“…Patients who mount a robust IFN-␣ response show lower viral loads, even before IgM seroconversion, concomitant with significant upregulation of IFN-␥ during the viremic phase (217). Permeability of the blood-brain barrier (BBB), which is enhanced by cytokine responses, has been shown in murine models to be critical to resistance to WNV infection (230), and elements which decrease the integrity of the BBB contribute to susceptibility to infection with WNV (7,226,227). Entry to the CNS may be afforded by trafficking of infected CD45 ϩ leukocytes and CD11b macrophages (218), T cells (228), or neutrophils (225).…”