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TLR3 Deficiency in Patients with Herpes Simplex Encephalitis
Abstract
Some Toll and Toll-like receptors (TLRs) provide immunity to experimental infections in animal models, but their contribution to host defense in natural ecosystems is unknown. We report a dominant-negative TLR3 allele in otherwise healthy children with herpes simplex virus 1 (HSV-1) encephalitis. TLR3 is expressed in the central nervous system (CNS), where it is required to control HSV-1, which spreads from the epithelium to the CNS via cranial nerves. TLR3 is also expressed in epithelial and dendritic cells, which apparently use TLR3-independent pathways to prevent further dissemination of HSV-1 and to provide resistance to other pathogens in TLR3-deficient patients. Human TLR3 appears to be redundant in host defense to most microbes but is vital for natural immunity to HSV-1 in the CNS, which suggests that neurotropic viruses have contributed to the evolutionary maintenance of TLR3.
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An increased risk of herpes encephalitis after HSV-1 infection is observed in children with autosomal dominant mutations in TLR3, indicating that TLR3 trafficking by UNC93B1 is crucial for the control of HSV-1 infection.
“Consistent with this, an increased risk of herpes encephalitis after HSV-1 infection is observed in children with autosomal dominant mutations in TLR3, indicating that TLR3 trafficking by UNC93B1 is crucial for the control of HSV-1 infection (50).”
From UNC93B1 Is Widely Expressed in the Murine CNS and Is Required for Neuroinflammation and Neuronal Injury Induced by MicroRNA let-7b (2021) · cites this paper as [50]
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Metadata
- Authors
- Zhang, S.-Y., Jouanguy, E., Ugolini, S., Smahi, A., Elain, G., Romero, P., Segal, D., Sancho-Shimizu, V., Lorenzo, L., Puel, A., Picard, C., Chapgier, A., Plancoulaine, S., Titeux, M., Cognet, C., von Bernuth, H., Ku, C.-L., Casrouge, A., Zhang, X.-X., Barreiro, L., Leonard, J., Hamilton, C., Lebon, P., Héron, B., Vallée, L., Quintana-Murci, L., Hovnanian, A., Rozenberg, F., Vivier, E., Geissmann, F., Tardieu, M., Abel, L., & Casanova, J.-L.
- Affiliations
- Human Genetics of Infectious Diseases, Institut National de la Santé et de la Recherche Médicale (INSERM), U550, Faculty Necker, Paris 75015, France.
- Venue
- Science
- Published
- 2007-09-14
- Volume
- 317
- Issue
- 5844
- Pages
- 1522-1527
- ISSN
- 0036-8075
- 1095-9203
- Cited by
- 1,057
- References
- 2
- Language
- en
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