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Review
. 2021 Oct:72:158-166.
doi: 10.1016/j.coi.2021.05.004. Epub 2021 May 29.

Constitutive and latent immune mechanisms exert 'silent' control of virus infections in the central nervous system

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Review

Constitutive and latent immune mechanisms exert 'silent' control of virus infections in the central nervous system

Soren R Paludan et al. Curr Opin Immunol. 2021 Oct.

Abstract

Viral infections in the central nervous system (CNS) can lead to severe disease manifestations often mediated by a combination of viral cytopathic effects and immunopathology. Moreover, neuronal tissue and brain activities are highly sensitive to excessive inflammation that disturb homeostasis. Immune responses to virus infections in the CNS should therefore be tightly balanced and limited in magnitude and duration to avoid immunopathology and tissue damage. Recent data from genetic studies of patients with viral infections in the CNS as well as experimental cell and animal models have provided evidence of non-redundant roles for constitutive and latent immune mechanisms, which mediate a first line of antiviral control without significantly triggering inflammatory activities. Collectively, accumulating data suggest the existence of a layer of immune mechanisms in the CNS exerting immediate control of infection, hence buffering the need for activation of more potent immune reactions with inherent potential to induce immunopathology and disease.

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