Shives Katherine D, Tyler Kenneth L, Beckham J David
Department of Immunology and Microbiology, University of Colorado School of Medicine, USA.
Department of Immunology and Microbiology, University of Colorado School of Medicine, USA; Department of Neurology, University of Colorado School of Medicine, USA; Department of Medicine, Division of Infection Diseases, USA.
J Neuroimmunol. 2017 Jul 15;308:102-111. doi: 10.1016/j.jneuroim.2017.03.006. Epub 2017 Mar 11.
Viral infections in the central nervous system are a major cause of encephalitis. West Nile virus (WNV) and Herpes simplex virus (HSV) are the most common causes of viral encephalitis in the United States. We review the role of neuroinflammation in the pathogenesis of WNV and HSV infections in the central nervous system (CNS). We discuss the role of the innate and cell-mediated immune responses in peripheral control of viral infection, viral invasion of the CNS, and in inflammatory-mediated neuronal injury. By understanding the role of specific inflammatory responses to viral infections in the CNS, targeted therapeutic approaches can be developed to maximize control of acute viral infection while minimizing neuronal injury in the CNS.
中枢神经系统的病毒感染是脑炎的主要病因。西尼罗河病毒(WNV)和单纯疱疹病毒(HSV)是美国病毒性脑炎最常见的病因。我们综述了神经炎症在西尼罗河病毒和单纯疱疹病毒中枢神经系统(CNS)感染发病机制中的作用。我们讨论了固有免疫和细胞介导的免疫反应在病毒感染的外周控制、病毒侵入中枢神经系统以及炎症介导的神经元损伤中的作用。通过了解中枢神经系统中针对病毒感染的特定炎症反应的作用,可以开发出有针对性的治疗方法,以最大程度地控制急性病毒感染,同时最小化中枢神经系统中的神经元损伤。