“…While such infections are generally controlled by locally residing CD8 + T cells (Liu et al, 2000; Reading et al, 2006), the virus can spread to the brain in neonates as well as immunosuppressed adults, and result in herpes simplex encephalitis (HSE). As glucocorticoids are known to induce apoptosis of T lymphocytes (Blewitt et al, 1983; Caron-Leslie et al, 1991; Cohen and Duke, 1984; Wyllie, 1980), heightened levels of these hormones during HSV infection are associated with immunosuppression, viral spread to the CNS, reactivation of latent virus, and HSE (Freeman et al, 2007; Kusnecov et al, 1992; Nair et al, 2007). Therefore, HSE-associated pathogenesis could be better controlled, if not averted, by a clearer understanding of the immune response following this route of infection, as well as steps at which glucocorticoid-mediated failures in such a response occur.…”