Immune system's role in viral encephalitis.

Details

Serval ID
serval:BIB_151D4012F1A2
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Immune system's role in viral encephalitis.
Journal
Revue Neurologique
Author(s)
Spatola M., Du Pasquier R.A.
ISSN
0035-3787 (Print)
ISSN-L
0035-3787
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
170
Number
10
Pages
577-583
Language
english
Notes
Publication types: Publication Status: ppublish
Abstract
Viral infections can be a major thread for the central nervous system (CNS), therefore, the immune system must be able to mount a highly proportionate immune response, not too weak, which would allow the virus to proliferate, but not too strong either, to avoid collateral damages. Here, we aim at reviewing the immunological mechanisms involved in the host defense in viral CNS infections. First, we review the specificities of the innate as well as the adaptive immune responses in the CNS, using several examples of various viral encephalitis. Then, we focus on three different modes of interactions between viruses and immune responses, namely human Herpes virus-1 encephalitis with the defect in innate immune response which favors this disease; JC virus-caused progressive multifocal leukoencephalopathy and the crucial role of adaptive immune response in this example; and finally, HIV infection with the accompanying low grade chronic inflammation in the CNS in some patients, which may be an explanation for the presence of cognitive disorders, even in some well-treated HIV-infected patients. We also emphasize that, although the immune response is generally associated with viral replication control and limited cellular death, an exaggerated inflammatory reaction can lead to tissue damage and can be detrimental for the host, a feature of the immune reconstitution inflammatory syndrome (IRIS). We will briefly address the indication of steroids in this situation.
Pubmed
Web of science
Create date
18/12/2014 18:41
Last modification date
20/08/2019 12:44
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