Zika virus infection histories in brain development

Bruna L M Marcelino1, Brendha L Dos Santos2, Jhulimar G Doerl1,3

  • 1Brain Institute, Federal University of Rio Grande do Norte, 59056-450 Natal, Brazil.

PubMed

Insights

Zika virus (ZIKV) causes congenital ZIKV syndrome (CZVS), leading to reduced neuron numbers and death. Intracellular transport is the main ZIKV spread mechanism in the embryonic brain, explaining diverse CZVS phenotypes.

Area of Science:

  • Neuroscience
  • Virology
  • Developmental Biology

Background:

  • The Zika virus (ZIKV) outbreak in Brazil highlighted its teratogenic effects, specifically microcephaly.
  • ZIKV infection in utero causes significant reduction in neuron numbers and neuronal death in the developing central nervous system (CNS).

Approach:

  • This review synthesizes data from human, molecular, cellular, and animal model studies.
  • It focuses on understanding the natural history of ZIKV within the embryonic CNS.
  • The study examines the timing and pathways of ZIKV infection and spread.

Key Points:

  • Intraneuronal viral transport is proposed as the primary mechanism for ZIKV spread within the embryonic brain.
  • This mechanism is linked to the majority of congenital ZIKV syndrome (CZVS) cases.
  • Viral transport across the blood-brain barrier and cerebrospinal fluid may cause more severe ZIKV-induced CNS malformations.

Conclusions:

  • Understanding ZIKV's embryonic CNS infection dynamics is crucial for explaining CZVS phenotypic diversity.
  • Intraneuronal transport is key to ZIKV pathogenesis in the developing brain.
  • Further research into viral spread pathways can inform strategies to mitigate severe congenital malformations.

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