1. Long-term persistence of infectious Zika virus: Inflammation and behavioral sequela in mice
- Author
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Ha-Na Lee, Ian L. McWilliams, Derek D. C. Ireland, Adelle Laniyan, Sarah M. Clark, Jacob Sykes, Aaron P. Lewkowicz, Daniela Verthelyi, Logan Kelley-Baker, Mohanraj Manangeeswaran, Leonardo H. Tonelli, and Kaliroi Engel
- Subjects
RNA viruses ,Central Nervous System ,Apoptosis ,Pathology and Laboratory Medicine ,Nervous System ,Diagnostic Radiology ,Zika virus ,Mice ,0302 clinical medicine ,Pregnancy ,Animal Cells ,Cerebellum ,Chlorocebus aethiops ,Medicine and Health Sciences ,Pregnancy Complications, Infectious ,Biology (General) ,Immune Response ,Neurons ,Cerebral Cortex ,Mammals ,0303 health sciences ,Cell Death ,Microglia ,biology ,Zika Virus Infection ,Radiology and Imaging ,Brain ,Eukaryota ,Magnetic Resonance Imaging ,medicine.anatomical_structure ,Medical Microbiology ,Cell Processes ,Viral Pathogens ,Viruses ,Vertebrates ,Microcephaly ,Female ,Pathogens ,Anatomy ,Cellular Types ,medicine.symptom ,Research Article ,Ataxia ,Imaging Techniques ,QH301-705.5 ,Immunology ,Central nervous system ,Glial Cells ,Inflammation ,Research and Analysis Methods ,Rodents ,Microbiology ,Asymptomatic ,Virus ,03 medical and health sciences ,Signs and Symptoms ,Diagnostic Medicine ,Virology ,Genetics ,medicine ,Animals ,Vero Cells ,Microbial Pathogens ,Microglial Cells ,Molecular Biology ,030304 developmental biology ,Biology and life sciences ,Flaviviruses ,business.industry ,Organisms ,Sequela ,Zika Virus ,Cell Biology ,RC581-607 ,medicine.disease ,biology.organism_classification ,Mice, Inbred C57BL ,Disease Models, Animal ,Amniotes ,Parasitology ,Clinical Medicine ,Immunologic diseases. Allergy ,business ,Zoology ,030217 neurology & neurosurgery - Abstract
The neurodevelopmental defects associated with ZIKV infections early in pregnancy are well documented, however the potential defects and long-term consequences associated with milder infections in late pregnancy and perinatal period are less well understood. To model these, we challenged 1 day old (P1) immunocompetent C57BL/6 mice with ZIKV. The animals developed a transient neurological syndrome including unsteady gait, kinetic tremors, severe ataxia and seizures 10–15 days post-infection (dpi) but symptoms subsided after a week, and most animals survived. Despite apparent recovery, MRI of convalescent mice show reduced cerebellar volume that correlates with altered coordination and motor function as well as hyperactivity and impulsivity. Persistent mRNA levels of pro-inflammatory genes including Cd80, Il-1α, and Ifn-γ together with Cd3, Cd8 and perforin (PrfA), suggested persistence of low-grade inflammation. Surprisingly, the brain parenchyma of convalescent mice harbor multiple small discrete foci with viral antigen, active apoptotic processes in neurons, and cellular infiltrates, surrounded by activated astrocytes and microglia as late as 1-year post-infection. Detection of negative-sense strand viral RNA and isolation of infectious virus derived from these convalescent mice by blinded passage in Vero cells confirmed long-term persistence of replicating ZIKV in CNS of convalescent mice. Although the infection appears to persist in defined reservoirs within CNS, the resulting inflammation could increase the risk of neurodegenerative disorders. This raises concern regarding possible long-term effects in asymptomatic children exposed to the virus and suggests that long-term neurological and behavioral monitoring as well as anti-viral treatment to clear virus from the CNS may be useful in patients exposed to ZIKV at an early age., Author summary Infections in the perinatal period are associated with lasting cognitive impairment and increased risk for affective disorders. The congenital brain malformations associated with ZIKV infections early in pregnancy are well documented, however whether perinatal exposure could lead to long term sequelae is not fully understood. Using a non-lethal neonatal mouse model of ZIKV, we examine host-pathogen interactions, anatomical changes and behavioral patterns by following survivors of the acute infection for over 1 year. We discover that ZIKV has the potential to remain in the CNS for extended periods, lodged within small foci surrounded by gliosis and infiltrating immune cells that may act to limit the viral spread, but also interfere with healing and contribute to ongoing neuropathic and behavioral sequelae. This suggests anti-viral treatment and long-term neurological and behavioral monitoring may be indicated for patients exposed to ZIKV early in life.
- Published
- 2020