Article ; Online: Herpes simplex virus encephalitis of childhood: inborn errors of central nervous system cell-intrinsic immunity.
2020 Volume 139, Issue 6-7, Page(s) 911–918
Abstract: Herpes simplex virus 1 (HSV-1) encephalitis (HSE) is the most common sporadic viral encephalitis in Western countries. Over the last 15 years, human genetic and immunological studies have provided proof-of-principle that childhood HSE can result from ... ...
Abstract | Herpes simplex virus 1 (HSV-1) encephalitis (HSE) is the most common sporadic viral encephalitis in Western countries. Over the last 15 years, human genetic and immunological studies have provided proof-of-principle that childhood HSE can result from inborn errors of central nervous system (CNS)-specific, cell-intrinsic immunity to HSV-1. HSE-causing mutations of eight genes disrupt known (TLR3-dependent IFN-α/β immunity) and novel (dependent on DBR1 or snoRNA31) antiviral mechanisms. Monogenic inborn errors confer susceptibility to forebrain (TLR3-IFN or snoRNA31) or brainstem (DBR1) HSE. Most of these disorders display incomplete clinical penetrance, with the possible exception of DBR1 deficiency. They account for a small, but non-negligible proportion of cases (about 7%). These findings pave the way for the gradual definition of the genetic and immunological architecture of childhood HSE, with both biological and clinical implications. |
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MeSH term(s) | Central Nervous System Diseases/epidemiology ; Central Nervous System Diseases/genetics ; Central Nervous System Diseases/immunology ; Central Nervous System Diseases/virology ; Child ; Encephalitis, Herpes Simplex/epidemiology ; Encephalitis, Herpes Simplex/genetics ; Encephalitis, Herpes Simplex/immunology ; Encephalitis, Herpes Simplex/virology ; Genetic Predisposition to Disease ; Herpes Simplex/complications ; Herpes Simplex/immunology ; Herpes Simplex/virology ; Herpesvirus 1, Human/immunology ; Herpesvirus 1, Human/pathogenicity ; Host-Pathogen Interactions/genetics ; Host-Pathogen Interactions/immunology ; Humans ; Immunity, Cellular/immunology ; Mutation |
Language | English |
Publishing date | 2020-02-10 |
Publishing country | Germany |
Document type | Journal Article ; Review |
ZDB-ID | 223009-4 |
ISSN | 1432-1203 ; 0340-6717 |
ISSN (online) | 1432-1203 |
ISSN | 0340-6717 |
DOI | 10.1007/s00439-020-02127-5 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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