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The American Journal of Tropical... May 2023Japanese encephalitis (JE) is becoming an increasingly important issue among adults. The reasons for this are multifactorial. During the past decades, new areas of... (Review)
Review
Japanese encephalitis (JE) is becoming an increasingly important issue among adults. The reasons for this are multifactorial. During the past decades, new areas of Japanese encephalitis virus (JEV) transmission have occurred in several locations, most notably in a markedly expanded area of Australia during 2021-2022. When JEV enters new areas, cases in adults frequently occur. This is unlike the typical pattern in endemic areas where the burden of disease is in children because most adults are protected through natural immunity following earlier exposure to the virus. Even in endemic areas, JEV has become relatively more important in adults because improved JE control through childhood immunization programs has resulted in a substantial decrease in pediatric JE cases and thus more prominence of adult JE cases. Finally, increases in tourism to JE risk areas have resulted in more exposure of adult travelers, who are usually non-immune, to infection in JE risk areas. In this review we describe the increasing importance of JE in adults in some areas and then consider the comparative clinical presentation and severity of illness among children and adults.
Topics: Adult; Child; Humans; Encephalitis, Japanese; Encephalitis Virus, Japanese; Australia; Immunity, Innate; Immunization Programs; Japanese Encephalitis Vaccines
PubMed: 37037440
DOI: 10.4269/ajtmh.23-0036 -
Virus Research Jul 2023Japanese encephalitis virus (JEV) is a mosquito-borne zoonotic virus that can cause severe viral encephalitis. Initial interactions between JEV and host cells are... (Review)
Review
Japanese encephalitis virus (JEV) is a mosquito-borne zoonotic virus that can cause severe viral encephalitis. Initial interactions between JEV and host cells are required for productive viral infection and initiation of the viral life cycle. The elucidation of these interactions is critical, not only to understand the pathogenesis of JEV infection, but also to design efficient antiviral strategies. In this review, we outline the known viral and cellular components involved in JEV entry into host cells, with a particular focus on the initial virus-host cell interaction on the cell surface and the downstream early events such as endocytosis, membrane fusion, and viral genome release.
Topics: Animals; Humans; Encephalitis Virus, Japanese; Host Microbial Interactions; Virus Internalization; Encephalitis, Japanese; Endocytosis; Encephalitis Viruses, Japanese; Virus Replication
PubMed: 37086856
DOI: 10.1016/j.virusres.2023.199120 -
Rhode Island Medical Journal (2013) Aug 2020Travelers to 24 endemic countries in Asia may be at risk for Japanese encephalitis. The ACIP has recently expanded guidelines on the use of Ixiaro, the inactivated... (Review)
Review
Travelers to 24 endemic countries in Asia may be at risk for Japanese encephalitis. The ACIP has recently expanded guidelines on the use of Ixiaro, the inactivated Japanese encephalitis vaccine. This article reviews the disease burden of Japanese encephalitis and the role of a travel clinic in guiding travelers to Asia regarding decision-making about the use of this highly protective vaccine.
Topics: Adolescent; Adult; Asia; Child; Child, Preschool; Encephalitis Virus, Japanese; Encephalitis, Japanese; Humans; Infant; Japanese Encephalitis Vaccines; Risk; Seasons; Travel
PubMed: 32752568
DOI: No ID Found -
Infectious Disease Clinics of North... Sep 2022Powassan virus is an increasingly recognized cause of severe encephalitis that is transmitted by Ixodes ticks. Given the nonspecific clinical, laboratory, and imaging... (Review)
Review
Powassan virus is an increasingly recognized cause of severe encephalitis that is transmitted by Ixodes ticks. Given the nonspecific clinical, laboratory, and imaging features of Powassan virus disease, providers should consider it in patients with compatible exposures and request appropriate testing.
Topics: Encephalitis Viruses, Tick-Borne; Encephalitis, Tick-Borne; Humans
PubMed: 36116842
DOI: 10.1016/j.idc.2022.03.003 -
Viruses Sep 2022The beginning decades of the 21st century have been marked by multiple emergence and re-emergence phenomena of viral diseases [...].
The beginning decades of the 21st century have been marked by multiple emergence and re-emergence phenomena of viral diseases [...].
Topics: Humans; Encephalitis Viruses, Tick-Borne; West Nile Fever; West Nile virus; Encephalitis, Tick-Borne; Antibodies, Viral
PubMed: 36298675
DOI: 10.3390/v14102120 -
Ugeskrift For Laeger Mar 2023This is a case report of encephalitis and myeloradiculitis due to West Nile virus (WNV) with a fatal outcome in a 76-year-old male returning from a vacation in Serbia....
