Sindbis virus (SINV) infection of the central nervous system (CNS) provides a model for understanding the role of the immune response in recovery from alphavirus infection of neurons. Virus clearance occurred in three phases: clearance of infectious virus (days 3 to 7), clearance of viral RNA (days 8 to 60), and maintenance of low levels of viral RNA (>day 60). The antiviral immune response was initiated in the cervical lymph nodes with rapid extrafollicular production of plasmablasts secreting IgM, followed by germinal center production of IgG-secreting and memory B cells. Alphaviruses of the family Togaviridae are an important cause of acute mosquito-borne viral encephalomyelitis in the Americas (7, 59). Neurons of the brain and spinal cord are the primary target cells, and recovery requires immune-mediated control of infection in these nonrenewable cells. Virus clearance from neurons poses unique challenges for the immune system. The restriction of the blood-brain barrier to immune effector entry into the central nervous system (CNS), reduced expression of major histocompatibility complex (MHC) classes I and II, and terminal differentiation of neurons make virus clearance more difficult (15). A noncytolytic process is needed to avoid irreversible neurologic damage, and the process must be effective to avoid chronic or progressive neurologic disease. Previous studies of immunodeficient mice infected with Sindbis virus (SINV), the prototype alphavirus, have shown that clearance of infectious virus from neurons within 7 to 8 days is mediated by gamma interferon (IFN-␥) produced by T cells and anti-E2 glycoprotein antibodies (Abs) produced by B cells (4, 23).Although infectious virus is cleared from the CNS to undetectable levels after infection, viral RNA encoding both structural and nonstructural viral proteins can be detected in the brains and spinal cords of SINV-infected BALB/c mice for at least a year after recovery (55,22). In severe combined immunodeficiency (SCID) mice, production of infectious SINV resumes as levels of passively transferred Ab decrease, indicating that persistent RNA is capable of renewed replication (22).Persistence of viral RNA in the CNS suggests the need for long-term immune-mediated suppression of SINV reactivation after the acute phase of infection. Previous studies of BALB/c mice have shown that the acute inflammatory response to SINV infection includes the infiltration of T cells and B cells into the CNS (18,40). Additional studies have shown that B-cell-deficient (MT) C57BL/6 mice are unable to clear infectious virus from cortical and hippocampal neurons and that initial successful SINV clearance from brain stem and spinal cord motor neurons is followed by virus reactivation after 18 to 22 days, demonstrating a critical role for Ab in recovery (4, 6). The presence of SINV-specific Ab-secreting cells (ASCs) in the brains of immunologically normal mice for at least a year after recovery from infection further suggests a role for intrathecal Ab production in the long-term suppres...