Institute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Helmholtz Centre for Infection Research and the Hannover Medical School, 30625, Hannover, Germany.
Department of Pathology, University of Veterinary Medicine Hannover, Foundation, 30559, Hannover, Germany.
Cell Mol Immunol. 2024 Sep;21(9):943-958. doi: 10.1038/s41423-024-01181-7. Epub 2024 Jul 12.
Many newly emerging and re-emerging viruses have neuroinvasive potential, underscoring viral encephalitis as a global research priority. Upon entry of the virus into the CNS, severe neurological life-threatening conditions may manifest that are associated with high morbidity and mortality. The currently available therapeutic arsenal against viral encephalitis is rather limited, emphasizing the need to better understand the conditions of local antiviral immunity within the infected CNS. In this review, we discuss new insights into the pathophysiology of viral encephalitis, with a focus on myeloid cells and CD8 T cells, which critically contribute to protection against viral CNS infection. By illuminating the prerequisites of myeloid and T cell activation, discussing new discoveries regarding their transcriptional signatures, and dissecting the mechanisms of their recruitment to sites of viral replication within the CNS, we aim to further delineate the complexity of antiviral responses within the infected CNS. Moreover, we summarize the current knowledge in the field of virus infection and neurodegeneration and discuss the potential links of some neurotropic viruses with certain pathological hallmarks observed in neurodegeneration.
许多新出现和重现的病毒具有神经侵袭性潜力,这突显了病毒性脑炎作为全球研究重点的重要性。病毒进入中枢神经系统后,可能会出现严重的危及生命的神经系统疾病,这些疾病与高发病率和死亡率相关。目前针对病毒性脑炎的治疗方法相当有限,这强调了需要更好地了解感染的中枢神经系统内局部抗病毒免疫的情况。在这篇综述中,我们讨论了对病毒性脑炎病理生理学的新见解,重点是髓样细胞和 CD8 T 细胞,它们对抵抗病毒中枢神经系统感染至关重要。通过阐明髓样细胞和 T 细胞激活的前提条件,讨论关于它们转录特征的新发现,并剖析它们在中枢神经系统内病毒复制部位募集的机制,我们旨在进一步阐明感染的中枢神经系统内抗病毒反应的复杂性。此外,我们总结了病毒感染和神经退行性变领域的现有知识,并讨论了一些神经嗜性病毒与神经退行性变中观察到的某些病理特征之间的潜在联系。