“…Although induction of neuroinflammation is necessary for defense against many viral infections, including other flaviviruses, it is also recognized as a potential contributor to neuropathogenesis [159][160][161]. Moreover, levels of some cytokines including IL-2, IL-6, IL-12, granulocyte-macrophage colony-stimulating factor (GM-CSF), IFN-γ, IFN-γ induced protein 10 (IP-10), IL-17A and OPN [30,78,118], have been reported to be elevated for months to years following the recovery of acute illness, leading to a post-infectious proinflammatory state that may contribute to long-term neuroinflammation in WNV survivors [30,78,118]. Among a large cohort of participants with a history of WNV infection in Houston, TX, USA, approximately 40% of those who presented with clinical disease continued to experience WNV-related morbidity up to eight years post-infection [162].…”