Vandevelde M, Zurbriggen A
Institute of Animal Neurology, University of Bern, Switzerland.
Vet Microbiol. 1995 May;44(2-4):271-80. doi: 10.1016/0378-1135(95)00021-2.
Canine distemper virus (CDV) invades the nervous system and replicates in neurons and glial cell of the white matter during a period of severe viral induced immunosuppression. Demyelination occurs in infected white matter areas in the absence of inflammation. The mechanism of demyelination is not apparent because there is no ultrastructural evidence of viral replication in the oligodendrocytes, the myelin producing cells. However, brain tissue culture studies have shown that oligodendrocytes support transcription of all CDV genes and later on degenerate, although no viral proteins can be found in these cells. It remains to be shown how such a restricted infection leads to demyelination. Concomitant with immunologic recovery during the further course of the disease, inflammation occurs in the demyelinating lesions with progression of the lesions in some animals. A series of experiments in vitro suggested that chronic demyelination is due to a bystander mechanism associated with the virus-induced immune response in which antibody dependent cell-mediated reactions play an important role. The progressive, or even relapsing, course of the disease is associated with viral persistence in the nervous system. Persistence of CDV in the brain appears to be due to non-cytolytic selective spread of the virus with very limited budding. In this way CDV escaped immune surveillance.
犬瘟热病毒(CDV)在严重病毒诱导的免疫抑制期间侵入神经系统,并在白质的神经元和神经胶质细胞中复制。在没有炎症的情况下,感染的白质区域会发生脱髓鞘。脱髓鞘的机制尚不清楚,因为在少突胶质细胞(产生髓磷脂的细胞)中没有病毒复制的超微结构证据。然而,脑组织培养研究表明,少突胶质细胞支持所有CDV基因的转录,随后退化,尽管在这些细胞中未发现病毒蛋白。尚需证明这种有限的感染是如何导致脱髓鞘的。在疾病的进一步发展过程中,随着免疫恢复,脱髓鞘病变中会出现炎症,在一些动物中病变会进展。一系列体外实验表明,慢性脱髓鞘是由于与病毒诱导的免疫反应相关的旁观者机制,其中抗体依赖性细胞介导的反应起重要作用。疾病的进行性甚至复发性病程与病毒在神经系统中的持续存在有关。CDV在大脑中的持续存在似乎是由于病毒的非细胞溶解性选择性传播,出芽非常有限。通过这种方式,CDV逃脱了免疫监视。