorted by citations
Interactions between the microbiota, immune and nervous systems in health and disease
Fung, T. C., Olson, C. A., & Hsiao, E. Y. (2017) · Nature Neuroscience · doi:10.1038/nn.4476 · Cited by 1,900 · see citing works
The Infectious Etiology of Alzheimer’s Disease
Sochocka, M., Zwolińska, K., & Leszek, J. (2017) · Current Neuropharmacology · doi:10.2174/1570159x15666170313122937 · Cited by 399 · see citing works
Alzheimer’s disease and gut microbiota
Hu, X., Wang, T., & Jin, F. (2016) · Science China Life Sciences · doi:10.1007/s11427-016-5083-9 · Cited by 371 · see citing works
Harris, S. A., & Harris, E. A. (2015) · Journal of Alzheimer's Disease · doi:10.3233/jad-142853 · Cited by 279 · see citing works
White, M. R., Kandel, R., Tripathi, S., Condon, D., Qi, L., Taubenberger, J., & Hartshorn, K. L. (2014) · PLoS ONE · doi:10.1371/journal.pone.0101364 · Cited by 193 · see citing works
The Possibility of an Infectious Etiology of Alzheimer Disease
Ashraf, G. M., Tarasov, V. V., Makhmutovа, A., Chubarev, V. N., Avila-Rodriguez, M., Bachurin, S. O., & Aliev, G. (2019) · Molecular Neurobiology · doi:10.1007/s12035-018-1388-y · Cited by 175 · see citing works
Herpes Viruses Increase the Risk of Alzheimer’s Disease: A Meta-Analysis
Steel, A. J., & Eslick, G. D. (2015) · Journal of Alzheimer's Disease · doi:10.3233/jad-140822 · Cited by 154 · see citing works
Time to test antibacterial therapy in Alzheimer’s disease
Panza, F., Lozupone, M., Solfrizzi, V., Watling, M., & Imbimbo, B. P. (2019) · Brain · doi:10.1093/brain/awz244 · Cited by 161 · see citing works
Infectious agents and Alzheimer's disease
Piekut, T., Hurła, M., Banaszek, N., Szejn, P., Dorszewska, J., Kozubski, W., & Prendecki, M. (2022) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2102073 · Cited by 123 · see citing works
Lövheim, H., Olsson, J., Weidung, B., Johansson, A., Eriksson, S., Hallmans, G., & Elgh, F. (2018) · Journal of Alzheimer’s Disease · doi:10.3233/jad-161305 · Cited by 103 · see citing works
Vojtechova, I., Machacek, T., Kristofikova, Z., Stuchlik, A., & Petrasek, T. (2022) · PLOS Pathogens · doi:10.1371/journal.ppat.1010929 · Cited by 92 · see citing works
Tarter, K. D., Simanek, A. M., Dowd, J. B., & Aiello, A. E. (2014) · The Journal of Infectious Diseases · doi:10.1093/infdis/jit616 · Cited by 78 · see citing works
Arnold, C. R., Pritz, T., Brunner, S., Knabb, C., Salvenmoser, W., Holzwarth, B., Thedieck, K., & Grubeck-Loebenstein, B. (2014) · Experimental Gerontology · doi:10.1016/j.exger.2014.01.018 · Cited by 42 · see citing works
Wang, Y., Luo, W., Wang, X., Ma, Y., Huang, L., & Wang, Y. (2022) · Journal of Infection · doi:10.1016/j.jinf.2021.12.004 · Cited by 17 · see citing works
What would it take to prove that a chronic infection is a causal agent in Alzheimer’s disease?
Brutkiewicz, R. R., Cao, W., Morgan, D., Reis, R. S. D., Suryadevara, V., Willette, A. A., Willette, S. A., Wyatt-Johnson, S. K., & Duggan, M. R. (2025) · Trends in Neurosciences · doi:10.1016/j.tins.2025.05.009 · Cited by 3 · see citing works
- Authors
- Lurain, N. S., Hanson, B. A., Martinson, J., Leurgans, S. E., Landay, A. L., Bennett, D. A., & Schneider, J. A.
- Affiliations
- Rush University Medical Center (US)
- Corresponding author
- Lurain, Nell S.
- ORCID
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-05-09
- Volume
- 208
- Issue
- 4
- Pages
- 564-572
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- PMC
- PMC3719902
- OpenAlex
- W2151190343
- Cited by
- 159
- References
- 4
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 12 · 2023: 7 · 2022: 10 · 2021: 19 · 2020: 16 · 2019: 8 · 2018: 13 · 2017: 10 · 2016: 12 · 2015: 14 · 2014: 10 · 2013: 9
- FWCI
- 10.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (P30-AG 10161, R01 AG15819, R01AG015819, P30AG010161)
- Topics
- Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- human cytomegalovirus, Alzheimer's disease, neurofibrillary tangles, interferon-gamma, cerebrospinal fluid, senescent T cells, CD4+ T cells, amyloid-beta, herpes simplex virus type 1, viral infection, Religious Orders Study, CMV seropositivity
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Antibodies, Viral, Cytomegalovirus Infections, Female, Fibroblasts, Humans, Interferon-gamma, Male, T-Lymphocyte Subsets, Amyloid beta-Peptides, Neurofibrillary Tangles
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review