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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kennedy, Peter G. E. Rovnak, Joel Badani, Hussain Cohrs, Randall J. |
| Description | Country affiliation: United kingdom Author Affiliation: Kennedy PG ( 1Institute of Infection, Immunity and Inflammation, University of Glasgow, Garscube Campus, Glasgow G61 1QH, UK.); Rovnak J ( 2Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO 80521, USA.); Badani H ( 3Department of Neurology, University of Colorado Medical School, Aurora, CO 80045, USA.); Cohrs RJ ( 3Department of Neurology, University of Colorado Medical School, Aurora, CO 80045, USA 4Department of Microbiology, University of Colorado Medical School, Aurora, CO 80045, USA.) |
| Abstract | Herpes simplex virus type 1 (HSV-1; human herpesvirus 1) and varicella-zoster virus (VZV; human herpesvirus 3) are human neurotropic alphaherpesviruses that cause lifelong infections in ganglia. Following primary infection and establishment of latency, HSV-1 reactivation typically results in herpes labialis (cold sores), but can occur frequently elsewhere on the body at the site of primary infection (e.g. whitlow), particularly at the genitals. Rarely, HSV-1 reactivation can cause encephalitis; however, a third of the cases of HSV-1 encephalitis are associated with HSV-1 primary infection. Primary VZV infection causes varicella (chickenpox) following which latent virus may reactivate decades later to produce herpes zoster (shingles), as well as an increasingly recognized number of subacute, acute and chronic neurological conditions. Following primary infection, both viruses establish a latent infection in neuronal cells in human peripheral ganglia. However, the detailed mechanisms of viral latency and reactivation have yet to be unravelled. In both cases latent viral DNA exists in an 'end-less' state where the ends of the virus genome are joined to form structures consistent with unit length episomes and concatemers, from which viral gene transcription is restricted. In latently infected ganglia, the most abundantly detected HSV-1 RNAs are the spliced products originating from the primary latency associated transcript (LAT). This primary LAT is an 8.3 kb unstable transcript from which two stable (1.5 and 2.0 kb) introns are spliced. Transcripts mapping to 12 VZV genes have been detected in human ganglia removed at autopsy; however, it is difficult to ascribe these as transcripts present during latent infection as early-stage virus reactivation may have transpired in the post-mortem time period in the ganglia. Nonetheless, low-level transcription of VZV ORF63 has been repeatedly detected in multiple ganglia removed as close to death as possible. There is increasing evidence that HSV-1 and VZV latency is epigenetically regulated. In vitro models that permit pathway analysis and identification of both epigenetic modulations and global transcriptional mechanisms of HSV-1 and VZV latency hold much promise for our future understanding in this complex area. This review summarizes the molecular biology of HSV-1 and VZV latency and reactivation, and also presents future directions for study. |
| File Format | HTM / HTML |
| ISSN | 00221317 |
| e-ISSN | 14652099 |
| DOI | 10.1099/vir.0.000128 |
| Journal | Journal of General Virology |
| Issue Number | Pt 7 |
| Volume Number | 96 |
| Language | English |
| Publisher | Microbiology Society |
| Publisher Date | 2015-07-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Research Support, N.i.h., Extramural Comparative Study Discipline Virology Virus Latency Neurons Epigenesis, Genetic Herpesvirus 3, Human Ganglia Herpesvirus 1, Human Virology Gene Expression Regulation, Viral Transcription, Genetic Physiology Virus Activation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Virology |
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