Pathogenesis of enterovirus infection in central nervous system

Congcong Wang1,2, Jichen Li2, Ying Liu2

  • 1Department of Medical Microbiology, Weifang Medical University, Weifang 261053, China.

Biosafety and Health
|March 13, 2025
PubMed

Insights

Enteroviruses (EVs) cause mild illnesses but some strains can lead to severe central nervous system (CNS) diseases like meningitis and encephalitis. This review explores EV-CNS disease links, focusing on cellular receptors and immune responses.

Area of Science:

  • Virology
  • Neuroscience
  • Immunology

Background:

  • Enteroviruses (EVs) encompass 15 species, including human EVs (A-D) and rhinoviruses (A-C), responsible for widespread global infections.
  • While most EV infections present with mild symptoms like fever and respiratory illness, certain strains are neurotropic, causing severe neurological conditions such as aseptic meningitis and encephalitis.

Purpose of the Study:

  • To review the complex relationship between enterovirus infections and central nervous system (CNS) diseases.
  • To discuss advancements in understanding the roles of cellular receptors and host immune responses in the context of EV infections affecting the CNS.

Main Methods:

  • Literature review of existing research on enteroviruses and neurological diseases.
  • Analysis of scientific data concerning viral entry mechanisms via cellular receptors.
  • Examination of studies detailing host immune system interactions during enterovirus infections.

Main Results:

  • Non-polio enteroviruses (non-PV EVs) are identified as the primary cause of neurological diseases affecting the CNS.
  • Specific human non-PV EVs, including Enterovirus A (e.g., EV-A71), Enterovirus B (e.g., echovirus 11), Enterovirus C (e.g., CVA24), and Enterovirus D (e.g., EV-D68), are implicated in CNS infections.
  • The review highlights the critical role of cellular receptors in viral entry and the modulation of host immune responses in disease pathogenesis.

Conclusions:

  • Enteroviruses, particularly non-polio strains, represent a significant threat for causing central nervous system diseases.
  • Understanding the interplay between viral cellular receptors and host immunity is crucial for developing effective therapeutic strategies against enteroviral neurological infections.

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