Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion

Enteroviruses are a major source of human disease, particularly in neonates and young children where infections can range from acute, self-limited febrile illness to meningitis, endocarditis, hepatitis, and acute flaccid myelitis. The enterovirus genus includes poliovirus, coxsackieviruses, echoviru...

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Main Authors: Alexandra I. Wells, Carolyn B. Coyne
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/11/5/460
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author Alexandra I. Wells
Carolyn B. Coyne
author_facet Alexandra I. Wells
Carolyn B. Coyne
author_sort Alexandra I. Wells
collection DOAJ
description Enteroviruses are a major source of human disease, particularly in neonates and young children where infections can range from acute, self-limited febrile illness to meningitis, endocarditis, hepatitis, and acute flaccid myelitis. The enterovirus genus includes poliovirus, coxsackieviruses, echoviruses, enterovirus 71, and enterovirus D68. Enteroviruses primarily infect by the fecal−oral route and target the gastrointestinal epithelium early during their life cycles. In addition, spread via the respiratory tract is possible and some enteroviruses such as enterovirus D68 are preferentially spread via this route. Once internalized, enteroviruses are detected by intracellular proteins that recognize common viral features and trigger antiviral innate immune signaling. However, co-evolution of enteroviruses with humans has allowed them to develop strategies to evade detection or disrupt signaling. In this review, we will discuss how enteroviruses infect the gastrointestinal tract, the mechanisms by which cells detect enterovirus infections, and the strategies enteroviruses use to escape this detection.
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spelling doaj.art-1b68783a0cd547ea8e362fc3d99409f42022-12-22T01:57:12ZengMDPI AGViruses1999-49152019-05-0111546010.3390/v11050460v11050460Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and EvasionAlexandra I. Wells0Carolyn B. Coyne1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USADepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USAEnteroviruses are a major source of human disease, particularly in neonates and young children where infections can range from acute, self-limited febrile illness to meningitis, endocarditis, hepatitis, and acute flaccid myelitis. The enterovirus genus includes poliovirus, coxsackieviruses, echoviruses, enterovirus 71, and enterovirus D68. Enteroviruses primarily infect by the fecal−oral route and target the gastrointestinal epithelium early during their life cycles. In addition, spread via the respiratory tract is possible and some enteroviruses such as enterovirus D68 are preferentially spread via this route. Once internalized, enteroviruses are detected by intracellular proteins that recognize common viral features and trigger antiviral innate immune signaling. However, co-evolution of enteroviruses with humans has allowed them to develop strategies to evade detection or disrupt signaling. In this review, we will discuss how enteroviruses infect the gastrointestinal tract, the mechanisms by which cells detect enterovirus infections, and the strategies enteroviruses use to escape this detection.https://www.mdpi.com/1999-4915/11/5/460enterovirusesgastrointestinal tractpattern recognition receptorsinterferon
spellingShingle Alexandra I. Wells
Carolyn B. Coyne
Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion
Viruses
enteroviruses
gastrointestinal tract
pattern recognition receptors
interferon
title Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion
title_full Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion
title_fullStr Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion
title_full_unstemmed Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion
title_short Enteroviruses: A Gut-Wrenching Game of Entry, Detection, and Evasion
title_sort enteroviruses a gut wrenching game of entry detection and evasion
topic enteroviruses
gastrointestinal tract
pattern recognition receptors
interferon
url https://www.mdpi.com/1999-4915/11/5/460
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