As a possible route for invasion of the CNS, circulating poliovirus (PV) in the blood is believed to traverse the blood-brain barrier (BBB), resulting in paralytic poliomyelitis. However, the underlying mechanism is poorly understood. In this study, we demonstrated that mouse transferrin receptor 1 (mTfR1) is responsible for PV attachment to the cell surface, allowing invasion into the CNS via the BBB. PV interacts with the apical domain of mTfR1 on mouse brain capillary endothelial cells (MBEC4) in a dose-dependent manner via its capsid protein (VP1). We found that F-G, G-H, and H-I loops in VP1 are important for this binding.
Poliovirus (PV)2 is an enterovirus belonging to the family Picornaviridae and is the causative agent of poliomyelitis (1, 2). Generally, PV enters the stomach via oral ingestion and invades the alimentary mucosa in an unidentified manner, and PV then proliferates in the alimentary mucosa (1, 2) and moves to the bloodstream. The circulating virus invades the CNS and replicates in motor neurons (MNs). Poliomyelitis is known to involve accumulated damage to the MNs by PV replication (3). The human PV receptor (hPVR/CD155) facilitates PV infection of cells; however, PV replication is restricted by host immune activities (e.g. IFN-␣/) (4 -6). Although wild-type mice are not sensitive to PV (7), hPVR-expressing transgenic (Tg) mice were susceptible to PV via intravenous and intramuscular routes but not the oral route (7-12). Further, an IFN-␣/-deficient hPVR-Tg mouse was found to be susceptible to PV via the oral route (13).As a possible route for invasion of the CNS, PV enters the CNS via axonal transport through the skeletal muscle in an hPVR-dependent manner (14). Endocytic vesicles at the synapse take up intact PV, which is passively transported to the CNS. Interestingly, PV has been shown to invade the CNS via hPVR-independent axonal transport in hPVR-Tg and non-Tg mice (15), indicating that other unidentified pathways for PV transport may be present. Furthermore, we previously showed that PV promptly invades the CNS from the blood in non-Tg mice, which supports this speculation (16). In that study, intravenously injected PV permeated the brain as fast as cationized rat serum albumin, which is BBB-permeable (16).Therefore, PV is thought to efficiently permeate the CNS by overcoming the BBB.The BBB is composed of a multilayer barrier composed of vascular endothelial cells with tight junctions filling the gaps between cells (17). Although the BBB was discovered over a century ago, its transport mechanisms are not fully understood. It restricts transport of substances between the CNS and blood by maintaining a strictly regulated microenvironment for high integrity neuronal response in the CNS (18,19). Certain substances are permitted transmission via the BBB from the bloodstream to the brain, facilitated by specific transporters on the cell membrane (e.g. glucose, amino acids, transferrin, and insulin) (20 -25). For example, transferrin is known to facilitate iron transport from the blood ...