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Antibody responses to Epstein-Barr virus, human herpesvirus 6 & human herpesvirus 7 in patients with Chronic Fatigue Syndrome (CFS)

  [ 28 votes ]   [ Discuss This Article ] • January 5, 1995

To test for an association between chronic fatigue syndrome (CFS)
and infections with Epstein-Barr virus (EBV), human
herpesvirus 6 (HHV-6) and human herpesvirus 7 (HHV-7),
antibodies to these viruses were tested in the serum from
three groups of individuals: (1) 10 CFS patients with chronic
fatigue beginning with a clinical pattern of acute infectious
mononucleosis [IM; true chronic IM (CIM)]; (2) 10 CFS patients
whose illness did not start with acute IM (non-CIM), and (3)
healthy controls. High EBV antibody titers were demonstrated
in most patients. Antibodies to ZEBRA, a product of the
immediate early EBV gene BZLF1, were detected in the serum of
CFS patients at a higher frequency than in healthy controls.
Antibody titers to HHV-6 and HHV-7 were also higher in the
patients with CFS than in the controls. These results are
consistent with the view that CFS patients may have
reactivations of EBV, HHV-6 and HHV-7.

MCM: All CFS pts met 1988 CDC criteria and came from Dr.
Komaroff. All CFS pts had EBV antibodies. Anti-VCA and anti-EA
TgG Abs were significantly higher in CFS pts but anti-EBNA
were not.There were 3 CIM pts with high anti-VCA and 2
non-CIM CFS pts.No significant diff. in titers between CIM
and non-CIM CFS pts found.High anti-EA titers were observed
in 3 CIM and 6 non-CIM pts.No anti-VCA IgM in CFS found,
except 2 low titers (1:5).

Sairenji T, Yamanishi K, Tachibana Y, Bertoni G, Kurata T

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