Portal:Viruses/Selected virus/8

Epstein–Barr virus (EBV) (also human herpesvirus 4) is a DNA virus in the Herpesviridae family which infects humans. The virion is around 122–180 nm in diameter. As in all herpesviruses, the nucleocapsid is surrounded by a protein tegument, as well as an envelope. The double-stranded DNA genome is about 172 kb, with 85 genes, making it one of the more complex viruses.

Transmission is via saliva and genital secretions. The virus infects epithelial cells in the pharynx and B cells of the immune system, producing virions by budding. EBV also becomes latent in B cells, possibly in the bone marrow, allowing the infection to persist lifelong. In the latent state, the linear genome is made circular and replicates in the nucleus separately from the host DNA as an episome. Reactivation is poorly understood but is thought to be triggered by the B cell responding to other infections. EBV infection occurs in around 95% of people. Infectious mononucleosis or glandular fever can occur when first infection is delayed until adolescence or adulthood. EBV is associated with some types of cancer, including Burkitt's lymphoma and nasopharyngeal carcinoma. In people with HIV, it can cause hairy leukoplakia and central nervous system lymphomas.