Time trends in herpesvirus seroepidemiology among Swedish adults

BMC Infect Dis. 2024 Mar 2;24(1):273. doi: 10.1186/s12879-024-09155-w.

Abstract

Background: Human herpesviruses are widespread among the human population. The infections often occur unnoticed, but severe disease as well as long-term sequelae are part of the symptom spectrum. The prevalence varies among subpopulations and with time. The aim of this study was to describe the seroprevalence of Immunoglobulin G against Herpes simplex 1, Herpes simplex 2, Epstein-Barr virus and Cytomegalovirus in the adult Swedish population over a time period of several decades.

Methods: Serum samples (n = 892) from biobanks, originating from 30-year-old women, 50-year-old men and 50-year-old women sampled between 1975 and 2018, were analyzed for presence of anti-herpesvirus antibodies. Linear regression analysis was used to test for a correlation between birth year and seroprevalence. Multiple linear regression analysis was used to differentiate between other factors such as age and gender.

Results: Birth year correlated negatively with the prevalence of immunoglobulin G against Herpes simplex 1 and Epstein-Barr virus (p = 0.004 and 0.033), and positively with Immunoglobulin G against Cytomegalovirus (p = 0.039). When participant categories were analyzed separately, birth year correlated negatively with the prevalence of Immunoglobulin G against Herpes simplex 1 and Herpes simplex 2 (p = 0.032 and 0.028) in 30-year-old women, and with the prevalence of Immunoglobulin G against Cytomegalovirus in 50-year-old men (p = 0.011).

Conclusions: The prevalence of Immunoglobulin G against Herpes simplex 1, Herpes simplex 2 and Epstein-Barr virus decreases in later birth cohorts. This indicates a trend of declining risk of getting infected with these viruses as a child and adolescent.

Keywords: Cytomegalovirus; Epidemiology; Epstein-Barr virus; Herpes; Herpes simplex; Immunoglobulin G; Seroprevalence; Time trends.

MeSH terms

  • Adult
  • Antibodies, Viral
  • Cytomegalovirus
  • Epstein-Barr Virus Infections* / epidemiology
  • Female
  • Herpes Simplex* / epidemiology
  • Herpesvirus 4, Human
  • Humans
  • Immunoglobulin G
  • Male
  • Middle Aged
  • Seroepidemiologic Studies
  • Simplexvirus
  • Sweden / epidemiology

Substances

  • Antibodies, Viral
  • Immunoglobulin G