The interaction between cytokine profiles and Epstein-Barr virus-induced immune response

  • S. K. Al-Qaisi Diyala University
  • O. D. Salman Diyala University
  • S. K. Ibrahim Diyala University
  • O. A. Mohsein Thi-Qar Health Directorate
Keywords: Epstein-Barr virus, cytokines, immune response, IL-6, TNF-α, TGF-β.

Abstract

The Epstein-Barr virus (EBV) infection is capable of triggering the complex of host immune response where the proportion of the pro- and anti-inflammatory cytokines is a key factor in the persistence of the virus, immune prote c tion, and the progression of the disease. These are the interactions among cytokines which are essential in the path o genesis of EBV and disorders that are affiliated with it. The paper will help to clarify the relations between the cyt o kine profiles and the immune reaction caused by Epstein-Bar r virus infection and reveal the main cytokines that could determine the persistence of the virus, regulate the immune response, and determine the progression of the disease. The current case-control study was a study designed in Nasiriyah, Iraq, between February and September 2025 and consisting of 90 participants with known infection by the Epstein-Bar r virus and 50 healthy participants of the same age group (between 18 to 50 years old). The exclusion criteria included pregnancy, chronic disease, autoimmune disease, malignancies and immunosuppressive drugs. Blood samples were collected by vein, serum was isol ated and kept at – 20 o C. Pro- and anti-inflammatory cytokines (IL-6, TNF-a, IL-1b, IL-10, TGF-b), and anti-EBV antibodies (VCA IgM and IgG) were quantified by using enzyme-linked immunosorbent assays. Result: The researchers did not observe any significant differences between the groups regarding gender or age. The patients were much fatter than the controls (26.8 ± 4.2 vs. 24.5 ± 3.7 kg/m 2 , P = 0.003) and it is possible that being fat is a risk factor of EBV. There was a significant rise in inflammatory cytokines (IL-6, TNF-a 1, and IL-10) and anti-inflammatory cytokines (IL-10 and TGF-b) in the patients, which shows that their immune systems were changing. Considerably more anti-EBV VCA IgM and IgG was found, and these were closely linked to molecules that cause inflammation. Conclusions: EBV infection elicits a robust immune reaction; it is manifested in proinflammatory (IL-6, TNF-3) and anti-inflammatory (IL-10, TGF-3) cytokines. This balance is an attempt by the host to balance viral proliferation and m i nimal tissue damage to facilitate successful antiviral protection.

References

Ajeed, A. M., Naif, N. H., Farag, A. H., & Mohsein, O. A. (2025). Assessing the impact of sleeve gastrectomy on micronutrient levels and inflammatory markers – a case-control study. European Journal of Clinical and Experimental Medicine, 23(2), 369–377.

An, R., Sun, D., Lei, H., He, A., Tu, Y., & Tang, J. (2024). Effect of Epstein–Barr virus on macrophage M2/M1 migration and EphA2 expression in adverse drug reactions. The Journal of Dermatology, 52(1), 87–96.

Arif, A. I., Rmaidh, A. Y., Qaddoori, H. T., & Mohammad, S. Q. (2025). Importance of testosterone and cortisol in prediabetic and diabetic male patients in Diyala Governorate (Iraq). Regulatory Mechanisms in Biosystems, 16(2), e25070.

Bose, D., Lin, X., Gao, L., Wei, Z., Pei, Y., & Robertson, E. S. (2023). Attenuation of IFN signaling due to m6A modification of the host epitranscriptome promotes EBV lytic reactivation. Journal of Biomedical Science, 30, 18.

Cavalieri, S., Bossi, P., Infante, G., Miceli, R., Iacovelli, N. A., Ivaldi, E., Locati, L. D., Bergamini, C., Resteghini, C., Nuzzolese, I., Alfieri, S., Colombo, E., Ingargiola, R., Franceschini, M., Calareso, G., Licitra, L., & Orlandi, E. (2022). The interplay between age and viral status in EBV-related nasopharyngeal and HPV-related oropharyngeal carcinoma patients. Cancers, 14(24), 6170.

Damania, B., Kenney, S. C., & Raab-Traub, N. (2022). Epstein-Barr virus: Biology and clinical disease. Cell, 185(20), 3652–3670.

Dickerson, F., Katsafanas, E., Origoni, A., Newman, T., Rowe, K., Ziemann, R. S., Bhatia, K., Severance, E., Ford, G., & Yolken, R. (2023). Cigarette smoking is associated with herpes viruses in persons with and without serious mental illness. PLoS One, 18(1), e0280443.

Fevang, B., Wyller, V. B. B., Mollnes, T. E., Pedersen, M., Asprusten, T. T., Michelsen, A., Ueland, T., & Otterdal, K. (2021). Lasting immunological imprint of primary Epstein-Barr virus infection with associations to chronic low-grade inflammation and fatigue. Frontiers in Immunology, 12, 715102.

