After an acute phase of virus growth in neurons (e.g. anterior horn ce
lls), Theiler's murine encephalomyelitis virus (TMEV) persists as a ch
ronic productive infection, largely in macrophages in the CNS white ma
tter. TMEV replication in macrophages is highly restricted, probably a
s the result of host cell factors. The preponderance of evidence indic
ates that TMEV persistence leads to immunopathologic damage of myelin,
mediated by major histocompatibility class II-restricted Th1 lymphocy
tes directed at a virus epitope(s) rather than host neuroantigens at l
east early in the infection. Analysis of TMEV recombinant and mutant v
iruses suggests that persistence requires a specific capsid conformati
on involving the VP2 puff and VP1 loops, which may influence persisten
ce through virion receptor binding or attachment to host cells, e.g. m
acrophages.