Sindbis virus is an alphavirus that causes encephalitis in mice. The p
rimary target cells for central nervous system infection are neurons.
The outcome of neuronal infection is dependent on the age of the mouse
at the time of infection (maturity of the neuron) and the strain of v
irus used for infection (virulence of the virus). Sindbis virus causes
neuronal death by inducing apoptosis. As neurons mature, they become
resistant to virus-induced apoptosis, resulting in a persistent infect
ion. Host production of antibody to a viral surface glycoprotein acts
to downregulate virus replication in the infected neurons by a noncyto
lytic mechanism and clears infectious virus from the central nervous s
ystem. Specific genetic changes in the virus result in more virulent s
trains that cause severe disease and sometimes death in mature animals
. These same genetic alterations also confer the ability to overcome t
he resistance of neurons to induction of cell death. Therefore, mature
neurons infected with virulent viruses do not recover from infection
even in the presence of an adequate immune response.