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Publication : Intestinal Dysmotility Syndromes following Systemic Infection by Flaviviruses.

First Author  White JP Year  2018
Journal  Cell Volume  175
Issue  5 Pages  1198-1212.e12
PubMed ID  30293866 Mgi Jnum  J:347408
Mgi Id  MGI:6259381 Doi  10.1016/j.cell.2018.08.069
Citation  White JP, et al. (2018) Intestinal Dysmotility Syndromes following Systemic Infection by Flaviviruses. Cell 175(5):1198-1212.e12
abstractText  Although chronic gastrointestinal dysmotility syndromes are a common worldwide health problem, underlying causes for these disorders are poorly understood. We show that flavivirus infection of enteric neurons leads to acute neuronal injury and cell death, inflammation, bowel dilation, and slowing of intestinal transit in mice. Flavivirus-primed CD8(+) T cells promote these phenotypes, as their absence diminished enteric neuron injury and intestinal transit delays, and their adoptive transfer reestablished dysmotility after flavivirus infection. Remarkably, mice surviving acute flavivirus infection developed chronic gastrointestinal dysmotility that was exacerbated by immunization with an unrelated alphavirus vaccine or exposure to a non-infectious inflammatory stimulus. This model of chronic post-infectious gastrointestinal dysmotility in mice suggests that viral infections with tropism for enteric neurons and the ensuing immune response might contribute to the development of bowel motility disorders in humans. These results suggest an opportunity for unique approaches to diagnosis and therapy of gastrointestinal dysmotility syndromes.
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