22Zika virus (ZIKV) is a neurotropic virus that can cause neuropathy in adults and fetal 23 neurologic malformation following infection of pregnant women. We used a nonhuman primate 24 model, the Indian-origin Rhesus macaque (IRM), to gain insight into virus-associated hallmarks 25 42 chemokine may be involved in virus-induced inflammation and/or in repair of virus-induced brain 43 damage. Our data are significant since they help in understanding the mechanism of brain 44 damage caused by ZIKV in adults. 45 3 46 Introduction 47 Zika virus (ZIKV), is a neurotropic flavivirus associated with Guillain-Barre' syndrome 48 (GBS) in adults and is also well-known for causing fetal neurologic malformation following 49 infection of pregnant women (1, 2). In addition to causing GBS, which features damage to the 50 protective myelin sheath surrounding axons, ZIKV can cause neuropathy in adults in the form of 51 meningioencephalitis and myelitis (3, 4). The pathogenesis of ZIKV and the host-pathogen 52 interactions important for the development of these lesions still need to be elucidated.
53The blood-brain barrier (BBB), the boundary between circulatory and CNS tissues, is 54 composed of brain microvascular endothelial cells (BMECs) and supporting associated pericytes 55 and astrocytes. Intercellular tight junction (TJ) and adherens junction (AJ) integrity is important 56 for maintenance of the intracellular network of MECs that comprises the vascular endothelium. 57 Disruption of the BBB occurs during the pathogenesis of a wide range of infectious, autoimmune, 58 and neurodegenerative diseases. Neurotropic flaviviruses, including Japanese Encephalitis virus 59 (JEV) and West Nile virus (WNV), disturb the BBB in adults through disruption of the BMEC 60 network (5, 6).
61The chemokine CXCL12 is a key regulator of both myelin formation during embryogenesis 62 and remyelination following neural damage in the CNS and peripheral nervous system (PNS) in 63 adults (7, 8). CXCL12 facilitates the migration and maturation of oligodendrocyte precursor cells 64 (OPCs) during CNS remyelination (7, 8). In the PNS, CXCL12 may similarly function in Schwann 65 cell migration (9), as CXCL12 is expressed by perisynaptic Schwann cells during recovery of 66 neuromuscular junctions following damage (10). In addition to serving as a key regulator of neural 67 repair, CXCL12 plays an important function in regulating lymphocyte migration through the BBB.
68During homeostasis CXCL12 is expressed by BMECs resulting in spatial restriction of 69 lymphocytes to the microvascular perivascular space, and changes in chemokine expression and 70 distribution can lead to neuroinflammation (11, 12). The role of CXCL12 in neural repair, 4 71 lymphocyte migration into the CNS parenchyma, and in multifarious functions during development 72 and immunity, are mediated through interaction of this chemokine with its primary receptor, 73 CXCR4 (13). Stimulation of CXCR4 by CXCL12 results in activation of an interwoven set of 74 downstream effector pathways (14, 15)....