Persistence of Epstein-Barr Virus in Vivo
Epstein-Barr virus (EBV) is the cause of heterophile-positive infectious mononucleosis.
After primary EBV infection, the virus persists in resting memory B lymphocytes and can be
detected in oropharyngeal secretions. Short term (1 month) treatment with oral acyclovir,
which inhibits EBV replication, results in loss of virus shedding from the oropharynx, but
the virus persists in B cells. The goal of this study is to determine if EBV will no longer
persist in B cells in patients treated with long term (20 month) oral valaciclovir (which is
metabolized to acyclovir). Blood samples and throat washings will be obtained every three
months from individuals who are receiving valaciclovir for treatment of genital herpes
simplex virus infection. These samples will be analyzed for EBV DNA to determine if the
level of EBV DNA declines or becomes negative with long term antiviral therapy. If the
level of EBV DNA becomes undetectable in EBV-seropositive persons during the study, we will
ask the patients to return twice a year for five years or if they develop symptoms of
mononucleosis, so that EBV DNA in their blood and throat washings can be studied. Knowledge
gained from this study should provide important insights into the mechanism of persistence
of EBV infection.
Observational
N/A
United States: Federal Government
000163
NCT00005924
June 2000
February 2010
Name | Location |
---|---|
National Institutes of Health Clinical Center, 9000 Rockville Pike | Bethesda, Maryland 20892 |