The geographic distribution and host range of Borna disease (BE), a fa
tal neurologic disease of horses and sheep, are larger than previously
thought. The etiologic agent, Borna disease virus (BDV), has been ide
ntified as an enveloped nonsegmented negative-strand RNA virus with un
ique properties of replication. Data indicate a high degree of genetic
stability of BDV in its natural host, the horse. Studies in the Lewis
rat have shown that BDV replication does not directly influence vital
functions; rather, the disease is caused by a virus-induced T-cell-me
diated immune reaction. Because antibodies reactive with BDV have been
found in the sera of patients with neuropsychiatric disorders, this r
eview examines the possible link between BDV and such disorders. Seroe
pidemiologic and cerebrospinal fluid investigations of psychiatric pat
ients suggest a causal role of BDV infection in human psychiatric diso
rders. In diagnostically unselected psychiatric patients, the distribu
tion of psychiatric disorders was found to be similar in BDV seroposit
ive and seronegative patients. In addition, BDV-seropositive neurologi
c patients became ill with lymphocytic meningoencephalitis. In contras
t to others, we found no evidence is reported for BDV RNA, BDV antigen
s, or infectious BDV in peripheral blood cells of psychiatric patients
.