Lupus & antiphospholipid syndrome

Epstein-Barr virus infection and its association with systemic lupus erythematosus: Systematic review and meta-analysis

LupusPublished Systematic review and meta-analysis

Authors' conclusion

The majority of healthy subjects were previously exposed to EBV, and the infection could be a potential risk factor in SLE pathogenesis.

Study context

Population
SLE patients and healthy controls in studies from PubMed, Scopus and ScienceDirect28 studies
Participants
2,968 vs 3,926
Comparison
SLE vs healthy controls
  • SLEn = 2,968
  • Healthy controlsn = 3,926reference
Outcome
Frequency of EBV DNA or antibody positivity
Methodological detailsNewcastle-Ottawa Scale (NOS) quality assessment, funnel plots and Egger's regression, Cochrane Q and I2 heterogeneity, sensitivity analysis
  • NOS quality assessment
  • Funnel plots and Egger's regression
  • Cochrane Q and I2 heterogeneity
  • Sensitivity analysis

Pooled result

As reported in the abstract

EBV DNA or antibody positivity
  • SLE patients had a higher positivity rate than healthy controls
  • Epstein-Barr virus (EBV) infections were prevalent in healthy controls

Further pooled results

Sensitivity analysis

Meta-analysis was robust

Original publication

Epstein-Barr virus infection and its association with systemic lupus erythematosus: Systematic review and meta-analysis. Lupus. Published 29 August 2025. doi:10.1177/09612033251371333

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