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Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...

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Related Experiment Video

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Viral Tracing of Genetically Defined Neural Circuitry
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Cross-System Transcriptomics Suggests Enterovirus A71 Exploits Wound Healing Programs to Target Neural Progenitors in

Nibras Mohammed Ali Hashim1, Noor N Al-Hayani2, Bushra Jabbar Hamad1

  • 1Department of Biology, College of Science, University of Thi-Qar, Nasiriyah, Iraq.

Infectious Disorders Drug Targets
|July 3, 2026
PubMed
Summary

Enterovirus 71 (EV-A71) infection targets neural stem cells by hijacking their regenerative programs. This study identifies a macrophage gene signature to distinguish active EV-A71 infection from vaccine responses.

Keywords:
ALOX5Enterovirus A71PMEPA1immune evasionmacrophagesneural progenitorsspinal cord organoidstranscriptomics

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Area of Science:

  • Virology
  • Neuroscience
  • Computational Biology

Background:

  • Enterovirus A71 (EV-A71) immune evasion and neuroinvasion mechanisms remain unclear.
  • Inactivated vaccines offer protection without the detrimental effects of active infection, such as inflammation and viral persistence.

Purpose of the Study:

  • To investigate the dichotomy between active EV-A71 infection and vaccine-induced immunity using computational transcriptomics.
  • To identify specific neural cell populations susceptible to enteroviral infection.

Main Methods:

  • Compared bulk RNA-seq data from THP-1 macrophages infected with active versus inactivated EV-A71.
  • Developed a 10-gene consensus signature and projected it onto a human spinal cord organoid single-cell RNA-seq atlas.
  • Utilized an iterative Area Under the Curve (AUC)-based optimization strategy to refine candidate genes.

Main Results:

  • Active EV-A71 infection activates a wound-healing program (PMEPA1, ALOX5, CCL1, SPRED3), while inactivated virus elicits an anti-inflammatory response.
  • EV-A71 infection leads to an immunosuppressive M2 phenotype with decreased inflammatory factors (ADORA2A, CCR1, CXCL1).
  • The 10-gene signature identified cycling neural progenitors as the likely reservoir for EV-A71 replication.

Conclusions:

  • A macrophage gene signature computationally identifies EV-A71 infection versus vaccine protection.
  • EV-A71 targets proliferative and regenerative programs in neural stem cells within human spinal cord organoids.