2012
DOI: 10.1016/j.tim.2012.03.009
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Viral disruption of the blood–brain barrier

Abstract: The blood-brain barrier (BBB) provides significant protection against microbial invasion of the brain. However, the BBB is not impenetrable, and mechanisms by which viruses breach it are becoming clearer. In vivo and in vitro model systems are enabling identification of host and viral factors contributing to breakdown of the unique BBB tight junctions. Key mechanisms of tight junction damage from inside and outside cells are disruption of the actin cytoskeleton and matrix metalloproteinase activity, respective… Show more

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Cited by 175 publications
(207 citation statements)
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References 94 publications
(127 reference statements)
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“…The BBB is a physical and physiological barrier against the entry of cells and molecules into the CNS (20,22,23), and thus, enhancement of BBB permeability has often been associated with pathological changes in the CNS (19). However, transiently increased BBB permeability has been associated with the clearance of RABV from the CNS and the prevention of rabies (13).…”
Section: Discussionmentioning
confidence: 99%
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“…The BBB is a physical and physiological barrier against the entry of cells and molecules into the CNS (20,22,23), and thus, enhancement of BBB permeability has often been associated with pathological changes in the CNS (19). However, transiently increased BBB permeability has been associated with the clearance of RABV from the CNS and the prevention of rabies (13).…”
Section: Discussionmentioning
confidence: 99%
“…Many host and viral factors contribute to the disruption of BBB integrity (19). In HIV, alteration of occludin and ZO-1 expression at the BBB has been demonstrated to be dependent on viral gp120 and CCL2 (43)(44)(45)(46).…”
Section: Discussionmentioning
confidence: 99%
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“…We also observed disruption of the actin cytoskeleton network and that of intercellular junctions as evidenced by the rounding of infected cells. The actin cytoskeleton has an important role in the maintenance of stable inter-endothelial junctions and prevents paracellular transport to the brain (Spindler & Hsu, 2012;Stamatovic et al, 2012). Remodelling of intracellular membranes was the third hallmark of a picornavirus infection seen in infected hCMEC/D3 cells, but discrete variations occurred between echoviruses (E-6, E-12 and E-30) and EV-A71.…”
Section: Impairment Of the Bbb By Enterovirusesmentioning
confidence: 99%