The initial event in the life cycle of a virus is its interaction with rece
ptors present on the surface of a cell. Understanding these interactions is
important to our understanding of viral tropism, spread, and pathogenesis.
This is particularly true of viruses that target the central nervous syste
m as these viruses must maintain a tropism for both the nervous system and
for peripheral organs that allow for viral replication and spread to new su
sceptible hosts. These viruses therefore interact with a diverse set of cel
ls and tissues, interactions that are likely mediated by both common and un
ique receptors present an each target tissue. In addition, physiological ch
anges in the host can lead to increased or decreased expression of virus re
ceptors, which influence virus trafficking, spread, and tissue specific pat
hology This review will focus on the relatively few virus receptor systems
that have been described in some level of detail for viruses that target th
e human central nervous system.