The nutritional status of the host has long been associated with both sever
ity and susceptibility to infectious disease. The accepted model system pro
poses that inadequate nutrition impairs the functioning of the immune syste
m, thus resulting in increased susceptibility to infection. However, curren
t work suggests that not only can the nutritional status of the host affect
the immune response, but it can also affect the viral pathogen, In a mouse
model, a benign strain of coxsackievirus B3 became virulent and caused myo
carditis in selenium- and vitamin E-deficient mice. This change in pathogen
icity was due to mutations in the viral genome, which changed an avirulent
virus into a virulent one, Once these mutations occurred, even mice with no
rmal nutriture developed disease from the mutated virus. These results sugg
est that the oxidative stress status of the hose can have a profound influe
nce on a viral pathogen.