Sindbis virus causes acute encephalitis in mice and serves as a useful mode
l for encephalitic alphaviruses that infect humans. The outcome of infectio
n is determined by whether infected neurons are resistant to virus-induced
programmed cell death or activate their apoptotic pathway. The host immune
response may also cause death of infected neurons. Determinants of neuronal
apoptosis include the maturity of the neuron, the virulence of the infecti
ng virus and the cellular immune response to infection, in many situations
viral and cellular factors that decrease virus replication also decrease ap
optosis. Antiviral antibody can downregulate virus replication in surviving
neurons without affecting cell viability Other innate and induced host imm
une responses can alter the outcome of infection without a change in virus
production. Failure to induce apoptosis in infected neurons leads to long-t
erm persistence of small amounts of viral RNA in the nervous system of infe
cted mice despite the clearance of infectious virus. The molecular mechanis
ms that govern these pathogenesis factors are beginning to be elucidated. (
C) 1998 Academic Press.