Gothe, F., Stremenova Spegarova, J., Hatton, C. F., Griffin, H., Sargent, T., Cowley, S. A., James, W., Roppelt, A., Shcherbina, A., Hauck, F., Reyburn, H. T., Duncan, C. J. A., & Hambleton, S. (2022). Aberrant inflammatory responses to type I interferon in STAT2 or IRF9 deficiency. Journal of Allergy and Clinical Immunology, 150(4), 955–964.

Haftcheshmeh, S. M., Mohammadi, A., Mashayekhi, K., & Navashenaq, J. G. (2022). Curcumin as a natural modulator of B lymphocytes: Evidence from in vitro and in vivo studies. Mini-Reviews in Medicinal Chemistry, 22(18), 2361–2370.

Kitamura, N., Nagasawa, Y., Akiya, K., Inomata, H., & Nakamura, H. (2025). Relationship between anti-Epstein-Barr virus early antigen diffuse type and restricted type immunoglobulin G antibodies and disease activity and autoantibodies in rheumatoid arthritis: A retrospective observational study. BMC Rheumatology, 9(1), 123.

Leng, S., Xu, W., Wu, L., Liu, L., Du, J., Yang, F., Huang, D., & Zhang, L. (2023). NLRP3 disturbs Treg/Th17 cell balance to aggravate apical periodontitis. Journal of Dental Research, 102(6), 656–666.

Lin, K., Zeng, Z., Li, X., Chen, W., Lin, D., Xie, S., Wu, Z., Li, M., Cao, S., & Du, J. (2023). Association between hypertension and Epstein-Barr virus reactivation among the population in a high-risk area for nasopharyngeal carcinoma. Virus Research, 331, 199117.

Lupo, J., Truffot, A., Andreani, J., Habib, M., Epaulard, O., Morand, P., & Germi, R. (2023). Virological markers in Epstein-Barr virus-associated diseases. Viruses, 15(3), 656.

Malik, A. W., Abood, A. A., & Mohammad, S. Q. (2023). Association between the proinflammatory cytokine IL-17F and Helicobacter pylori infection in a sample of Iraqi patients. International Journal of Biomedicine, 13(2), 338–341.

Moppert, J., Domagalski, K., Wrotek, S., & Pawłowska, M. (2023). Are selected cytokines and Epstein-Barr virus DNA load predictors of hepatological complications of Epstein-Barr virus infection in children? Journal of Clinical Medicine, 12(19), 6158.

Moppert, J., Pawłowska, M., Domagalski, K., & Szwed-Kowalska, A. (2023). The concentration of IL-6, TNF-α, s-ICAM-1, and EBV DNA load – predictive factors of hepatological complications in children with infectious mononucleosis. A pilot study. Pediatria Polska, 98(1), 43–51.

Naif, N. H., Ahmed, E. M., Thamer, N. A., & Muhsein, O. A. (2025). The impact of inflammatory and adipokine biomarkers on breast cancer progression and patient outcomes. Bulletin of Pharmaceutical Sciences Assiut University, 48(1), 511–522.

Nishio, M., Saito, M., Yoshimori, M., Kumaki, Y., Ohashi, A., Susaki, E., Yonese, I., Sawada, M., & Arai, A. (2024). Clinical significance of anti-Epstein-Barr virus antibodies in systemic chronic active Epstein-Barr virus disease. Frontiers in Microbiology, 14, 1320292.

Rakityanskaya, I. A., Ryabova, T. S., & Kalashnikova, A. A. (2024). Production of the proinflammatory cytokine TNF-α in patients with chronic Epstein-Barr virus infection. Journal of Virology Research and Reports, 5(1), 163.

Rex, V., Zargari, R., Stempel, M., Halle, S., & Brinkmann, M. M. (2023). The innate and T-cell mediated immune response during acute and chronic gammaherpesvirus infection. Frontiers in Cellular and Infection Microbiology, 13, 1146381.

Shechter, O., Sausen, D. G., Gallo, E. S., Dahari, H., & Borenstein, R. (2022). Epstein-Barr virus (EBV) epithelial associated malignancies: Exploring pathologies and current treatments. International Journal of Molecular Sciences, 23(22), 14389.

Sighencea, M. G., & Trifu, S. C. (2025). Unravelling the viral hypothesis of schizophrenia: A comprehensive review of mechanisms and evidence. International Journal of Molecular Sciences, 26(15), 7429.

Tan, L., Liu, W., Sun, Q., & Shi, Y. (2025). Predictive and prognostic value of inflammatory factors (IL-6, IL-8, and TNF-α) in saliva for radiotherapy response in patients with HPV-associated oropharyngeal squamous cell carcinoma. Discover Oncology, 16(1), 1366.

Yu, H., & Robertson, E. S. (2023). Epstein-Barr virus history and pathogenesis. Viruses, 15(3), 714.

Zhang, L. (2022). A common mechanism links Epstein-Barr virus infections and autoimmune diseases. Journal of Medical Virology, 95(1), e28363.

Published
2025-11-26
How to Cite
Al-Qaisi, S. K., Salman, O. D., Ibrahim, S. K., & Mohsein, O. A. (2025). The interaction between cytokine profiles and Epstein-Barr virus-induced immune response. Regulatory Mechanisms in Biosystems, 16(4), e25208. https://doi.org/10.15421/0225208