Abstract

Tick-borne encephalitis virus (TBEV), a member of the Flaviviridae family, Flavivirus genus, is responsible for neurological symptoms that may cause permanent disability or death. With an incidence on the rise, it is the major arbovirus affecting humans in Central/Northern Europe and North-Eastern Asia. Neuronal death is a critical feature of TBEV infection, yet little is known about the type of death and the molecular mechanisms involved. In this study, we used a recently established pathological model of TBEV infection based on human neuronal/glial cells differentiated from fetal neural progenitors and transcriptomic approaches to tackle this question. We confirmed the occurrence of apoptotic death in these cultures and further showed that genes involved in pyroptotic death were up-regulated, suggesting that this type of death also occurs in TBEV-infected human brain cells. On the contrary, no up-regulation of major autophagic genes was found. Furthermore, we demonstrated an up-regulation of a cluster of genes belonging to the extrinsic apoptotic pathway and revealed the cellular types expressing them. Our results suggest that neuronal death occurs by multiple mechanisms in TBEV-infected human neuronal/glial cells, thus providing a first insight into the molecular pathways that may be involved in neuronal death when the human brain is infected by TBEV.

Highlights

  • Tick-borne encephalitis virus (TBEV) belongs to the genus Flavivirus, whose members include several important human pathogens transmitted by arthropods, such as Japanese encephalitis virus (JEV), West Nile virus (WNV), Zika virus (ZIKV) and Powassan virus (POWV)

  • In a human neuronal/glial cell-based pathological model of TBEV infection, we showed that neuronal death is associated with up-regulation of genes involved in apoptosis and pyroptosis, suggesting that at least two types of death occur coincidently

  • In a previous one [24], we observed apoptotic events in TBEV-infected neuronal/glial cells, providing further evidence that apoptosis occurs in brain cells upon TBEV infection

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Summary

Introduction

Tick-borne encephalitis virus (TBEV) belongs to the genus Flavivirus (family Flaviviridae), whose members include several important human pathogens transmitted by arthropods, such as Japanese encephalitis virus (JEV), West Nile virus (WNV), Zika virus (ZIKV) and Powassan virus (POWV). Most TBEV infections are asymptomatic or cause mild flu-like symptoms, but more severe symptomatic cases occur with neurological manifestations such as encephalitis, meningo-encephalitis and meningo-encephalomyelitis. These severe conditions, referred to as tick-borne encephalitis (TBE), may lead to death or result in long-term neurological sequelae. TBEV is the most important arbovirus in Europe and North-Eastern Asia, with 2000 to 4000 human cases per year in the European Union [1] and 8000 to 13,000 cases per year reported worldwide [2]. There is currently no therapy available for TBE [4]

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