West Nile Virus: Immunity and Pathogenesis

West Nile virus (WNV) is a neurotropic, arthropod-borne flavivirus that is maintained in an enzootic cycle between mosquitoes and birds, but can also infect and cause disease in horses and humans. WNV is endemic in parts of Africa, Europe, the Middle East, and Asia, and since 1999 has spread to Nort...

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Main Authors: Byron E.E. Martina, Albert D.M.E. Osterhaus, Penelope Koraka, Stephanie M. Lim
Format: Article
Language:English
Published: MDPI AG 2011-06-01
Series:Viruses
Subjects:
Online Access:http://www.mdpi.com/1999-4915/3/6/811/
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author Byron E.E. Martina
Albert D.M.E. Osterhaus
Penelope Koraka
Stephanie M. Lim
author_facet Byron E.E. Martina
Albert D.M.E. Osterhaus
Penelope Koraka
Stephanie M. Lim
author_sort Byron E.E. Martina
collection DOAJ
description West Nile virus (WNV) is a neurotropic, arthropod-borne flavivirus that is maintained in an enzootic cycle between mosquitoes and birds, but can also infect and cause disease in horses and humans. WNV is endemic in parts of Africa, Europe, the Middle East, and Asia, and since 1999 has spread to North America, Mexico, South America, and the Caribbean. WNV infects the central nervous system (CNS) and can cause severe disease in a small minority of infected humans, mostly immunocompromised or the elderly. This review discusses some of the mechanisms by which the immune system can limit dissemination of WNV infection and elaborates on the mechanisms involved in pathogenesis. Reasons for susceptibility to WNV-associated neuroinvasive disease in less than 1% of cases remain unexplained, but one favored hypothesis is that the involvement of the CNS is associated with a weak immune response allowing robust WNV replication in the periphery and spread of the virus to the CNS.
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spelling doaj.art-fc0f52b8f57d467b95dc59f7c82a396e2022-12-22T00:55:19ZengMDPI AGViruses1999-49152011-06-013681182810.3390/v3060811West Nile Virus: Immunity and PathogenesisByron E.E. MartinaAlbert D.M.E. OsterhausPenelope KorakaStephanie M. LimWest Nile virus (WNV) is a neurotropic, arthropod-borne flavivirus that is maintained in an enzootic cycle between mosquitoes and birds, but can also infect and cause disease in horses and humans. WNV is endemic in parts of Africa, Europe, the Middle East, and Asia, and since 1999 has spread to North America, Mexico, South America, and the Caribbean. WNV infects the central nervous system (CNS) and can cause severe disease in a small minority of infected humans, mostly immunocompromised or the elderly. This review discusses some of the mechanisms by which the immune system can limit dissemination of WNV infection and elaborates on the mechanisms involved in pathogenesis. Reasons for susceptibility to WNV-associated neuroinvasive disease in less than 1% of cases remain unexplained, but one favored hypothesis is that the involvement of the CNS is associated with a weak immune response allowing robust WNV replication in the periphery and spread of the virus to the CNS.http://www.mdpi.com/1999-4915/3/6/811/West Nile viruspathogenesiscentral nervous systemneuroinvasion
spellingShingle Byron E.E. Martina
Albert D.M.E. Osterhaus
Penelope Koraka
Stephanie M. Lim
West Nile Virus: Immunity and Pathogenesis
Viruses
West Nile virus
pathogenesis
central nervous system
neuroinvasion
title West Nile Virus: Immunity and Pathogenesis
title_full West Nile Virus: Immunity and Pathogenesis
title_fullStr West Nile Virus: Immunity and Pathogenesis
title_full_unstemmed West Nile Virus: Immunity and Pathogenesis
title_short West Nile Virus: Immunity and Pathogenesis
title_sort west nile virus immunity and pathogenesis
topic West Nile virus
pathogenesis
central nervous system
neuroinvasion
url http://www.mdpi.com/1999-4915/3/6/811/
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