Sethi P, Lipton H L
Br J Exp Pathol. 1983 Feb;64(1):57-65.
The present study has shown that virus can be readily detected by immunofluorescent staining in the central nervous system (CNS) of SJL mice persistently infected with Theiler's murine encephalomyelitis virus (TMEV). Considering the low CNS virus content, large amounts of virus antigen were found in the white matter, the site of demyelinating lesions. Virus antigen was detected in all animals killed after post-infection (PI) Day 21, a time which can be considered as the beginning of the persistent phase of this infection, and the appearance of virus antigen in white matter corresponded closely in time with the onset of demyelination. The pathogensis of this persistent infection can now be reasonably well reconstructed from the temporal observations made in this study. It would appear that between the second and third week PI, virus replication largely shifts from neurons in spinal cord gray matter to other cell types located in white matter. While a lower-grade persistent infection (in terms of the relative number of cells containing virus antigen) is established and maintained in cells in the gray matter and inflammatory and leptomeningeal infiltrates, cells in white matter appear to be mainly responsible for perpetuating the infection. Why these cells should supplant neurons as the most susceptible host cell during the chronic phase of the infection is discussed.
本研究表明,在持续感染泰勒氏鼠脑脊髓炎病毒(TMEV)的SJL小鼠的中枢神经系统(CNS)中,通过免疫荧光染色可轻易检测到病毒。考虑到中枢神经系统病毒含量较低,在脱髓鞘病变部位的白质中发现了大量病毒抗原。在感染后(PI)第21天处死的所有动物中均检测到病毒抗原,这个时间可被视为该感染持续阶段的开始,白质中病毒抗原的出现时间与脱髓鞘的开始密切相关。根据本研究中的时间观察结果,现在可以合理地很好重建这种持续感染的发病机制。似乎在感染后第二至三周之间,病毒复制主要从脊髓灰质中的神经元转移到白质中的其他细胞类型。虽然在灰质细胞以及炎症和软脑膜浸润中建立并维持了较低级别的持续感染(就含有病毒抗原的细胞相对数量而言),但白质中的细胞似乎是使感染持续存在的主要原因。本文讨论了为什么这些细胞在感染的慢性阶段会取代神经元成为最易感染的宿主细胞。