Open research questions in Cytomegalovirus and herpesvirus research
91 unresolved questions extracted from the limitations and future-work sections of 330 Cytomegalovirus and herpesvirus research papers in our library. Each links back to the study that raised it.
What the literature leaves open
The study did not collect gender identity data due to the age of the participants, - The study excluded participants with evidence of bacterial infection, - The study had a limited sample size for certain analyses
Absent pleocytosis in infant viral central nervous system infections reflects lymphocyte depletion and cytokine activation · 2026 · DOIFurther studies are needed to distinguish viral CNS infection from other febrile illnesses based on clinical features in infants, - Investigation of the plasma proteome in relation to CSF white cell and peripheral lymphocyte counts is warranted, - Research on the distinct systemic immune response profile in infants without CSF pleocytosis
Absent pleocytosis in infant viral central nervous system infections reflects lymphocyte depletion and cytokine activation · 2026 · DOICurrent HLArestricted αβ T-cell-based therapies have limitations, - Data on kidney transplant recipients with JC virus infection remain limited
“Innovative diagnostics and treatments of infections in transplantation,” report from the 2025 spring highlights in transplantation sciences meeting · 2026 · DOIDeveloping adoptive cellular therapies targeting CMV, - Exploring the use of metagenomic next-generation sequencing for diagnosing unexplained infections
“Innovative diagnostics and treatments of infections in transplantation,” report from the 2025 spring highlights in transplantation sciences meeting · 2026 · DOIThe difficulty of studying programmed necrotic cell death in physiologically relevant cell types, - The need to develop methods to assess the intrinsic cell-death-inhibitory activity of UL45, - The challenge of differentiating monocytes into M1-like or M2-like macrophages
UL45 of Human Cytomegalovirus Promotes Macrophage Survival and Modulates RIPK3-Associated Cell Death · 2026 · DOIThe study was found to be 'not human research' by the UMMC IRB, - No study procedures were performed on human subjects, - The study used a limited number of donors, - The study used a specific strain of HCMV (TB40E)
UL45 of Human Cytomegalovirus Promotes Macrophage Survival and Modulates RIPK3-Associated Cell Death · 2026 · DOIDespite expanding legislative screening requirements across the United States, there is no consensus guidance on the screening approach, resulting in wide variation in implementation.
As a result, it remains unclear whether common approaches for screening antibody combinations accurately capture biologically relevant interactions.
Comparative evaluation of screening approaches for antiviral monoclonal antibody combinations · 2026 · DOIBackground/Objectives: Anti-T lymphocyte globulin (ATLG) is widely used as induction therapy in kidney transplantation; however, the clinical impact of the interval between individual ATLG doses remains poorly defined.
Alternate-Day Versus Consecutive-Day Anti-T Lymphocyte Globulin Induction in First Living-Donor Kidney Transplant Recipients at Low Immunological Risk: A Retrospective Cohort Study · 2026 · DOILeveraging the absolute quantification capability of ddPCR without standard curves, we compared its performance, including dynamic range and limit of detection (LOD), against a homologous qPCR assay.
Development and validation of a duplex droplet digital PCR assay for the simultaneous detection of cytomegalovirus and Epstein-Barr virus in plasma · 2026 · DOIHowever, the regulatory roles of lactate during viral infections remain poorly understood.
The role of gut microbiota dysbiosis in systemic lupus erythematosus (SLE) pathogenesis remains elusive.
Microbiota‐Derived Inosine Suppresses Systemic Autoimmunity via Restriction of B Cell Differentiation and Migration · 2025 · DOIA more comprehensive understanding of the tubular domain expansion remains to be established.
Rab10-associated tubulation as an early marker for biogenesis of the assembly compartment in cytomegalovirus-infected cells · 2025 · DOIHowever, emerging evidence suggests that HR-HPV infection alone is insufficient for cancer development, and other co-factors may contribute to cervical carcinogenesis.
While knowledge of preventive measures among participants was insufficient to ensure comprehensive protection against CMV infection, it represents a significant improvement compared to previous studies.
Awareness and knowledge of cytomegalovirus infection among pregnant women in French-speaking Switzerland · 2025 · DOIImportantly, the mechanisms underlying establishment and maintenance of immune activation in ART-treated PWH remain incompletely defined.
Inflammatory neutrophil responses and T cell activation in ART-treated SIVmac239-infected rhesus macaques · 2025 · DOIHowever, further prospective multi-center studies are warranted to validate our conclusion in adolescent patients.
Real-world efficacy and safety of letermovir versus ganciclovir prophylaxis in adolescent patients undergoing allogenic hematopoietic stem cell transplantation: a single center observational study · 2025 · DOIHowever, its varied clinical presentations and outcomes are not fully understood.
Gastrointestinal cytomegalovirus infection in persons with HIV: a retrospective case series study · 2025 · DOIHowever, it remains to be determined whether HCMV-induced senescence contributes to organ-specific pathogenesis.
Human cytomegalovirus infection triggers a paracrine senescence loop in renal epithelial cells · 2024 · DOIAlthough the involvement of autophagy in porcine circovirus 2 (PCV2) infection has become apparent, it remains unclear whether selective autophagy plays a critical role in PCV2 restriction.
