ABSTRACT Epstein–Barr virus has been associated with lupus through serologic, molecular, and experimental studies. However, the results are conficting. Our objective was to determine whether there is an association between Epstein-Barr virus and lupus. Serum samples from 100 patients with lupus were analyzed for the presence of IgG antibody against EBV-viral-capsid antigen, EBNA-1, cytomegalovirus, and herpes simplex-1. Sera from healthy blood donors served as controls. Serum levels of total IgG in 29 lupus patients and 29 controls also were evaluated. Of 87 lupus patients, 79 (90%) were positive to-EBNA-1, compared with 3 out of 45 (6.6%) from the controls (p<0.05, OR 160), while 98 (98%) were positive to viral capsid antigen, compared with 223/274 (81%) from the controls (p<0.05). No significant difference was found in the frequency of antibodies against cytomegalovirus and herpes simplex-1 in patients and controls (p>0.05). Serum levels of IgG in 29 lupus patients and 29 control subjects were similar (p>0.05). These results show an association between past Epstein-Barr virus infection and lupus, but it does not prove a viral cause. The high frequency of antibodies to EBNA-1 and viral capsid antigen could not be explained by hypergammaglobulinemia.
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