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. 2025 Jun 26;17(7):903. doi: 10.3390/v17070903

Table 2.

Association of anti-SARS-CoV-2 drugs with EBV reactivation.

S. No. Anti-SARS-CoV-2 Drugs Role in EBV Reactivation
1. Remdesivir
  • Increases the expression of viral lytic genes—BZLF1 (immediate early gene) and BHFR1 (early gene) [27].

  • Reduces STAT3 but increases p38 MAPK phosphorylation from EBV+ lymphoma cells [28,29].

2. Azithromycin and nafamostat mesylate
  • Significantly increase viral lytic gene expression and virion production via the activation of MAPK and NF-kB signalling pathways [26].

3. Chloroquine diphosphate
  • Triggers EBV replication through phosphorylation of Kruppel-associated and Box-associated protein 1/tripartite motif-containing protein 28 (KAP1/TRIM28) in Burkitt lymphoma cells [30].

4. Dexamethasone
  • Leads to dose-dependent upregulation of immediate early gene BZLF1 mRNA expression that encodes the lytic transactivator protein ZEBRA [31].