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Updated: May 11, 2026

Differentiation of the SH-SY5Y Human Neuroblastoma Cell Line
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Mendelian predisposition to herpes simplex encephalitis.

Shen-Ying Zhang1, Laurent Abel, Jean-Laurent Casanova

  • 1Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, Rockefeller University, New York, NY, USA; Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM, Paris, France; Université Paris René Descartes, Necker Medical School, Paris, France.

Handbook of Clinical Neurology
|April 30, 2013
PubMed
Summary
This summary is machine-generated.

Inborn errors in interferon immunity predispose individuals to herpes simplex encephalitis (HSE). Genetic defects in TLR3-IFN pathways are key factors in developing this severe brain infection.

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Area of Science:

  • Immunology
  • Virology
  • Genetics

Background:

  • Herpes simplex encephalitis (HSE) is the most common sporadic viral encephalitis in Western countries.
  • The underlying causes for HSE, affecting a small fraction of HSV-1 infected individuals, remain largely unknown.
  • Recent findings indicate that genetic defects in Toll-like receptor 3 (TLR3)-interferon (IFN) pathways may increase susceptibility to HSE in some children.

Purpose of the Study:

  • To investigate the role of Mendelian defects in interferon-mediated immunity in the pathogenesis of herpes simplex encephalitis.
  • To identify specific genetic causes for HSE, particularly in children.
  • To elucidate the mechanisms by which genetic variations in IFN pathways confer susceptibility to HSE.

Main Methods:

  • Case studies of children with HSE and/or mycobacterial disease.
  • Genetic analysis to identify mutations in genes involved in TLR3-IFN signaling pathways.
  • Functional studies of interferon production and response in affected individuals.

Main Results:

  • Autosomal recessive STAT-1 deficiency and X-linked NEMO deficiency were identified in children with both mycobacterial disease and HSE.
  • Autosomal recessive UNC-93B deficiency and autosomal dominant TLR3 deficiency were found in children with isolated HSE.
  • These genetic defects highlight a novel group of single-gene inborn errors affecting IFN-mediated immunity.

Conclusions:

  • Single-gene defects in IFN-mediated immunity can predispose individuals to HSE.
  • The TLR3-UNC-93B pathway is crucial for producing IFN-α/β and IFN-λ, essential for immunity against HSV-1 in the central nervous system.
  • These findings provide a genetic basis for understanding HSE pathogenesis and may inform future diagnostic and therapeutic strategies.