2007
DOI: 10.1038/ni1519
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Immunopathology of highly virulent pathogens: insights from Ebola virus

Abstract: Ebola virus is a highly virulent pathogen capable of inducing a frequently lethal hemorrhagic fever syndrome. Accumulating evidence indicates that the virus actively subverts both innate and adaptive immune responses and triggers harmful inflammatory responses as it inflicts direct tissue damage. The host immune system is ultimately overwhelmed by a combination of inflammatory factors and virus-induced cell damage, particularly in the liver and vasculature, often leading to death from septic shock. We summariz… Show more

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Cited by 122 publications
(119 citation statements)
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“…Ebola viral protein 35 (VP35) is multifunctional, serving as a component of the viral RNA polymerase complex, as a structural/assembly factor, and as a suppressor of host IFN responses (2). Therefore, a functional VP35 is required for efficient viral replication and pathogenesis; knockdown of VP35 leads to reduced viral amplification and reduced lethality in infected mice (14)(15)(16)(17)(18).…”
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“…Ebola viral protein 35 (VP35) is multifunctional, serving as a component of the viral RNA polymerase complex, as a structural/assembly factor, and as a suppressor of host IFN responses (2). Therefore, a functional VP35 is required for efficient viral replication and pathogenesis; knockdown of VP35 leads to reduced viral amplification and reduced lethality in infected mice (14)(15)(16)(17)(18).…”
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confidence: 99%
“…acterized by fever, shock, coagulation defects, and impaired immunity (1,2). These manifestations of infection are thought to reflect subversion of the innate immune system coupled with uncontrolled viral replication, particularly in macrophages and dendritic cells (3,4).…”
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“…Notamment, il semble que dans l'épidémie actuelle en Afrique de l'Ouest, ceux-ci soient moins fréquents qu'à l'accoutumé [6]. Dans les infections fatales, le décès est lié de façon générale à une incapacité de la réponse immunitaire à contrôler la croissance virale, ce qui induit une défaillance multiviscérale, une dérégulation du système cardiovas- SYNTHÈSE REVUES [22][23][24][25]. Des nécroses similaires, avec dépôt de fibrine, ont également été décrites dans la pulpe blanche et la pulpe rouge de la rate, modifiant souvent l'architecture de cet organe.…”
Section: Manifestations Cliniques De L'infection à Filovirusunclassified
“…However, the complete mechanism leading to changes in vascular endothelial cell permeability have not been elucidated. Several factors, including the release of inflammatory mediators, virus directed attacking of endothelium, the release of endosomal cathepsins and the expression of virus-envelope glycoprotein GP, are proposed to be responsible for virus-induced cell injury and the vascular permeability [1]. GP is considered as a viral determinant of EBOV pathogenicity and likely contributes to hemorrhage during infection, as several groups reported that overexpression of GP can induce cell detachment and rounding in vitro and ex vivo [2].…”
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confidence: 99%