“…Persistent EV infections have been studied in cultured cells of monkey, mouse, and human origin [e.g., the HEp2 line, neural and endothelial cells, astrocytes, neuroblastoma lines 27 ]. Cultured cells undergoing persistent infection display peculiar features 27 , 28 : a) cytopathic effect (CPE) is not evident, b) viral antigens are expressed in a small percentage of cells, c) virus is produced at low titers (≤10 3 plaque-forming units/ml), d) cytokines and chemokines are secreted 29 . In persistently infected cultures, virus transmission may occur through the release of extracellular vesicles, formation of cell protrusions and intercellular bridges 8 , 25 , 26 .…”