33Zika virus (ZikV) is a flavivirus that infects neural tissues, causing congenital 34 microcephaly. ZikV has evolved multiple mechanisms to restrict proliferation and 35 enhance cell death, although the underlying cellular events involved remain unclear. 36 Here we show that the ZikV-NS5 protein interacts with host proteins at the base of the 37 primary cilia in neural progenitor cells, causing an atypical non-genetic ciliopathy and 38 premature neuron delamination. Furthermore, in human microcephalic fetal brain 39 tissue, ZikV-NS5 persists at the base of the motile cilia in ependymal cells, which also 40 exhibit a severe ciliopathy. While the enzymatic activity of ZikV-NS5 appears to be 41 dispensable, the Y25, K28 and K29 residues in the protein, that are involved in NS5-42 oligomerization, are essential for the localization and interaction with components of the 43 cilium base, promoting ciliopathy and premature neurogenesis. These findings lay the 44 foundation to develop therapies that target ZikV-NS5-multimerization, preventing the 45 developmental malformations associated with congenital Zika syndrome 46 47 48 Zika virus (ZikV) is a flavivirus transmitted by the bite of the Aedes mosquito 1 . The 11 49 kb positive-sense, single-stranded RNA genome of ZikV encodes ten mature viral 50 proteins: three structural proteins (C, prM and E) and seven non-structural proteins 51 (NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5) 1 . A single amino acid substitution 52 (S139N) in prM seems to be responsible for the change in virus tropism that provokes a 53 dramatic increase in neonatal microcephaly 22 , and that has led to this virus being 54 declared a global threat to public health. ZikV can directly infect human neural 55 progenitor cells (NPCs) in both 2D and 3D in vitro models of the developing cerebral 56 cortex, resulting in defects resembling congenital microcephaly 3-8 . However, the 57 mechanisms by which ZikV disrupts neurogenesis have not yet been fully elucidated.
58Moreover, macaque monkey infection provokes regional disturbances in the brain that 59 impair postnatal neurogenesis, provoking cognitive deficits and epilepsy 9 . This 60 vulnerability of late neurogenic regions to ZikV also persists in adult mice 10 . As it is 61 well known that human brain development extends for many years beyond birth and 62 that adult neurogenesis influences cognitive functions, it is no longer safe to consider 63 ZikV as a transient infection in adult humans without marked long-term effects. 64 65 The limited availability of human tissue to perform histological analyses at different 66 developmental stages 11 emphasizes the need to use in vivo animal models to understand 67 congenital Zika syndrome. Here we used the chick embryo neural tube (NT) to screen 68 non-structural (NS) ZikV protein components and assess their impact on neurogenesis, 69 particularly given that this in vivo model has served to identify fundamental processes in 70 mammalian neural development and human disease. Through this approach, ZikV-NS5 71 w...