Related Experiment Video
Updated: Jul 7, 2025

Recurrent Herpetic Stromal Keratitis in Mice, a Model for Studying Human HSK
Published on: December 18, 2012
The causal association between COVID-19 and herpes simplex virus: a Mendelian randomization study
Ming Yan1,2, Li-Yuan Xiao1, Martin Gosau2
1Department of Oral and Maxillofacial Surgery, Guiyang Hospital of Stomatology, Guiyang, China.
Insights
The coronavirus disease 2019 (COVID-19) may decrease the risk of herpes simplex virus type-1 (HSV-1) infection but increase the risk of herpes simplex virus type-2 (HSV-2) infection. Further research is needed to clarify this relationship.
Area of Science:
- Virology
- Epidemiology
- Genetics
Background:
- Coronavirus disease 2019 (COVID-19) is a major global health concern.
- Herpes simplex virus types 1 and 2 (HSV-1, HSV-2) are common viral infections.
- A potential link between COVID-19 and HSV infections has been suggested but not confirmed.
Purpose of the Study:
- To investigate the potential causal relationship between COVID-19 infection and HSV-1/HSV-2 infections.
- To assess whether COVID-19 influences the risk of acquiring HSV infections.
Main Methods:
- Utilized a Mendelian randomization (MR) approach.
- Employed Genome-Wide Association Study (GWAS) data for causality assessment.
- Applied multiple estimation methods including IVW and weighted median.
Main Results:
- COVID-19 infection was associated with a reduced risk of HSV-1 infection (OR=0.5690).
- COVID-19 infection was associated with an increased risk of HSV-2 infection (OR=1.1137).
- Reverse MR analysis found no evidence of a causal link from HSV to COVID-19.
Conclusions:
- COVID-19 infection may reduce the risk of HSV-1.
- COVID-19 infection may elevate the risk of HSV-2.
- The causal relationship is unidirectional from COVID-19 to HSV infections.
Introduction:
The coronavirus disease 2019 (COVID-19) has emerged as a main global public health challenge. Additionally, herpes simplex virus type-1 (HSV-1) and type 2 (HSV-2) are widespread viruses that can cause orolabial herpes and genital herpes. Several clinical case reports have declared a possible association between the two, however, the causal relationship between them has not been clarified.
Methods:
This study utilized a Mendelian randomization (MR) approach for causality assessment between COVID-19 infection and HSV infection based on the latest public health data and Genome-Wide Association Study (GWAS) data. Multiple causal estimation methods, such as IVW, weighted median, simple mode, and weighted mode, were employed to validate the causal relation between COVID-19 infection and HSV infection, with COVID-19 infection, COVID-19 hospitalization, and severe COVID-19 as exposures, and HSV1/2 infection as the outcome. A reverse MR analysis was subsequently performed.
Results:
MR analysis exhibited that COVID-19 infection was relevant to a reduced risk of HSV1 infection (p=7.603239e-152, OR=0.5690, 95%CI=0.5455-0.5935, IVW). Regarding the effect of COVID-19 infection on HSV2, MR analysis suggested that COVID-19 infection was correlated with an augmented risk of HSV2 infection (p=6.46735e-11, OR=1.1137, 95%CI=1.0782-1.1502, IVW). The reverse MR analysis did not demonstrate a reverse causal relationship between HSV and COVID-19.
Discussion:
Altogether, COVID-19 infection might cause a decreased risk of HSV1 infection and an elevated risk of HSV2 infection.
Related Concept Videos
Single Nucleotide Polymorphisms-SNPs
Causality in Epidemiology
Genome-wide Association Studies-GWAS
GWAS does not require the identification of the target gene involved in...
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
Mechanisms of Retrovirus-induced Cancers

