Brisse Morgan E, Hickman Heather D
Laboratory of Viral Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20852, USA.
Microorganisms. 2025 Feb 18;13(2):443. doi: 10.3390/microorganisms13020443.
Many viruses induce viremia (virus in the blood) and disseminate throughout the body via the bloodstream from the initial infection site. However, viruses must often pass through the lymphatic system to reach the blood. The lymphatic system comprises a network of vessels distinct from blood vessels, along with interconnected lymph nodes (LNs). The complex network has become increasingly appreciated as a crucial host factor that contributes to both the spread and control of viral infections. Viruses can enter the lymphatics as free virions or along with migratory cells. Once virions arrive in the LN, sinus-resident macrophages remove infectious virus from the lymph. Depending on the virus, macrophages can eliminate infection or propagate the virus. A virus released from an LN is eventually deposited into the blood. This unique pathway highlights LNs as targets for viral infection control and for modulation of antiviral response development. Here, we review the lymphatic system and viruses that disseminate through this network. We discuss infection of the LN, the generation of adaptive antiviral immunity, and current knowledge of protection within the infected node. We conclude by sharing insights from ongoing efforts to optimize lymphatic targeting by vaccines and pharmaceuticals. Understanding the lymphatic system's role during viral infection enhances our knowledge of antiviral immunity and virus-host interactions and reveals potential targets for next-generation therapies.
许多病毒会引发病毒血症(血液中的病毒),并从初始感染部位通过血液循环传播至全身。然而,病毒常常必须通过淋巴系统才能进入血液。淋巴系统由一个与血管不同的血管网络以及相互连接的淋巴结(LN)组成。这个复杂的网络作为一个关键的宿主因素,对病毒感染的传播和控制的作用日益受到重视。病毒可以作为游离病毒粒子或与迁移细胞一起进入淋巴管。一旦病毒粒子到达淋巴结,驻留在窦内的巨噬细胞会从淋巴中清除感染性病毒。根据病毒的不同,巨噬细胞可以消除感染或传播病毒。从淋巴结释放的病毒最终会进入血液。这条独特的途径凸显了淋巴结作为病毒感染控制靶点以及调节抗病毒反应发展的靶点的重要性。在此,我们综述淋巴系统以及通过该网络传播的病毒。我们讨论淋巴结的感染、适应性抗病毒免疫的产生以及感染淋巴结内保护作用的现有知识。我们通过分享目前在优化疫苗和药物对淋巴系统的靶向作用方面所做努力的见解来进行总结。了解淋巴系统在病毒感染过程中的作用,能增进我们对抗病毒免疫和病毒 - 宿主相互作用的认识,并揭示下一代疗法的潜在靶点。
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