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Pathological consequences of systemic measles virus infection
Martin Ludlow1, Stephen McQuaid, Dan Milner
1Department of Microbiology, Boston University School of Medicine, MA, USA.
Measles virus (MV) uses two receptors, CD150 and poliovirus receptor-like 4 (PVRL4), to spread through the body. Understanding these pathways is crucial for measles pathogenesis and global eradication efforts.
Area of Science:
- Virology
- Immunology
- Pathogenesis
Background:
- Measles virus (MV) pathogenesis and transmission have been incompletely understood.
- The identification of poliovirus receptor-like 4 (PVRL4) as a second MV receptor provides critical insights.
- Advances in recombinant MV technology facilitate in vivo studies.
Purpose of the Study:
- To review recent advances in understanding MV infection of immune, epithelial, and neural cells.
- To elucidate the role of cellular receptors in MV spread and pathogenesis.
- To discuss the implications for measles eradication and vaccination strategies.
Main Methods:
- Analysis of primate samples for early and acute disease stages.
- Examination of human tissue samples from patients with neurological sequelae.
- Utilizing wild-type and recombinant MVs expressing fluorescent proteins for detection.
Main Results:
- PVRL4, alongside CD150, governs in vivo tissue-specific MV spread and lesion patterns.
- Distinct cell-to-cell spread mechanisms are vital in lymphoid, epithelial, and neural tissues.
- Recombinant MVs aid in visualizing virus dissemination in living systems.
Conclusions:
- The dual receptor usage (CD150 and PVRL4) dictates MV tropism and pathology.
- Understanding MV spread mechanisms is essential for developing effective control strategies.
- Further research is needed to inform global measles eradication efforts.
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