2006
DOI: 10.1126/science.1128346
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Herpes Simplex Virus Encephalitis in Human UNC-93B Deficiency

Abstract: Herpes simplex virus-1 (HSV-1) encephalitis (HSE) is the most common form of sporadic viral encephalitis in western countries. Its pathogenesis remains unclear, as it affects otherwise healthy patients and only a small minority of HSV-1-infected individuals. Here, we elucidate a genetic etiology for HSE in two children with autosomal recessive deficiency in the intracellular protein UNC-93B, resulting in impaired cellular interferon-alpha/beta and -lambda antiviral responses. HSE can result from a single-gene … Show more

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Cited by 680 publications
(622 citation statements)
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“…Indeed, there was no evidence for specific BoHV-1 DNA restriction patterns associated to these strains isolated from cattle brains whereas the DNA restriction patterns showed clear differences between BoHV-1 and the neuropathogenic strains belonging to BoHV-5 [40,132]. But several host factors may account for increased susceptibility to CNS infection by BoHV-1 as suggested by recent data obtained on sporadic cases of encephalitis caused by HSV-1 in humans [26]. For example, infants possessing homozygous deficiencies in STAT1, a key regulator protein of the antiviral pathway induced by interferons (IFN) α and β, were shown to be very susceptible to lethal CNS herpesvirus infection [28,42].…”
Section: Neuroinvasionmentioning
confidence: 99%
“…Indeed, there was no evidence for specific BoHV-1 DNA restriction patterns associated to these strains isolated from cattle brains whereas the DNA restriction patterns showed clear differences between BoHV-1 and the neuropathogenic strains belonging to BoHV-5 [40,132]. But several host factors may account for increased susceptibility to CNS infection by BoHV-1 as suggested by recent data obtained on sporadic cases of encephalitis caused by HSV-1 in humans [26]. For example, infants possessing homozygous deficiencies in STAT1, a key regulator protein of the antiviral pathway induced by interferons (IFN) α and β, were shown to be very susceptible to lethal CNS herpesvirus infection [28,42].…”
Section: Neuroinvasionmentioning
confidence: 99%
“…It has been proposed that the weak yet detectable TRAF3 expression in this individual account for survival into adulthood [99]. Other TLRs that are implicated in conferring protective immunity against HSE in humans, are TLR 7, 8 and 9, since an autosomal recessive mutation in UNC93B, which is required for the proper signalling of these TLRs, also predisposed to HSE [100] (Table 3). …”
Section: Tlrs and Herpes Simplex Encephalitismentioning
confidence: 99%
“…This finding led us to hypothesize that HSE in otherwise healthy children might be caused by inborn errors of antiviral IFN-α/β immunity. We analyzed genome-wide linkage data and both blood and fibroblastic responses to herpes simplex virus and various viral intermediates in children with isolated HSE from this IFN-α/β-based angle, and we discovered mutations affecting five genes governing the TLR3-mediated IFN-α/β pathway (116)(117)(118)(119)(120)(121). Another group recently identified a mutation in a sixth gene (122).…”
Section: Hse: a Genetic Diseasementioning
confidence: 99%