Deficient EBV-specific B- and T-cell response in patients with chronic fatigue syndrome
Open accessAbstract
Epstein-Barr virus (EBV) has long been discussed as a possible cause or trigger of Chronic Fatigue Syndrome (CFS). In a subset of patients the disease starts with infectious mononucleosis and both enhanced and diminished EBV-specific antibody titers have been reported. In this study, we comprehensively analyzed the EBV-specific memory B- and T-cell response in patients with CFS. While we observed no difference in viral capsid antigen (VCA)-IgG antibodies, EBV nuclear antigen (EBNA)-IgG titers were low or absent in 10% of CFS patients. Remarkably, when analyzing the EBV-specific memory B-cell reservoir in vitro a diminished or absent number of EBNA-1- and VCA-antibody secreting cells was found in up to 76% of patients. Moreover, the ex vivo EBV-induced secretion of TNF-α and IFN-γ was significantly lower in patients. Multicolor flow cytometry revealed that the frequencies of EBNA-1-specific triple TNF-α/IFN-γ/IL-2 producing CD4(+) and CD8(+) T-cell subsets were significantly diminished whereas no difference could be detected for HCMV-specific T-cell responses. When comparing EBV load in blood immune cells, we found more frequently EBER-DNA but not BZLF-1 RNA in CFS patients compared to healthy controls suggesting more frequent latent replication. Taken together, our findings give evidence for a deficient EBV-specific B- and T-cell memory response in CFS patients and suggest an impaired ability to control early steps of EBV reactivation. In addition the diminished EBV response might be suitable to develop diagnostic marker in CFS.
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Epstein-Barr and hepatitis viral infections have been implicated as potential causes of ME/CFS, with evidence that these viruses can persistently inhibit innate and adaptive immunity.
“Epstein-Barr and hepatitis viral infections have been implicated as potential causes14,67, with evidence that these viruses can persistently inhibit innate and adaptive immunity.”
From Leveraging Prior Knowledge of Endocrine Immune Regulation in the Therapeutically-relevant Phenotyping of Women with Chronic Fatigue Syndrome (2019) · cites this paper as [14]
The Introduction and Abstract (pages not supplied) describe EBV as a possible cause or trigger of CFS, and the Discussion reports deficient EBV-specific B- and T-cell responses. The Discussion mentions impaired T-cell responses in chronic hepatitis C infection, but does not implicate hepatitis as a cause of CFS or show that either virus persistently inhibits both innate and adaptive immunity. (LLM, conf=0.88)
Experimental — accuracy not yet measuredDeficient Epstein-Barr virus-specific B cell responses in ME/CFS patients suggest that dysregulated B cell function and persistent latent viral infection may be significant contributing factors to ME/CFS.
“Combined with observations of deficient Epstein-Barr virus-specific B cell responses in ME/CFS patients14, this suggests that dysregulated B cell function and persistent latent viral infection may be significant contributing factors to ME/CFS.”
From Leveraging Prior Knowledge of Endocrine Immune Regulation in the Therapeutically-relevant Phenotyping of Women with Chronic Fatigue Syndrome (2019) · cites this paper as [14]
Evidence of dysregulated B cell and NK cell function has been reported in ME/CFS.
“Since evidence of dysregulated B cell14 and NK cell function39 has been reported in ME/CFS, these cell populations were also included in the model.”
From Leveraging Prior Knowledge of Endocrine Immune Regulation in the Therapeutically-relevant Phenotyping of Women with Chronic Fatigue Syndrome (2019) · cites this paper as [14]
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- Authors
- Loebel, M., Strohschein, K., Giannini, C., Koelsch, U., Bauer, S., Doebis, C., Thomas, S., Unterwalder, N., von Baehr, V., Reinke, P., Knops, M., Hanitsch, L. G., Meisel, C., Volk, H.-D., & Scheibenbogen, C.
- Affiliations
- Charité – Universitätsmedizin Berlin (DE)
- Berlin-Brandenburger Centrum für Regenerative Therapien (DE)
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-01-15
- Volume
- 9
- Issue
- 1
- Pages
- e85387
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3893202
- OpenAlex
- W1965161753
- Cited by
- 86
- References
- 86
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 11 · 2020: 3 · 2019: 13 · 2018: 10 · 2017: 9 · 2016: 8 · 2015: 6
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- European Commission
- European Regional Development Fund
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Oncology › Viral-associated cancers and disorders
- Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
- Keywords
- chronic fatigue syndrome, Epstein-Barr virus, EBV-specific T cells, EBNA1, viral capsid antigen, TNF-α, interferon-gamma, interleukin-2, EBV reactivation, diagnostic biomarkers
- MeSH terms
- Adult, Aged, Antibodies, Viral, B-Lymphocytes, Base Sequence, Enzyme-Linked Immunosorbent Assay, Herpesvirus 4, Human, Female, Flow Cytometry, Humans, Immunologic Memory, Male, Middle Aged, T-Lymphocytes, Virus Replication, Fatigue Syndrome, Chronic, T-Lymphocyte Subsets, DNA Primers, Real-Time Polymerase Chain Reaction
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