Department of Biotechnology, National Institute of Technology, Raipur, 492010, India.
Department of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005, India.
Microb Pathog. 2019 Nov;136:103678. doi: 10.1016/j.micpath.2019.103678. Epub 2019 Aug 19.
Japanese encephalitis (JE) has emerged as one of the most important form of viral encephalitis, which accounts for an estimated 70,000 cases each year with approximately 10,000 fatalities. The clinical presentations and outcome of the infection is dependent upon both virulence of viral determinants and host immune responses. The causative pathogen of JE is a virus known as Japanese encephalitis virus (JEV), which penetrates into the CNS from blood and triggers rapid humoral and cell-mediated immune response. Humoral response is crucial for the control of dissemination of JEV infection and the cytokines produced by cell-mediated immunity during JEV infections serve as potent immune mediators. Till date, JE is only vaccine preventable and no complete antiviral treatment is available so far. Further, vaccine-mediated prevention also has certain limitations. Therefore, an understanding of the pathogenesis of JEV infection can enable the researchers to presume the depth of treatment regime. This review highlights the importance of understanding of the immune mechanisms that are operated in the host during JEV infection and would be helpful in improving future vaccination strategy against JEV.
日本脑炎(JE)已成为最重要的病毒性脑炎之一,每年估计有 70,000 例,约有 10,000 人死亡。感染的临床表现和结果取决于病毒决定因素的毒力和宿主免疫反应。JE 的病原体是一种称为日本脑炎病毒(JEV)的病毒,它从血液进入中枢神经系统,并引发快速的体液和细胞介导的免疫反应。体液反应对于控制 JEV 感染的传播至关重要,细胞介导免疫在 JEV 感染期间产生的细胞因子作为有效的免疫介质。迄今为止,JE 只能通过疫苗预防,目前尚无完全的抗病毒治疗方法。此外,疫苗介导的预防也存在一定的局限性。因此,了解 JEV 感染的发病机制可以使研究人员推测治疗方案的深度。这篇综述强调了理解宿主在 JEV 感染过程中运作的免疫机制的重要性,这将有助于改进针对 JEV 的未来疫苗接种策略。