Document Detail


Prevalence of Epstein-Barr virus reactivation in pregnancy.
MedLine Citation:
PMID:  20387188     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent evidence suggests a link between Epstein-Barr virus (EBV) reactivation and chronic stress in nonpregnant adults, possibly due to decreased cellular immune response. Our objective was to determine the prevalence of EBV seropositivity in a diverse cohort of pregnant women and whether maternal demographic characteristics were associated with EBV reactivation. In this cross-sectional study, we evaluated midpregnancy serum specimens from 64 healthy pregnant women for presence of EBV viral capsid antigen, EBV nuclear antigen, and EBV early antigen. The subjects were reported as EBV seronegative, EBV seropositive with reactivation, and EBV seropositive without reactivation. The maternal demographics of the seropositive women with EBV reactivation were compared with their nonreactivated counterparts. Chi-square and Student T test were used for statistical analysis. In our pregnant cohort, 63 (98%) of the 64 women were EBV seropositive. Among these seropositive women, 22 (35%) women demonstrated EBV reactivation in pregnancy. EBV reactivation was not associated with maternal age, race, parity, or insurance type. In our diverse pregnant cohort, 98% of women analyzed were EBV seropositive with 35% demonstrating EBV reactivation in the pregnancy by the second trimester. The pathophysiology and clinical implications of EBV reactivation during pregnancy need further study.
Authors:
Sina Haeri; Arthur M Baker; Kim A Boggess
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-12
Journal Detail:
Title:  American journal of perinatology     Volume:  27     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2010-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  715-9     Citation Subset:  IM    
Copyright Information:
© Thieme Medical Publishers.
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina 27599-7516, USA. SinaHaeri@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibodies, Viral / blood
Antigens, Viral / blood
Cohort Studies
Epstein-Barr Virus Infections* / blood,  epidemiology,  immunology,  virology
Female
Herpesvirus 4, Human / physiology*
Humans
Infant, Newborn
Pregnancy
Pregnancy Complications, Infectious / blood,  immunology,  virology*
Pregnancy Trimester, Second / immunology
Prevalence
Virus Activation*
Virus Latency
Young Adult
Chemical
Reg. No./Substance:
0/Antibodies, Viral; 0/Antigens, Viral

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