THE MOLECULAR PATHOGENESIS OF FLAVIVIRUS ENCEPHALITIS

 

Peter Charles McMinn

Telethon Institute for Child Health Research; Perth, Australia

 

Flavivirus encephalitis is a serious disease with high case fatality rates and high rates of residual neurological sequelae among survivors. Studies of fatal human cases and data derived from animal models have provided conflicting evidence for the pathogenesis of flavivirus encephalitis, suggesting that disease may be caused either by virus-mediated cytopathology or by immunopathology. It is important to understand the pathogenesis of flavivirus encephalitis in order to design effective control and prevention strategies. We have studied the pathogenesis of flavivirus encephalitis using the Murray Valley encephalitis virus – mouse model and have shown that flavivirus encephalitis is primarily an immunopathological disease induced by viral infection of neurons within specific regions of the central nervous system (CNS) and resulting from marked inflammatory responses within the CNS. Furthermore, we have shown that the flavivirus envelope (E) glycoprotein contains critical determinants of neuroinvasiveness in mice. Mutations introduced into the envelope gene by site-directed mutagenesis of a Murray Valley encephalitis virus infectious cDNA clone results in the rescue of attenuated strains that have potential as live attenuated vaccines. Furthermore, we have shown that the attenuation of these strains is linked to altered fusion function of the mutated enveloped glycoprotein.