This is a case report of encephalitis and myeloradiculitis due to West Nile virus (WNV) with a fatal outcome in a 76-year-old male returning from a vacation in Serbia. In 2022 during transmission season, there was an outbreak of WNV infection in the southern part of Europe and the incidence is expected to increase globally in the future due to global warming. Currently, no antiviral treatments or vaccines against WNV are available for humans; hence, mosquito bite prevention is crucial in epidemic areas.
Topics: Male; Humans; Aged; West Nile Fever; West Nile virus; Europe; Disease Outbreaks; Epidemics
PubMed: 36999283
DOI: No ID Found -
Frontiers in Cellular and Infection... 2022The Flaviviridae are a family of positive-sense, single-stranded RNA enveloped viruses, and their members belong to a single genus, Flavivirus. Flaviviruses are found in... (Review)
Review
The Flaviviridae are a family of positive-sense, single-stranded RNA enveloped viruses, and their members belong to a single genus, Flavivirus. Flaviviruses are found in mosquitoes and ticks; they are etiological agents of: dengue fever, Japanese encephalitis, West Nile virus infection, Zika virus infection, tick-borne encephalitis, and yellow fever, among others. Only a few flavivirus vaccines have been licensed for use in humans: yellow fever, dengue fever, Japanese encephalitis, tick-borne encephalitis, and Kyasanur forest disease. However, improvement is necessary in vaccination strategies and in understanding of the immunological mechanisms involved either in the infection or after vaccination. This is especially important in dengue, due to the immunological complexity of its four serotypes, cross-reactive responses, antibody-dependent enhancement, and immunological interference. In this context, mucosal vaccines represent a promising alternative against flaviviruses. Mucosal vaccination has several advantages, as inducing long-term protective immunity in both mucosal and parenteral tissues. It constitutes a friendly route of antigen administration because it is needle-free and allows for a variety of antigen delivery systems. This has promoted the development of several ways to stimulate immunity through the direct administration of antigens (e.g., inactivated virus, attenuated virus, subunits, and DNA), non-replicating vectors (e.g., nanoparticles, liposomes, bacterial ghosts, and defective-replication viral vectors), and replicating vectors (e.g., , , , and viral vectors). Because of these characteristics, mucosal vaccination has been explored for immunoprophylaxis against pathogens that enter the host through mucosae or parenteral areas. It is suitable against flaviviruses because this type of immunization can stimulate the parenteral responses required after bites from flavivirus-infected insects. This review focuses on the advantages of mucosal vaccine candidates against the most relevant flaviviruses in either humans or animals, providing supporting data on the feasibility of this administration route for future clinical trials.
Topics: Animals; Encephalitis, Japanese; Encephalitis, Tick-Borne; Flavivirus; Mosquito Vectors; Vaccination; West Nile Fever; Yellow Fever; Zika Virus; Zika Virus Infection
PubMed: 35782117
DOI: 10.3389/fcimb.2022.887729 -
The Journal of General Virology Feb 2022Arboviruses are medically important arthropod-borne viruses that cause a range of diseases in humans from febrile illness to arthritis, encephalitis and hemorrhagic... (Review)
Review
Arboviruses are medically important arthropod-borne viruses that cause a range of diseases in humans from febrile illness to arthritis, encephalitis and hemorrhagic fever. Given their transmission cycles, these viruses face the challenge of replicating in evolutionarily divergent organisms that can include ticks, flies, mosquitoes, birds, rodents, reptiles and primates. Furthermore, their cell attachment receptor utilization may be affected by the opposing needs for generating high and sustained serum viremia in vertebrates such that virus particles are efficiently collected during a hematophagous arthropod blood meal but they must also bind sufficiently to cellular structures on divergent organisms such that productive infection can be initiated and viremia generated. Sulfated polysaccharides of the glycosaminoglycan (GAG) groups, primarily heparan sulfate (HS), have been identified as cell attachment moieties for many arboviruses. Original identification of GAG binding as a phenotype of arboviruses appeared to involve this attribute arising solely as a consequence of adaptation of virus isolates to growth in cell culture. However, more recently, naturally circulating strains of at least one arbovirus, eastern equine encephalitis, have been shown to bind HS efficiently and the GAG binding phenotype continues to be associated with arbovirus infection in published studies. If GAGs are attachment receptors for many naturally circulating arboviruses, this could lead to development of broad-spectrum antiviral therapies through blocking of the virus-GAG interaction. This review summarizes the available data for GAG/HS binding as a phenotype of naturally circulating arbovirus strains emphasizing the importance of avoiding tissue culture amplification and artifactual phenotypes during their isolation.
Topics: Animals; Arbovirus Infections; Arboviruses; Heparitin Sulfate; Humans
PubMed: 35191823
DOI: 10.1099/jgv.0.001726