Carrithers Michael D
Neurology Service, William S. Middleton Memorial Veterans Hospital, and Department of Neurology, University of Wisconsin, Madison, WI, USA.
Handb Clin Neurol. 2014;123:215-23. doi: 10.1016/B978-0-444-53488-0.00009-2.
Innate immune responses mediated by mononuclear phagocytes represent the initial host response to acute viral infection. PRRs, including TLRs, retinoic RLRs,and NOD-like receptors, recognize viral nucleic acid and localized injury signals to initiate proinflammatory responses and activation of adaptive immunity. These responses are host- and viral-dependent. Neurotropic viruses, such as HSV, West Nile virus, and HIV activate and evade innate immune signaling mechanisms by distinct mechanisms. These highly complex pathogen-host interactions determine establishment of infection, severity of clinical disease, development of chronic inflammatory processes, and success of vaccination strategies.
单核吞噬细胞介导的固有免疫反应是宿主对急性病毒感染的初始反应。模式识别受体(PRR),包括Toll样受体(TLR)、视黄酸诱导基因样受体(RLR)和核苷酸结合寡聚化结构域样受体(NOD样受体),识别病毒核酸和局部损伤信号,以启动促炎反应和适应性免疫激活。这些反应取决于宿主和病毒。嗜神经病毒,如单纯疱疹病毒(HSV)、西尼罗河病毒和人类免疫缺陷病毒(HIV),通过不同机制激活并逃避固有免疫信号传导机制。这些高度复杂的病原体-宿主相互作用决定了感染的建立、临床疾病的严重程度、慢性炎症过程的发展以及疫苗接种策略的成功。