Subclinical Brain Injury Caused by H5N1 Influenza Virus Infection

Author:

Shinya Kyoko12,Makino Akiko1,Hatta Masato2,Watanabe Shinji2,Kim Jin Hyun2,Hatta Yasuko2,Gao Peng2,Ozawa Makoto23,Le Quynh Mai4,Kawaoka Yoshihiro12563

Affiliation:

1. Division of Zoonosis, Department of Microbiology and Infectious Disease, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, Japan

2. Influenza Research Institute, Department of Pathological Sciences, University of Wisconsin—Madison, Madison, Wisconsin

3. International Research Center for Infectious Diseases, Institute of Medical Science, University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, Japan

4. National Institute of Hygiene and Epidemiology, Hanoi, Vietnam

5. ERATO Infection-Induced Host Responses Project, Japan Science and Technology Agency, Saitama, Japan

6. Division of Virology, Department of Microbiology and Immunology

Abstract

ABSTRACT Although H5N1 influenza A viruses can cause systemic infection, their neurotropism and long-term effects on the central nervous system (CNS) are not fully understood. We assessed H5N1viral invasion of the CNS and its long-term effects in a ferret model. An H5N1 virus caused nonsuppurative encephalitis, which lasted for 3 months without neurologic signs. Further, another H5N1 virus caused nonsuppurative vasculitis with brain hemorrhage. Three-dimensional analysis of viral distribution in the brain identified the olfactory system as a major route for brain invasion. The efficient growth of virus in the upper respiratory tract may thus facilitate viral brain invasion.

Publisher

American Society for Microbiology

Subject

Virology,Insect Science,Immunology,Microbiology

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