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Illuminating viral infections in the nervous system
Open accessAbstract
Viral infections are a major cause of human disease. Although most viruses replicate in peripheral tissues, some have developed unique strategies to move into the nervous system, where they establish acute or persistent infections. Viral infections in the central nervous system (CNS) can alter homeostasis, induce neurological dysfunction and result in serious, potentially life-threatening inflammatory diseases. This Review focuses on the strategies used by neurotropic viruses to cross the barrier systems of the CNS and on how the immune system detects and responds to viral infections in the CNS. A special emphasis is placed on immune surveillance of persistent and latent viral infections and on recent insights gained from imaging both protective and pathogenic antiviral immune responses.
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“Viral infections in general downregulate TJ proteins and promote chemokine production and vascular cell adhesion molecule 1 (VCAM-1) expression in brain endothelial cells, thereby weakening the BBB and facilitating entry into the brain (5, 212, 399, 613).”
From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [399]
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Metadata
- Authors
- McGavern, D. B., & Kang, S. S.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- McGavern, Dorian B.
- Venue
- Nature Reviews Immunology
- Published
- 2011-04-21
- Volume
- 11
- Issue
- 5
- Pages
- 318-329
- ISSN
- 1474-1733 (ISSN-L)
- 1474-1741
- PMC
- PMC5001841
- OpenAlex
- W2059369279
- Cited by
- 281
- References
- 119
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 16 · 2023: 22 · 2022: 27 · 2021: 27 · 2020: 28 · 2019: 13 · 2018: 15 · 2017: 17 · 2016: 20 · 2015: 17 · 2014: 12 · 2013: 24 · 2012: 17
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Immunology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Neurological Disorders and Stroke (NS 061447-01, F32NS061447, ZIANS003111)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- neurotropic viruses, viral persistence, viral latency, antiviral immunity, immune surveillance, neuroinflammation, viral neuroinfection
- MeSH terms
- Animals, Blood-Brain Barrier, Capillary Permeability, Central Nervous System, Endothelium, Vascular, Humans, Viruses, Virus Latency, Peripheral Nervous System, Central Nervous System Viral Diseases, Blood-Nerve Barrier, Virus Internalization
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