Bereczky-Veress Biborka, Lidman Olle, Sabri Farideh, Bednar Ivan, Granath Fredrik, Bergström Tomas, Spenger Christian, Grandien Alf, Olsson Tomas, Piehl Fredrik, Diez Margarita, Sköldenberg Birgit
Department of Medicine, Infectious Diseases Unit, CNS Group, Karolinska University Hospital, CMM, L8:01, SE-171 76 Stockholm, Sweden.
J Neurovirol. 2008 Apr;14(2):102-18. doi: 10.1080/13550280701883832.
Herpes simplex encephalitis (HSE) is characterized by severe focal brain inflammation leading to substantial loss of nervous tissue. The authors established a model of Herpes simplex virus type 1 (HSV)-1-induced acute encephalitis in the rat by injecting into the whiskers' area a virus strain isolated from a fatal human HSE case. The model might resemble natural propagation of HSV-1 in humans; spreading from the mouth and lips via the trigeminal nerve to trigeminal ganglia and subsequently entering the central nervous system (CNS). HSV-1 infected Dark Agouti (DA) rats developed a well-synchronized disease and died 5 days after inoculation. HSV-1 detection by quantitative polymerase chain reaction (qPCR), virus isolation and immunohistochemistry, magnetic resonance imaging, and histopathological examination verified dramatic encephalitis mainly in the brainstem, but also in the olfactory bulb and other segments of the brain of diseased rats. In contrast, Piebald Virol Glaxo (PVG) rats were completely resistant to disease, displaying a more rapid clearance of peripheral infection and no evidence of virus entering into neither the trigeminal ganglia nor the CNS. These results suggest a regulation of susceptibility to HSV-1-induced encephalitis at the level of peripheral infection and subsequent neuronal uptake/transport of the virus. This provides a basis for future positioning of genetic polymorphisms regulating HSE and for dissection of important pathogenetic mechanisms of this severe human disease.
单纯疱疹性脑炎(HSE)的特征是严重的局灶性脑炎症,导致神经组织大量丧失。作者通过将从一例致命的人类HSE病例中分离出的病毒株注射到须部区域,建立了大鼠1型单纯疱疹病毒(HSV-1)诱导的急性脑炎模型。该模型可能类似于HSV-1在人类中的自然传播;从口腔和嘴唇通过三叉神经传播到三叉神经节,随后进入中枢神经系统(CNS)。感染HSV-1的黑褐大鼠(DA)出现了同步良好的疾病,并在接种后5天死亡。通过定量聚合酶链反应(qPCR)、病毒分离和免疫组织化学、磁共振成像以及组织病理学检查检测HSV-1,证实患病大鼠的脑炎主要发生在脑干,但也发生在嗅球和大脑的其他部位。相比之下,花斑病毒学葛兰素(PVG)大鼠对疾病完全有抵抗力,对外周感染的清除更快,且没有病毒进入三叉神经节或中枢神经系统的迹象。这些结果表明,在HSV-1诱导的脑炎易感性方面,外周感染以及随后病毒的神经元摄取/运输存在调节作用。这为未来定位调节HSE的基因多态性以及剖析这种严重人类疾病的重要发病机制提供了基础。