Retinol binding protein 4 restricts PCV2 replication via selective autophagy degradation of viral ORF1 protein · 2024 · DOIThe mechanism by which these CD8+ T cells acquire a CCR9-dependent "brain-tropic" phenotype remains unclear.
Cutting Edge: Retinoic Acid Promotes Brain-homing of CD8+ T Cells during Congenital Cytomegalovirus Infection · 2024 · DOIAlthough CMV-specific Th17 cells are detectable in animal models and nontransplant clinical populations, evidence linking CMV and Th17 cells after renal transplantation remains unclear.
Virus-specific Th17 Cells Are Induced by Human Cytomegalovirus after Renal Transplantation · 2024 · DOINevertheless, the clinical characteristics for CMV reactivation are lacking among septic patients requiring mechanical ventilation.
Further investigation of the underlying biology of these viral DNA infections in children with sepsis is warranted to determine whether they only reflect mortality risk or contribute to mortality.
CMVR can result in extensive retinal tissue damage and irreversible vision impairment if left untreated. The treatment of CMVR is challenging due to the lack of a clear standard for the length of treatment.
Factors influencing the treatment duration and visual prognosis of cytomegalovirus retinitis after allogeneic hematopoietic stem cell transplantation · 2026 · DOI
Most-cited papers in Cytomegalovirus and herpesvirus research
- Effect of ganciclovir therapy on hearing in symptomatic congenital cytomegalovirus disease involving the central nervous system: a randomized, controlled trial · The Journal of Pediatrics · 2003 · 806 citations
- Progressive and fluctuating sensorineural hearing loss in children with asymptomatic congenital cytomegalovirus infection · The Journal of Pediatrics · 1997 · 458 citations
- Symptomatic Congenital Cytomegalovirus Infection in Infants Born to Mothers With Preexisting Immunity to Cytomegalovirus · PEDIATRICS · 1999 · 318 citations
- Newborn hearing screening: Will children with hearing loss caused by congenital cytomegalovirus infection be missed? · The Journal of Pediatrics · 1999 · 281 citations
- Early predictors of neurodevelopmental outcome in symptomatic congenital cytomegalovirus infection · The Journal of Pediatrics · 2001 · 274 citations
- Functions and consequences of AID/APOBEC-mediated DNA and RNA deamination · Nature Reviews Genetics · 2022 · 252 citations
- Cytomegalovirus as a possible cause of a disease resembling infectious mononucleosis. · BMJ · 1965 · 243 citations
- Congenital Cytomegalovirus Infection: Association between Virus Burden in Infancy and Hearing Loss · The Journal of Pediatrics · 2005 · 237 citations
- Cytomegalovirus Antibody Levels, Inflammation, and Mortality Among Elderly Latinos Over 9 Years of Follow-up · American Journal of Epidemiology · 2010 · 234 citations
- Cytomegalovirus Infection and the Risk of Mortality and Frailty in Older Women: A Prospective Observational Cohort Study · American Journal of Epidemiology · 2010 · 226 citations
Most recent work
- Universal Cytomegalovirus Screening in the First Trimester of Pregnancy: The Multicentre Observational Cohort Study in the Area of Barcelona ( CITEMB Study) · BJOG An International Journal of Obstetrics & Gynaecology · 2026
- Development and validation of a duplex droplet digital PCR assay for the simultaneous detection of cytomegalovirus and Epstein-Barr virus in plasma · Frontiers in Cellular and Infection Microbiology · 2026
- Concurrent cytomegalovirus iridocyclitis and vitreoretinal lymphoma in the same eye during long-term infliximab therapy: a case report · Journal of Ophthalmic Inflammation and Infection · 2026
- Hearing-Targeted Congenital Cytomegalovirus Screening: An 11-Year Experience · PEDIATRICS · 2026
- A comparative performance evaluation of the VIDAS cytomegalovirus (CMV) interferon-gamma release assay (IGRA) and T-SPOT CMV for measuring CMV-specific T-cell responses in allogeneic hematopoietic stem cell transplant recipients receiving letermovir prophylaxis · Journal of Clinical Microbiology · 2026
- Comment on “Advances in Antiviral Strategies for Oral Herpes Infections in Immunocompromised Patients” · Oral Diseases · 2026
- The diagnostic value of prenatal ultrasound imaging features in an infant with congenital human cytomegalovirus infection combined with blueberry muffin-like skin manifestations: a case analysis and literature review · BMC Pediatrics · 2026
- Congenital cytomegalovirus infection drives oligoclonal expansion of cytotoxic γδ T cells from early fetal progenitors · The Journal of Immunology · 2026
- Factors influencing the treatment duration and visual prognosis of cytomegalovirus retinitis after allogeneic hematopoietic stem cell transplantation · International Journal of Ophthalmology · 2026
- Autopsy Case of a Disseminated Cytomegalovirus Infection with a Cutaneous Ulcer Mimicking Rheumatoid Vasculitis · Internal Medicine · 2026
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